ACR Appropriateness Criteria Acute Trauma to the Foot.
نویسندگان
چکیده
This ACR Appropriateness Criteria article offers imaging triage guidance for several variants of patients presenting with acute foot trauma. Patients meeting inclusion criteria for the Ottawa Rules should undergo a 3-view radiographic series. Diabetic patients with peripheral neuropathy should undergo radiography, even though they do not meet the Ottawa Rules inclusion criteria. Patients with suspected midfoot and/or Lisfranc injury should undergo 3-view radiographs with weight bearing on at least the anterior-posterior view. Patients with suspected Lisfranc injury and normal radiographs should be considered for MRI and CT on a case-by-case basis. MRI or ultrasound could confirm cases of suspected acute tendon rupture. Radiography is the initial imaging modality for suspected plantar plate injury after metatarsal-phalangeal joint injury. Weight-bearing anterior-posterior, lateral, and sesamoid axial views may detect proximal migration of the hallux sesamoids. Ultrasound or MRI can directly evaluate the capsuloligamentous complex, specifically the plantar plate. Radiography can detect radiopaque penetrating foreign bodies, and ultrasound can be helpful in detecting those that are nonradiopaque. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures, by the panel. In instances in which evidence is lacking or is not definitive, expert opinion may be used to recommend imaging and treatment.
منابع مشابه
American College of Radiology Acr Appropriateness Criteria ® Clinical Condition: Rib Fractures Variant 1: Adult. Suspected Rib Fractures from Minor Blunt Trauma (injury Confined to Ribs). Radiologic Procedure Rating Comments Rrl*
ACR Appropriateness Criteria 1 Rib Fractures American College of Radiology ACR Appropriateness Criteria Clinical Condition: Rib Fractures Variant 1: Adult. Suspected rib fractures from minor blunt trauma (injury confined to ribs). Radiologic Procedure Rating Comments RRL* X-ray chest 8 Obtain PA view. ☢ X-ray rib views 5 ☢ ☢ ☢ CT chest without contrast 3 ☢ ☢ ☢ Tc-99m bone scan whole body 2 ☢ ☢ ...
متن کاملAcute onset of scrotal pain (without trauma, without antecedent mass). American College of Radiology. ACR Appropriateness Criteria.
متن کامل
ACR Appropriateness Criteria ® acute onset of scrotal pain--without trauma, without antecedent mass.
Men or boys, who present with acute scrotal pain without prior trauma or a known mass, most commonly suffer from torsion of the spermatic cord; epididymitis or epididymoorchitis; or torsion of the testicular appendages. Less common causes of pain include a strangulated hernia, segmental testicular infarction, or a previously undiagnosed testicular tumor. Ultrasound is the study of choice to dis...
متن کاملACR Appropriateness Criteria(®) myelopathy.
Myelopathy is a problem that requires imaging to distinguish among numerous specifically treatable causes. The first priority is to determine mechanical stability after trauma. Next, it is crucial to distinguish intrinsic disease from extrinsic compression-for example, by epidural abscess. Osteophytes or disc extrusions and metastatic compression are the most common causes of extrinsic lesions....
متن کاملبررسی بهره برداری مناسب از سی تی اسکن در بخش های تریاژ
Background: Regarding to the importance of controlling health care expenditure, necessity for proper distribution of health care resources and appropriate utilization of hospital resources through inappropriate services reduction for patients, this study aimed to assess suitability of brain CT scans, based on American College of Radiologists (ACR) appropriateness criteria in Shahid Beheshti Hos...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Journal of the American College of Radiology : JACR
دوره 12 6 شماره
صفحات -
تاریخ انتشار 2015