Objectives: the aim was seeking consensus to diagnostic procedures used in common clinical situations in non-traumatic shoulder pain, to reduce the variability of clinical practice and adapt technologies according to diagnostic and pathology in study, taking into account risks to human health. Methodology: Following the model of ACR (American College of Radiology) and their appropriate diagnosis groups (appropriateness criteria) was applied the RAND method. We asked a group of professionals (rheumatologists, traumatologists, rehabilitation, radiologist and primary care physicians) who scored from 0 (not appropriate) to 9 (very appropriate) the use of five technologies in six different and frequent clinical situations during three consecutive rounds. Results: in the shoulder pain conventional radiology, ultrasound and magnetic resonance imaging may be appropriate in the different described clinical situations. The contrast computed tomography and scintigraphy hasn't been valued like appropriate in any of the proposed scenarios. Conclusions: conventional radiology examination is appropriate in the initial clinical situations proposed. Some of them will not suffice and must be complemented with ultrasound and / or MRI.
Shoulder pain; Diagnostic imaging
López-Aguilà S, Almazán C, Surís X, Larrosa M, Galimany J, Solà-Morales O. Dolor d’espatlla: utilització apropiada de les proves de diagnòstic per la imatge. Barcelona: Agència d’Informació, Avaluació i Qualitat en Salut; 2011.
Use this identifier for quote and/or link this documenthttp://hdl.handle.net/11351/3092
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