{"id":658,"date":"2020-12-18T15:25:55","date_gmt":"2020-12-18T22:25:55","guid":{"rendered":"https:\/\/edmontonboneandjoint.ca\/?page_id=658"},"modified":"2023-05-30T12:54:04","modified_gmt":"2023-05-30T18:54:04","slug":"diagnostic-imaging-and-referral","status":"publish","type":"page","link":"https:\/\/edmontonboneandjoint.ca\/resources-for-providers\/resources-for-physicians\/diagnostic-imaging-and-referral\/","title":{"rendered":"Diagnostic Imaging and Referral"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kgsbrcxr-af229da37594eac306384189b0813593\">\n.avia-section.av-kgsbrcxr-af229da37594eac306384189b0813593{\nbackground-repeat:no-repeat;\nbackground-image:url(https:\/\/edmontonboneandjoint.ca\/wp-content\/uploads\/2020\/11\/edmonton-bone-and-joint-hdr_shoulder.jpg);\nbackground-position:0% 0%;\nbackground-attachment:scroll;\n}\n<\/style>\n<div id='hdr'  class='avia-section av-kgsbrcxr-af229da37594eac306384189b0813593 alternate_color avia-section-default avia-no-border-styling  avia-builder-el-0  el_before_av_postcontent  avia-builder-el-first  avia-full-stretch avia-bg-style-scroll av-minimum-height av-minimum-height-custom av-height-custom  container_wrap sidebar_right'  data-section-bg-repeat='stretch' data-av_minimum_height_px='550'><div class='container av-section-cont-open' style='height:550px'><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-658'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kgsbv8za-517d6935bb8f2f14a2a5e99af9ea632e\">\n#top .hr.hr-invisible.av-kgsbv8za-517d6935bb8f2f14a2a5e99af9ea632e{\nheight:24px;\n}\n<\/style>\n<div  class='hr av-kgsbv8za-517d6935bb8f2f14a2a5e99af9ea632e hr-invisible  avia-builder-el-1  el_before_av_one_full  avia-builder-el-first '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-29yy6-c822546af978b6407805b18c1145ebf8\">\n.flex_column.av-29yy6-c822546af978b6407805b18c1145ebf8{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-29yy6-c822546af978b6407805b18c1145ebf8 av_one_full  avia-builder-el-2  el_after_av_hr  avia-builder-el-last  first flex_column_div av-animated-generic fade-in av-zero-column-padding  '     ><section  id=\"eb-pgtit\"  class='av_textblock_section av-kgsbqpv6-0af139f8a74ab4f9c46073de60de7871 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><blockquote>\n<h1>Diagnostic Imaging<br \/>\nand Referral<\/h1>\n<\/blockquote>\n<\/div><\/section><\/div>\n\n[av_one_full first min_height='' vertical_alignment='' space='' row_boxshadow='' row_boxshadow_color='' row_boxshadow_width='10' custom_margin='' margin='0px' mobile_breaking='' border='' border_color='' radius='0px' padding='0px' column_boxshadow='' column_boxshadow_color='' column_boxshadow_width='10' background='bg_color' background_color='' background_gradient_color1='' background_gradient_color2='' background_gradient_direction='vertical' src='' background_position='top left' background_repeat='no-repeat' highlight='' highlight_size='' animation='' link='' linktarget='' link_hover='' title_attr='' alt_attr='' mobile_display='' id='' custom_class='' aria_label='' av_uid='av-bbm8v']\r\n[av_hr class='invisible' icon_select='no' icon='ue808' font='entypo-fontello' position='left' shadow='no-shadow' height='-34' custom_border='av-border-fat' custom_width='100px' custom_margin_top='0px' custom_margin_bottom='8px' custom_border_color='#b1c52e' custom_icon_color='' id='' custom_class='' av_uid='av-jxq9gmr4' admin_preview_bg='']\r\n\r\n[av_codeblock wrapper_element='' wrapper_element_attributes='' codeblock_type='' alb_description='' id='' custom_class='' av_uid='av-kjxju7uo']\r\n[av_breadcrumbs]\r\n[\/av_codeblock]\r\n[\/av_one_full]\r\n\r\n\n<div id='av-center-align-columns'  class='avia-section av-9ui2y-e91530793b896a95a544cd270bfda264 main_color avia-section-default avia-no-border-styling  avia-builder-el-5  el_after_av_postcontent  el_before_av_one_full  avia-bg-style-scroll container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-658'><div class='entry-content-wrapper clearfix'>\n<div class='flex_column_table av-p0hy2-0c0f57d1cf2c2015f6c767ee28258d59 sc-av_two_third av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-p0hy2-0c0f57d1cf2c2015f6c767ee28258d59\">\n.flex_column.av-p0hy2-0c0f57d1cf2c2015f6c767ee28258d59{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-p0hy2-0c0f57d1cf2c2015f6c767ee28258d59 av_two_third  avia-builder-el-6  el_before_av_one_half  avia-builder-el-first  first flex_column_table_cell av-equal-height-column av-align-top av-animated-generic pop-up av-zero-column-padding  '     ><section  class='av_textblock_section av-1vsbm-78cf3a1d52d3c51efea5476a79fbdbba '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2 style=\"text-align: center;\">Imaging Guidelines for Referral to the Shoulder Assessment<br \/>\nClinic at the Edmonton Bone and Joint Centre<\/h2>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-fz2o2-c805fba14845aa92cc195f76af391b21\">\n#top .hr.hr-invisible.av-fz2o2-c805fba14845aa92cc195f76af391b21{\nheight:10px;\n}\n<\/style>\n<div  class='hr av-fz2o2-c805fba14845aa92cc195f76af391b21 hr-invisible  avia-builder-el-8  el_after_av_textblock  el_before_av_hr '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-bd11m-b4aa36c6e3cb3953a0c1ce96ad12a78e\">\n#top .hr.av-bd11m-b4aa36c6e3cb3953a0c1ce96ad12a78e{\nmargin-top:0px;\nmargin-bottom:8px;\n}\n.hr.av-bd11m-b4aa36c6e3cb3953a0c1ce96ad12a78e .hr-inner{\nwidth:100px;\nborder-color:#b1c52e;\nmax-width:45%;\n}\n<\/style>\n<div  class='hr av-bd11m-b4aa36c6e3cb3953a0c1ce96ad12a78e hr-custom  avia-builder-el-9  el_after_av_hr  avia-builder-el-last  hr-center hr-icon-yes'><span class='hr-inner inner-border-av-border-fat'><span class=\"hr-inner-style\"><\/span><\/span><span class='av-seperator-icon' aria-hidden='true' data-av_icon='\ue81f' data-av_iconfont='entypo-fontello'><\/span><span class='hr-inner inner-border-av-border-fat'><span class=\"hr-inner-style\"><\/span><\/span><\/div><\/p><\/div><\/div><!--close column table wrapper. Autoclose: 1 --><div class='flex_column_table av-mj03w-b3b95ea277acd00eb40aa4bff8667533 sc-av_one_half av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mj03w-b3b95ea277acd00eb40aa4bff8667533\">\n.flex_column.av-mj03w-b3b95ea277acd00eb40aa4bff8667533{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-mj03w-b3b95ea277acd00eb40aa4bff8667533 av_one_half  avia-builder-el-10  el_after_av_two_third  el_before_av_one_half  first flex_column_table_cell av-equal-height-column av-align-top av-animated-generic pop-up av-zero-column-padding  column-top-margin'     ><section  class='av_textblock_section av-jnw5fpmv-3dd69c485d1b45ce6053d7a96dd3e797 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3><strong>ULTRASOUND\/MR\/CT IS NOT REQUIRED PRIOR TO REFERRAL<\/strong><\/h3>\n<p>As general guidance, tertiary imaging such as ultrasound, MRI, or CT should not be ordered in advance of referral. In addition, unless a red flag is identified, an initial course of non-operative treatment is always appropriate.<\/p>\n<ul>\n<li>Red Flags:\n<ul>\n<li>Fracture\/Dislocation<\/li>\n<li>Infection<\/li>\n<li>Tumour<\/li>\n<li>Acute traumatic mechanism\n<ul>\n<li>New injury in a previously unaffected shoulder.<\/li>\n<li>Unable to lift 90 degrees in forward elevation.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>However, if you are sending your patient for diagnostic imaging, please order the x-ray series below that corresponds with their shoulder issue.<\/p>\n<\/div><\/section><\/div><div class='av-flex-placeholder'><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mj03w-12-4c6613bc84eed2503e89471f2ce3080c\">\n.flex_column.av-mj03w-12-4c6613bc84eed2503e89471f2ce3080c{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-mj03w-12-4c6613bc84eed2503e89471f2ce3080c av_one_half  avia-builder-el-12  el_after_av_one_half  avia-builder-el-last  flex_column_table_cell av-equal-height-column av-align-top av-animated-generic pop-up av-zero-column-padding  column-top-margin'     ><section  class='av_textblock_section av-jnw5fpmv-11-2f06cadc970ea75e642bd448f5b5f28a '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3><strong>X-ray series should include:<\/strong><\/h3>\n<h3>Shoulder Pain (Rotator Cuff Related and Arthritis)<\/h3>\n<ul>\n<li>True Glenohumeral AP<\/li>\n<li>Scapular Lateral<\/li>\n<li>Axillary Lateral<\/li>\n<li>Zanca View<\/li>\n<\/ul>\n<h3>Shoulder Stiffness (Arthritis and Frozen Shoulder)<\/h3>\n<ul>\n<li>True Glenohumeral AP<\/li>\n<li>Scapular Lateral<\/li>\n<li>Axillary Lateral<\/li>\n<li>Zanca View<\/li>\n<\/ul>\n<h3>Shoulder Instability<\/h3>\n<ul>\n<li>True Glenohumeral AP<\/li>\n<li>Scapular Lateral<\/li>\n<li>Stryker Notch<\/li>\n<li>West Point Axillary<\/li>\n<\/ul>\n<\/div><\/section><\/div><\/div><!--close column table wrapper. Autoclose: 1 -->\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div><div id='after_section_2'  class='main_color av_default_container_wrap container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-658'><div class='entry-content-wrapper clearfix'>\n<div class='flex_column_table av-mj03w-10-2e15608f66d5b289f89636b55f52f09d sc-av_one_full av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mj03w-10-2e15608f66d5b289f89636b55f52f09d\">\n.flex_column.av-mj03w-10-2e15608f66d5b289f89636b55f52f09d{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-mj03w-10-2e15608f66d5b289f89636b55f52f09d av_one_full  avia-builder-el-14  el_after_av_section  avia-builder-el-no-sibling  first flex_column_table_cell av-equal-height-column av-align-top av-animated-generic pop-up av-zero-column-padding  '     ><section  class='av_textblock_section av-jnw5fpmv-9-318a86541edb143ed1db2231226ce8ff '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2 style=\"text-align: center;\">Additional Information<\/h2>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-jxq9gmr4-506ddb6187eac6de7f304349a01cf214\">\n#top .hr.hr-invisible.av-jxq9gmr4-506ddb6187eac6de7f304349a01cf214{\nheight:10px;\n}\n<\/style>\n<div  class='hr av-jxq9gmr4-506ddb6187eac6de7f304349a01cf214 hr-invisible  avia-builder-el-16  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-ldz9rv5i-0f36c330cec7efb4e54a06e7533b2c34 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p style=\"text-align: center;\">If you have determined that surgical treatment is necessary, steps to refer your patient to our clinic can be found\u00a0<a href=\"https:\/\/edmontonboneandjoint.ca\/resources-for-providers\/referrals\/\">here<\/a>. If you need guidance on how to treat your patient with shoulder pain, please visit one of our pages listed below:<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-jxq9gmr4-8-66f329ef0dca3a61621f8d56700dac92\">\n#top .hr.av-jxq9gmr4-8-66f329ef0dca3a61621f8d56700dac92{\nmargin-top:0px;\nmargin-bottom:8px;\n}\n.hr.av-jxq9gmr4-8-66f329ef0dca3a61621f8d56700dac92 .hr-inner{\nwidth:100px;\nborder-color:#b1c52e;\nmax-width:45%;\n}\n<\/style>\n<div  class='hr av-jxq9gmr4-8-66f329ef0dca3a61621f8d56700dac92 hr-custom  avia-builder-el-18  el_after_av_textblock  el_before_av_buttonrow  hr-center hr-icon-yes'><span class='hr-inner inner-border-av-border-fat'><span class=\"hr-inner-style\"><\/span><\/span><span class='av-seperator-icon' aria-hidden='true' data-av_icon='\ue81f' data-av_iconfont='entypo-fontello'><\/span><span class='hr-inner inner-border-av-border-fat'><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<div  class='avia-buttonrow-wrap av-ld02b6j8-7349ab7f7f529d179a1fec326954be1b avia-buttonrow-center  avia-builder-el-19  el_after_av_hr  avia-builder-el-last '>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ld028ie7-ca6c32257b6f653d3ba9ab82eeee7ba1\">\n#top #wrap_all .avia-button.av-ld028ie7-ca6c32257b6f653d3ba9ab82eeee7ba1{\nmargin-bottom:5px;\nmargin-right:3px;\nmargin-left:3px;\n}\n<\/style>\n<a href='https:\/\/edmontonboneandjoint.ca\/resources-for-providers\/resources-for-physicians\/managing-the-patient-with-shoulder-pain\/'  class='avia-button av-ld028ie7-ca6c32257b6f653d3ba9ab82eeee7ba1 avia-icon_select-yes-right-icon avia-size-small av-icon-on-hover avia-color-theme-color-subtle'  ><span class='avia_iconbox_title' >Managing the Patient with Shoulder Pain<\/span><span class='avia_button_icon avia_button_icon_right' aria-hidden='true' data-av_icon='\ue875' data-av_iconfont='entypo-fontello'><\/span><\/a>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ld028ie7-7-64cdb5c21e70931a558da598e599f169\">\n#top #wrap_all .avia-button.av-ld028ie7-7-64cdb5c21e70931a558da598e599f169{\nmargin-bottom:5px;\nmargin-right:3px;\nmargin-left:3px;\n}\n<\/style>\n<a href='https:\/\/edmontonboneandjoint.ca\/resources-for-providers\/resources-for-physicians\/conservative-management-of-shoulder-pain-02\/'  class='avia-button av-ld028ie7-7-64cdb5c21e70931a558da598e599f169 avia-icon_select-yes-right-icon avia-size-small av-icon-on-hover avia-color-theme-color-subtle'  ><span class='avia_iconbox_title' >Conservative Management of Shoulder Pain<\/span><span class='avia_button_icon avia_button_icon_right' aria-hidden='true' data-av_icon='\ue875' data-av_iconfont='entypo-fontello'><\/span><\/a>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ld028ie7-6-49e0064d079ff549f1d473db51f378f2\">\n#top #wrap_all .avia-button.av-ld028ie7-6-49e0064d079ff549f1d473db51f378f2{\nmargin-bottom:5px;\nmargin-right:3px;\nmargin-left:3px;\n}\n<\/style>\n<a href='https:\/\/edmontonboneandjoint.ca\/services\/shoulder\/ebjc-affiliated-physical-therapy-providers-02\/'  class='avia-button av-ld028ie7-6-49e0064d079ff549f1d473db51f378f2 avia-icon_select-yes-right-icon avia-size-small av-icon-on-hover avia-color-theme-color-subtle'  ><span class='avia_iconbox_title' >EBJC Affiliated PT Providers for Shoulder Rehab<\/span><span class='avia_button_icon avia_button_icon_right' aria-hidden='true' data-av_icon='\ue875' data-av_iconfont='entypo-fontello'><\/span><\/a>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ld028ie7-5-e94c5675265bfe079488f5328cb12138\">\n#top #wrap_all .avia-button.av-ld028ie7-5-e94c5675265bfe079488f5328cb12138{\nmargin-bottom:5px;\nmargin-right:3px;\nmargin-left:3px;\n}\n<\/style>\n<a href='https:\/\/edmontonboneandjoint.ca\/resources-for-providers\/resources-for-physicians\/surge-and-reading-rehabilitation-protocols-02\/'  class='avia-button av-ld028ie7-5-e94c5675265bfe079488f5328cb12138 avia-icon_select-yes-right-icon avia-size-small av-icon-on-hover avia-color-theme-color-subtle'  ><span class='avia_iconbox_title' >SURGE and Reading Rehab Protocols<\/span><span class='avia_button_icon avia_button_icon_right' aria-hidden='true' data-av_icon='\ue875' data-av_iconfont='entypo-fontello'><\/span><\/a>\n<\/div><\/p><\/div><\/div><!--close column table wrapper. Autoclose: 1 -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":670,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/edmontonboneandjoint.ca\/wp-json\/wp\/v2\/pages\/658"}],"collection":[{"href":"https:\/\/edmontonboneandjoint.ca\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/edmontonboneandjoint.ca\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/edmontonboneandjoint.ca\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/edmontonboneandjoint.ca\/wp-json\/wp\/v2\/comments?post=658"}],"version-history":[{"count":0,"href":"https:\/\/edmontonboneandjoint.ca\/wp-json\/wp\/v2\/pages\/658\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/edmontonboneandjoint.ca\/wp-json\/wp\/v2\/pages\/670"}],"wp:attachment":[{"href":"https:\/\/edmontonboneandjoint.ca\/wp-json\/wp\/v2\/media?parent=658"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}