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ACR Updates Appropriateness Criteria for Imaging After Shoulder Arthroplasty (2026)

ACR Appropriateness Criteria (PubMed)Apr 7

ACR releases updated 2026 evidence-based guidelines on imaging after shoulder arthroplasty — covering hemiarthroplasty, conventional total shoulder, and reverse total shoulder — with GRADE-adapted recommendations across clinical variants to guide appropriate modality selection.

  • Guideline covers multiple arthroplasty types (humeral head resurfacing, hemiarthroplasty, conventional TSA, reverse TSA) and defines best imaging practices by clinical scenario/variant.
  • Developed via GRADE methodology and RAND/UCLA Appropriateness Method; where peer-reviewed literature is lacking, expert panel consensus serves as the primary evidentiary basis.
  • Reviewed annually by a multidisciplinary ACR expert panel — specific imaging recommendations and rating levels for each variant are not detailed in the available abstract.

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