 OR aUniversity of Missouri Health Care, Columbia, Missouri. bPanel Chair, Mayo Clinic Arizona, Phoenix, Arizona. cPanel Vice-Chair, University of Virginia Health System, Charlottesville, Virginia. dUniversity of Wisconsin School of Medicine and Public Health, Madison, Wisconsin. eMayo Clinic, Rochester, Minnesota. fHospital for Special Surgery, New York, New York. gThe 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. hDuke University Medical Center, Durham, North Carolina. iUniversity of Missouri School of Medicine, Columbia, Missouri, Primary care physician. jCleveland Clinic, Cleveland, Ohio. kPenn State Milton S. Hershey Medical Center, Hershey, Pennsylvania and Uniformed Services University of the Health Sciences, Bethesda, Maryland. lThe Ohio State University Wexner Medical Center, Columbus, Ohio; Commission on Nuclear Medicine and Molecular Imaging. mSpecialty Chair, VA San Diego Healthcare System, San Diego, California. The American College of Radiology seeks and encourages collaboration with other organizations on the development of the ACR Appropriateness Criteria through representation of such organizations on expert panels. Participation on the expert panel does not necessarily imply endorsement of the final document by individual contributors or their respective organization. Reprint requests to: publications@acr.org Chronic Hand and Wrist Pain Discussion of Procedures by Variant Variant 1: Adult. Chronic hand or wrist pain. Initial imaging. Bone Scan Area of Interest There is no relevant literature to support the use of bone scan as the first imaging study in the evaluation of chronic hand or wrist pain. CT Area of Interest With IV Contrast There is no relevant literature to support the use of CT with IV contrast as the first imaging study in the evaluation of chronic hand or wrist pain.
Chronic Hand and Wrist Pain.  OR aUniversity of Missouri Health Care, Columbia, Missouri. bPanel Chair, Mayo Clinic Arizona, Phoenix, Arizona. cPanel Vice-Chair, University of Virginia Health System, Charlottesville, Virginia. dUniversity of Wisconsin School of Medicine and Public Health, Madison, Wisconsin. eMayo Clinic, Rochester, Minnesota. fHospital for Special Surgery, New York, New York. gThe 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. hDuke University Medical Center, Durham, North Carolina. iUniversity of Missouri School of Medicine, Columbia, Missouri, Primary care physician. jCleveland Clinic, Cleveland, Ohio. kPenn State Milton S. Hershey Medical Center, Hershey, Pennsylvania and Uniformed Services University of the Health Sciences, Bethesda, Maryland. lThe Ohio State University Wexner Medical Center, Columbus, Ohio; Commission on Nuclear Medicine and Molecular Imaging. mSpecialty Chair, VA San Diego Healthcare System, San Diego, California. The American College of Radiology seeks and encourages collaboration with other organizations on the development of the ACR Appropriateness Criteria through representation of such organizations on expert panels. Participation on the expert panel does not necessarily imply endorsement of the final document by individual contributors or their respective organization. Reprint requests to: publications@acr.org Chronic Hand and Wrist Pain Discussion of Procedures by Variant Variant 1: Adult. Chronic hand or wrist pain. Initial imaging. Bone Scan Area of Interest There is no relevant literature to support the use of bone scan as the first imaging study in the evaluation of chronic hand or wrist pain. CT Area of Interest With IV Contrast There is no relevant literature to support the use of CT with IV contrast as the first imaging study in the evaluation of chronic hand or wrist pain.