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Related Concept Videos

SBAR II: Application of SBAR01:14

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ACR Appropriateness Criteria® Acute Shoulder Pain: 2024 Update.

, Olga Laur1, Alice S Ha2

  • 1Weill Cornell Medicine, New York, New York.

Journal of the American College of Radiology : JACR
|May 23, 2025
PubMed
Summary
This summary is machine-generated.

Radiography is the first choice for acute shoulder pain from trauma. Advanced imaging like MRI or CT helps diagnose subtle fractures and soft tissue injuries when initial X-rays are unclear.

Keywords:
AUCAppropriateness Criteriaappropriate use criteriadislocationfracturelabrumrotator cuffshoulder trauma

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Area of Science:

  • Orthopedics
  • Radiology
  • Sports Medicine

Background:

  • Trauma is a leading cause of acute shoulder pain, often resulting from fractures or soft tissue injuries.
  • Initial assessment typically involves radiography to detect fractures.
  • Further imaging may be necessary for inconclusive radiographic findings.

Purpose of the Study:

  • To comprehensively review evidence on imaging modalities for diagnosing acute shoulder pain.
  • To evaluate the appropriateness of various imaging techniques based on clinical scenarios.

Main Methods:

  • Systematic analysis of peer-reviewed medical literature.
  • Application of evidence-based guideline development principles (e.g., GRADE).
  • Utilizing the RAND/UCLA Appropriateness Method for imaging procedures.

Main Results:

  • Radiography is the primary imaging modality for acute shoulder pain and fractures.
  • Ultrasound, MRI, and CT (with or without arthrography) are valuable for detecting nondisplaced fractures and soft tissue injuries.
  • These advanced modalities aid in assessing injuries following glenohumeral joint dislocation.

Conclusions:

  • Imaging selection for acute shoulder pain depends on initial findings and suspected pathology.
  • Evidence-based guidelines support the appropriate use of various imaging techniques.
  • Expert opinion may supplement evidence in cases with limited literature.