General Guideline Principles for Computerized
Tomography for workers compensation patients
The New York State workers compensation board has developed these guidelines to help physicians, podiatrists, and other healthcare professionals provide appropriate treatment for Computerised Tomography.
These Workers Compensation Board guidelines are intended to assist healthcare professionals in making decisions regarding the appropriate level of care for their patients with ankle and foot disorders.
The guidelines are not a substitute for clinical judgement or professional experience. The ultimate decision regarding care must be made by the patient in consultation with his or her healthcare provider.
Computerized Tomography
While MRI is superior for soft tissue anomalies, computerised tomography is still a crucial imaging technique, especially for bone anatomy. When sophisticated bone imaging is necessary for elbow joint problems, CT may be helpful.
After severe dislocations or recurring dislocations linked to arthroplasty, CT may be useful for evaluating AVN. Patients who cannot undergo MRI due to contraindications (usually an implanted metallic-ferrous equipment) may also benefit from a CT scan.
Routine CT for Evaluating Acute, Subacute, Chronic Elbow Pain
Routine CT for Evaluating Acute, Subacute, Chronic Elbow Pain are not recommended to determine whether elbow discomfort is acute, subacute, or persistent.
CT for Evaluating Patients with Osteonecrosis (AVN)
CT for Evaluating Patients with Osteonecrosis (AVN) are recommended – to assess patients with osteonecrosis, after severe dislocations or repeated dislocations brought on by arthroplasty, or for patients who require advanced imaging but cannot undergo MRI.
Indications – Patients with elbow osteonecrosis who have elevated polyostotic bone metabolism and a suspicion of subchondral fracture(s). Patients should have a contraindication for MRI because it is typically preferred.
Patients with traumatic elbow dislocations, especially those with fragments of capitular or trochlear fractures.
Helical CT for Select Acute, Subacute, or Chronic Elbow Pain
Helical CT for Select Acute, Subacute, or Chronic Elbow Pain are recommended for specific individuals with acute, subacute, or chronic elbow pain in whom enhanced imaging of bone structures is believed to be potentially beneficial, and for patients who require advanced imaging but have medical conditions that preclude MRI.
Indications – Patients who require advanced bony structure imaging and have acute, subacute, or chronic elbow discomfort. Candidates can include patients who require sophisticated imaging but cannot undergo MRI due to, for example, implanted hardware.
Rationale for Recommendations – The use of computerised tomography preferred to MRI for imaging the majority of abnormalities in the elbow when calcified structures demand sophisticated imaging.
CT helical is considered to be more effective than MRI for assessing subchondral fractures, but no conclusive research has been recorded.
What our office can do if you have workers compensation injury
We have the experience to help you with their workers compensation injuries. We understand what you are going through and will meet your medical needs and follow the guidelines set by the New York State Workers Compensation Board.
We understand the importance of your workers compensation cases. Let us help you navigate through the maze of dealing with the workers compensation insurance company and your employer.
We understand that this is a stressful time for you and your family. If you would like to schedule an appointment, please contact us so we will do everything we can to make it as easy on you as possible.
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NY MTG for Elbow Injuries
- General Guideline Principles for Ulnar Neuropathies at the Elbow; Including Condylar Groove Associated Ulnar Neuropathy and Cubital Tunnel Syndrome for workers compensation patients
- General Guideline Principles for Roentgenograms (X-RAYS) for workers compensation patients
- General Guideline Principles for Radial Nerve Entrapment (Including Radial Tunnel Syndrome) for workers compensation patients
- General Guideline Principles for Pronator Syndrome (Median Neuropathies in the Forearm) for workers compensation patients
- General Guideline Principles for Olecranon Bursitis for workers compensation patients
- General Guideline Principles for Laboratory Testing for workers compensation patients
- General Guideline Principles for Introduction Elbow Injury for workers compensation patients
- General Guideline Principles for Elbow Injury for workers compensation patients
- General Guideline Principles for Elbow Injury for workers compensation patients
- General Guideline Principles for Epicondylitis (Epicondylalgia) for workers compensation patients
- General Guideline Principles for Electromyography and Nerve Conduction Studies (Electrodiagnostic Studies) for workers compensation patients
- General Guideline Principles for Elbow Sprains for workers compensation patients
- General Guideline Principles for Elbow Fractures, including Non-Displaced Radial Head Fractures for workers compensation patients
- General Guideline Principles for Elbow Dislocations for workers compensation patients
- General Guideline Principles for Elbow Arthroscopy for workers compensation patients
- General Guideline Principles for Diagnostic Criteria and Differential Diagnosis for workers compensation patients
- General Guideline Principles for Contusions for workers compensation patients
- General Guideline Principles for Computerized Tomography for workers compensation patients
- General Guideline Principles for Biceps Tendinosis (or Tendinitis) and Tears/Ruptures for workers compensation patients
Workers Compensation
- Workers Comp Main Hub
- Workers Comp FAQs
- Medical Treatment Guidelines (MTGs)
- COVID-19 and Workers’ Compensation
- Workers’ Compensation Provider Billing FAQs
- Settling Your Workers’ Compensation Claim
- Short-Term Disability Workers’ Compensation Patients and Paid Family Leave
- The Role of Medical Providers in Workers’ Compensation
- When Should Employers Purchase Workers’ Compensation Insurance?
- Workers’ Compensation Injury Billing Forms
- Workers’ Compensation Insurance: What a Business Owner Needs to Know
- Scheduled Loss of Use
- Scheduled Loss of Use for Hand and Wrist
- Scheduled Loss of Use for Ankle and Foot
- Scheduled Loss of Use for Elbow
- Scheduled Loss of Use for Great and Lesser Toes
- Scheduled Loss of Use for Determining Hip and Femoral Impairment
- Scheduled Loss of Use for Knee and Tibia
- Scheduled Loss of Use for Shoulder
- Scheduled Loss of Use for Upper Extremities – Thumb and Fingers
- Scheduled Loss of Use for Visual System/Auditory System/Facial Scars and Disfigurement
- Scheduled Loss of Use for Central Nervous System Conditions, Peripheral Nerve Injuries and Entrapment / Compression Neuropathies
- Workers’ Compensation Fraud
- Workers’ Compensation State Laws
- Workers’ Compensation Pays Primary to Medicare When a Medicare Beneficiary Has a Work-Related Medical Claim
- Workers’ Compensation Origin
- Workers’ Compensation Issues of Concern, Clinical Significance and Enhancing Healthcare Team Outcomes
- Workers’ Compensation History in the United States
- The Effect of Workers’ Compensation Status on the Patient Experience
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I am fellowship trained in joint replacement surgery, metabolic bone disorders, sports medicine and trauma. I specialize in total hip and knee replacements, and I have personally written most of the content on this page.
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