Part of the imaging decision system doctors were never taught to navigate at speed: which study to order, which protocol, and what the published appropriateness guidance actually says for MSK imaging. Plain-English references, scenario by scenario.
ACR-guided imaging workflow for Adult. Positive stress fracture on radiographs, excluding vertebrae. Need for determining extent (ie, for surgical planning
ACR-guided imaging workflow for Adult. Suspect subchondral stress fracture at an extremity joint. Radiographs negative or indeterminate. Next imaging study
ACR-guided imaging workflow for Adult. Suspect stress fracture, excluding vertebrae. High risk for fracture completion (ie, a patient with osteoporosis on
ACR-guided imaging workflow for Adult. Suspect pelvis or hip or sacrum stress fracture. Pregnant patient. Radiographs negative or indeterminate. Next imagi
ACR-guided imaging workflow for Adult. Suspect stress fracture, excluding vertebrae. Radiographs negative or indeterminate. Next imaging study. (Stress (Fa
ACR-guided imaging workflow for Adult. Chronic hand or wrist pain. Radiographs normal or show nonspecific arthritis. Suspect tendon injury, tenosynovitis,
ACR-guided imaging workflow for Adult. Chronic hand or wrist pain. Radiographs normal or indeterminate. Symptoms suspicious for carpal tunnel syndrome. Nex
ACR-guided imaging workflow for Adult. Chronic wrist pain. Radiographs show old scaphoid fracture. Evaluate for nonunion, malunion, osteonecrosis, or post-
ACR-guided imaging workflow for Adult. Chronic hand pain. Radiographs normal or remarkable for nonspecific arthritis. Next imaging study. (Chronic Hand and
ACR-guided imaging workflow for Adult. Chronic wrist pain. Radiographs normal or remarkable for nonspecific arthritis. Next imaging study. (Chronic Hand an
