nonunion demonstrated a sensitivity of 55%, a specificity of 94%, and an accuracy of 79% for the diagnosis of osteonecrosis compared with intraoperative assessment [59]. Radiographic Arthrography Wrist There is no relevant literature to support the use of radiographic arthrography in the setting of chronic wrist pain, remote scaphoid fracture, and clinical concern for nonunion, malunion, osteonecrosis, or post-traumatic osteoarthritis. US Wrist There is no relevant literature to support the use of US in the setting of chronic wrist pain, remote scaphoid fracture, and clinical concern for nonunion, malunion, osteonecrosis, or post-traumatic osteoarthritis. Variant 5: Adult. Chronic hand or wrist pain. Radiographs normal or indeterminate. Symptoms suspicious for carpal tunnel syndrome. Next imaging study. Bone Scan Area of Interest There is no relevant literature to support the use of bone scan in the setting of chronic hand and wrist pain with clinical concern for CTS. CT Area of Interest With IV Contrast There is no relevant literature to support the use of CT with IV contrast in the setting of chronic hand and wrist pain with clinical concern for CTS. CT Area of Interest Without and With IV Contrast There is no relevant literature to support the use of CT without and with IV contrast in the setting of chronic hand and wrist pain with clinical concern for CTS. CT Area of Interest Without IV Contrast There is no relevant literature to support the use of CT without IV contrast in the setting of chronic hand and wrist pain with clinical concern for CTS. CT Arthrography Area of Interest There is no relevant literature to support the use of CT arthrography in the setting of chronic hand and wrist pain with clinical concern for CTS. MR Arthrography Area of Interest There is no relevant literature to support the use of MR arthrography in the setting of chronic hand and wrist pain with clinical concern for CTS.
Chronic Hand and Wrist Pain. nonunion demonstrated a sensitivity of 55%, a specificity of 94%, and an accuracy of 79% for the diagnosis of osteonecrosis compared with intraoperative assessment [59]. Radiographic Arthrography Wrist There is no relevant literature to support the use of radiographic arthrography in the setting of chronic wrist pain, remote scaphoid fracture, and clinical concern for nonunion, malunion, osteonecrosis, or post-traumatic osteoarthritis. US Wrist There is no relevant literature to support the use of US in the setting of chronic wrist pain, remote scaphoid fracture, and clinical concern for nonunion, malunion, osteonecrosis, or post-traumatic osteoarthritis. Variant 5: Adult. Chronic hand or wrist pain. Radiographs normal or indeterminate. Symptoms suspicious for carpal tunnel syndrome. Next imaging study. Bone Scan Area of Interest There is no relevant literature to support the use of bone scan in the setting of chronic hand and wrist pain with clinical concern for CTS. CT Area of Interest With IV Contrast There is no relevant literature to support the use of CT with IV contrast in the setting of chronic hand and wrist pain with clinical concern for CTS. CT Area of Interest Without and With IV Contrast There is no relevant literature to support the use of CT without and with IV contrast in the setting of chronic hand and wrist pain with clinical concern for CTS. CT Area of Interest Without IV Contrast There is no relevant literature to support the use of CT without IV contrast in the setting of chronic hand and wrist pain with clinical concern for CTS. CT Arthrography Area of Interest There is no relevant literature to support the use of CT arthrography in the setting of chronic hand and wrist pain with clinical concern for CTS. MR Arthrography Area of Interest There is no relevant literature to support the use of MR arthrography in the setting of chronic hand and wrist pain with clinical concern for CTS.