ACR Appropriateness Criteria ® Acute Hand and Wrist Trauma

Expert Panel on Musculoskeletal Imaging:

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


Hand and wrist injuries are common reasons for musculoskeletal-related emergency department visits. Imaging is essential for evaluating many of these injuries. In most cases, conventional radiographs provide sufficient information to guide the treating clinician. This review focuses on seven common variants to guide diagnosis of hand and wrist injuries. In addition to radiographs, appropriate use of CT, MRI, bone scan, and ultrasound are discussed. 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 include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

Original languageEnglish (US)
Pages (from-to)S7-S17
JournalJournal of the American College of Radiology
Issue number5
StatePublished - May 2019


  • AUC
  • Appropriate Use Criteria
  • Appropriateness Criteria
  • CT
  • Hand
  • MRI
  • Trauma
  • Ultrasound
  • Wrist

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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