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ACR Appropriateness Criteria Imaging After Shoulder Arthroplasty: Updated 2026
, Donna G Blankenbaker1, Nicholas C Nacey2
1University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Journal of the American College of Radiology : JACR
|April 13, 2026
Summary
This document provides best practices for ordering imaging studies after shoulder arthroplasty, guiding clinicians on appropriate imaging modalities for various clinical scenarios to optimize patient care.
Area of Science:
- Orthopedic Surgery
- Radiology
- Medical Imaging
Background:
- Shoulder arthroplasties are increasingly common for painful shoulder conditions.
- These procedures include resurfacing, hemiarthroplasty, conventional total shoulder arthroplasty, and reverse total shoulder arthroplasty.
Purpose of the Study:
- To define best practices for ordering imaging studies following shoulder arthroplasty.
- To categorize clinical scenarios and recommend appropriate imaging modalities.
Main Methods:
- Comprehensive analysis of available literature.
- Thorough review of best imaging practices for specific clinical scenarios.
- Utilized American College of Radiology Appropriateness Criteria and RAND/UCLA Appropriateness Method.
Main Results:
- Each clinical scenario variant includes descriptions of imaging modality usefulness, advantages, and limitations.
- Recommendations are evidence-based, incorporating expert opinion when literature is equivocal.
Conclusions:
- Establishes evidence-based guidelines for optimal imaging after shoulder arthroplasty.
- Aims to improve diagnostic accuracy and treatment planning for patients undergoing shoulder replacement surgery.
Keywords:
AUCAppropriate Use CriteriaAppropriateness Criteriacomplicationsimagingreverse shoulder arthroplastyshoulder replacementtotal shoulder arthroplastyMore Related Videos
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