Abstract
Musculoskeletal disorders are one of the most common problems in the working adult population, leading to loss of productivity and absence, with an obvious impact on the economic status of a community.
Despite what has been done in the last decades, we recommend a change from cost-based to value-based diagnostic algorithms with patient/pathology-tailored protocols which could ultimately provide major economical and medical benefits.
In this chapter we review the values and limitations of the imaging techniques available for the management of musculoskeletal disorders, by presenting some practical cases in which the appropriate and cost-effective approaches are discussed.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bureau NJ, Ziegler D (2016) Economics of musculoskeletal ultrasound. Curr Radiol Rep 4:44
Cannon J, Silvestri S, Munro M (2009) Imaging choices in occult hip fracture. J Emerg Med 37:144–152
Dinnes J, Loveman E, McIntyre L et al (2003) The effectiveness of diagnostic tests for the assessment of shoulder pain due to soft tissue disorders: a systematic review. Health Technol Assess 7(29):1–166
Dorsay TA, Major NM, Helms CA (2001) Cost-effectiveness of immediate MR imaging versus traditional follow-up for revealing radiographically occult scaphoid fractures. AJR Am J Roentgenol 177:1257–1263
Griffith B, Brown ML, Jain R (2014) Improving imaging utilization through practice quality improvement (maintenance of certification part IV): a review of requirements and approach to implementation. AJR Am J Roentgenol 202:797–802
Hauger BO, Moinard M et al (2002) Occult fractures of the waist of the scaphoid: early diagnosis by high-spatial-resolution sonography. AJR Am J Roentgenol 178:1239–1245
Jesus JO, Parker L, Frangos AJ et al (2009) Accuracy of MRI, MR arthrography, and ultrasound in the diagnosis of rotator cuff tears: a meta-analysis. AJR Am J Roentgenol 192(6):1701–1707
Karl JW, Swart E, Strauch RJ (2015) Diagnosis of occult scaphoid fractures: a cost-effectiveness analysis. J Bone Joint Surg Am 97:1860–1868
Klauser AS, Tagliafico A, Allen GM et al (2012) Clinical indications for musculoskeletal ultrasound: a Delphi-based consensus paper of the European society of musculoskeletal radiology. Eur Radiol 22:1140–1148
Kusano N, Churei Y, Shiraishi E et al (2002) Diagnosis of occult carpal scaphoid fracture: a comparison of magnetic resonance imaging and computed tomography techniques. Tech Hand Up Extrem Surg 6:119–123
Kwee RM, Kwee TC (2018) Ultrasound for diagnosing radiographically occult scaphoid fracture. Skelet Radiol 47(9):1205–1212
Moller JM, Larsen L, Bovin J et al (2004) MRI diagnosis of fracture of the scaphoid bone: impact of a new practice where the images are read by radiographers. Acad Radiol 11:724–728
Nazarian LN, Jacobson JA, Benson CB et al (2013) Imaging algorithms for evaluating suspected rotator cuff disease: society of radiologists in ultrasound consensus conference statement. Radiology 267:589–595
NICE (2018). https://www.nice.org.uk/guidance/cg124. Accessed 19 Oct 2018
Oei EH, Nikken JJ, Ginai AZ et al (2009) Costs and effectiveness of a brief MRI examination of patients with acute knee injury. Eur Radiol 19:409–418
Oliva F, Osti L, Padulo J et al (2014) Epidemiology of the rotator cuff tears: a new incidence related to thyroid disease. Muscle Ligaments Tendons J 4(3):309–314
Oliva F, Piccirilli E, Bossa M et al (2015) I.S.Mu.L.T. – rotator cuff tears guidelines. Muscles Ligaments Tendons J 5(4):227–263
Parker L, Nazarian L, Carrino JA et al (2008) Musculoskeletal imaging: medicare use, costs, and potential for cost substitution. J Am Coll Radiol 5:182–188
Patel NK, Davies N, Mirza Z et al (2013) Cost and clinical effectiveness of MRI in occult scaphoid fractures: a randomised controlled trial. Emerg Med J 30:202–207
Sharpe RE, Nazarian LN, Parker L et al (2012) Dramatically increased musculoskeletal ultrasound utilization from 2000 to 2009, especially by podiatrists in private offices. J Am Coll Radiol 9(2):141–146
Stiel IG, Greenberg GH, McKnight GH et al (1993) Decision rules for the use of radiography in acute ankle injuries: refinement and prospective validation. JAMA 269:1127–1132
Widanarko B, Legg S, Stevenson M et al (2012) Prevalence and work-related risk factors for reduced activities and absenteeism due to low back symptoms. Appl Ergon 43(4):727–737
Woolf AD (2000) The bone and joint decade 2000–2010. Ann Rheum Dis 59:81–82
Woolf AD, Plefger B (2003) Burden of major musculoskeletal conditions. Bull World Health Organ 81(9):646–656
Yun BJ, Hunink MG, Prabhakar AM et al (2016) Diagnostic imaging strategies for occult hip fractures: a decision and cost–effectiveness analysis. Acad Emerg Med 23:1161–1169
Zuckerman JD, Skovron ML, Koval KJ et al (1995) Postoperative complications and mortality associated with operative delay in older patients who have a fracture of the hip. J Bone Joint Surg Am 77:1551–1556
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Ruivo, C., Roriz, D. (2019). Value-Based Radiology in MSK Imaging. In: Silva, C., von Stackelberg, O., Kauczor, HU. (eds) Value-based Radiology. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/174_2019_210
Download citation
DOI: https://doi.org/10.1007/174_2019_210
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-31554-2
Online ISBN: 978-3-030-31555-9
eBook Packages: MedicineMedicine (R0)