ACR Appropriateness Criteria® Acute Elbow and Forearm Pain

Authors

Karen C. Chen, VA San Diego Healthcare System, San Diego, California. Electronic address: kcc010@health.ucsd.edu.
Alice S. Ha, Panel Chair, University of California Los Angeles, Los Angeles, California.
Roger J. Bartolotta, Panel Vice-Chair, Weill Cornell Medicine, New York, New York.
Ryan Avery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Commission on Nuclear Medicine and Molecular Imaging.
Matthew D. Bucknor, University of California San Francisco, San Francisco, California.
Jonathan Flug, Mayo Clinic Arizona, Phoenix, Arizona.
Christian S. Geannette, Hospital for Special Surgery, New York, New York.
Alexander David Grushky, University of Michigan, Ann Arbor, Michigan.
Michal Hose, VA San Diego Healthcare System, San Diego, California and University of California San Diego, San Diego, California, Primary care physician.
Olga Laur, Weill Cornell Medicine, New York, New York.
Noah M. Raizman, The Centers for Advanced Orthopaedics, George Washington University, Washington, DC and Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland; American Academy of Orthopaedic Surgeons.
Eric Y. Chang, Specialty Chair, VA San Diego Healthcare System, San Diego, California.

Document Type

Journal Article

Publication Date

11-1-2024

Journal

Journal of the American College of Radiology : JACR

Volume

21

Issue

11S

DOI

10.1016/j.jacr.2024.08.012

Keywords

AUC; Appropriateness Criteria; acute elbow pain; appropriate use criteria; elbow dislocation; elbow trauma; ligament rupture; occult elbow fracture; tendon rupture

Abstract

Acute elbow pain can be the result of traumatic and atraumatic processes. Pathologic processes include osseous, ligamentous, and tendinous etiologies. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.

APA Citation

Chen, Karen C.; Ha, Alice S.; Bartolotta, Roger J.; Avery, Ryan; Bucknor, Matthew D.; Flug, Jonathan; Geannette, Christian S.; Grushky, Alexander David; Hose, Michal; Laur, Olga; Raizman, Noah M.; and Chang, Eric Y., "ACR Appropriateness Criteria® Acute Elbow and Forearm Pain" (2024). GW Authored Works. Paper 6050.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/6050

Department

Physician Assistant Studies