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ACR Appropriateness Criteria® Chronic Hip Pain: 2022 Update
, Shari T Jawetz1, Michael G Fox2
1Hospital for Special Surgery, New York, New York.
Journal of the American College of Radiology : JACR
|May 26, 2023
Summary
Chronic hip pain diagnosis relies on clinical evaluation and imaging. This guide outlines best practices for imaging workup in adults, ensuring accurate diagnosis and appropriate treatment.
Area of Science:
- Radiology
- Orthopedics
- Clinical Medicine
Background:
- Chronic hip pain is a common patient complaint across various clinical settings.
- Accurate diagnosis requires a combination of targeted history, physical examination, and appropriate imaging.
- A wide range of pathological conditions can lead to chronic hip pain.
Framework:
- The American College of Radiology Appropriateness Criteria provide evidence-based guidelines for imaging.
- These guidelines are developed and annually reviewed by a multidisciplinary expert panel.
- Methodologies like RAND/UCLA and GRADE are used to assess imaging appropriateness.
Implementation:
- Radiography is typically the initial imaging modality after clinical assessment.
- Advanced cross-sectional imaging may be used for further evaluation based on clinical presentation.
- Best practices are provided for diverse clinical scenarios of chronic hip pain.
Implications:
- Optimized imaging workup leads to more accurate etiological elucidation of hip pain.
- Adherence to evidence-based guidelines improves diagnostic yield and patient care.
- Expert opinion supplements evidence in equivocal cases, guiding further management.
Keywords:
AUCAppropriate Use CriteriaAppropriateness Criteriachronic hip paindiagnostic imaginghiphip painimaging
