All Guidelines

All Guidelines 2020-01-08T18:06:15+00:00
Acute Compartment Syndrome (2018)
Acute Isolated Meniscal Pathology (2024)
Anesthesia and Analgesia in TJA (2020)
Anesthesia and Analgesia in TJA (2021)
Anterior Cruciate Ligament Injuries (2022)
Carpal Tunnel Syndrome (2024)
Clavicle Fractures (2022)
Detection and Nonoperative Management Pediatric Developmental Dysplasia of the Hip (2022)
Distal Radius Fractures (2020)
Glenohumeral Joint Osteoarthritis (2020)
Limb Salvage or Early Amputation (2019)
Management of Hip Fractures in the Older Adults (2021)
Management of Metastatic Humeral Disease (2023)
Management of Osteoarthritis of the Hip (2023)
Management of Venous Thromboembolism
Osteoarthritis of the Knee (2021)
Osteoarthritis of the Knee (Arthroplasty) (2022)
Osteochondritis Dissecans (2023)
Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery (2021)
Pediatric Diaphyseal Femur Fractures (2020)
Pediatric Supracondylar Humerus Fractures (2011)
Periprosthetic Joint Infections (2019)
Prevention of Implant Infection in Patients Undergoing Dental Procedures (2012) Update Pending
Prevention of Surgical Site Infection After Major Extremity Trauma (2022)
Psychosocial Factors Influencing Trauma Recovery (2019)
Rotator Cuff Injuries (2019)
Surgical Site Infections (2018)
Tranexamic Acid in Total Joint Arthroplasty (2018)
Treatment of Metastatic Carcinoma and Myeloma of the Femur (2020)
Use of Imaging Prior to Referral to a Musculoskeletal Oncologist (2018)
Strong Recommendation

Acute Isolated Meniscal Pathology
ADVANCED IMAGINING
Strong Recommendation Strong Recommendation

Anesthesia and Analgesia in Total Joint Arthroplasty (2020)
Acetaminophen and Postoperative Complications
Strong Recommendation Strong Recommendation
Gabapentinoids and Postoperative Pain and/or Opioid Use
Strong Recommendation Strong Recommendation
Gabapentinoid Use Following Discharge
Strong Recommendation Strong Recommendation
Oral NSAIDs and Postoperatiave Pain and/or Opioid Use
Strong Recommendation Strong Recommendation
Intravenous Ketorolac and Postoperative Pain and/or Opioid Consumption
Strong Recommendation Strong Recommendation
Opioids Administered Immediately Prior to TJA Surgery
Strong Recommendation Strong Recommendation

Anesthesia and Analgesia in Total Joint Arthroplasty (2021)
Perioperative Corticosteroids and Postoperative Pain/Opioid Use/Nausea/Vomiting
Strong Recommendation Strong Recommendation
Perioperative Corticosteroid - Multiple Doses
Strong Recommendation Strong Recommendation
Femoral Nerve Block vs Adductor Canal Block in TKA
Strong Recommendation Strong Recommendation
Block vs. Block - Single or Continuous in TKA
Strong Recommendation Strong Recommendation
Block vs. Block - Single-Shot Femoral Nerve Block vs. Adductor Canal Block in TKA
Strong Recommendation Strong Recommendation
Block vs. Block - Continuous Femoral Nerve Block or Adductor Canal Block in TKA
Strong Recommendation Strong Recommendation
Ketamine and Postoperative Opioid Consumption
Strong Recommendation Strong Recommendation
Ketamine and Adverse Events
Strong Recommendation Strong Recommendation
Intraoperative Periarticular Injection and Postoperative Pain/Opioid Use in TJA
Strong Recommendation Strong Recommendation
Long Acting Local Anesthetics and Postoperative Pain/Opioid Use
Strong Recommendation Strong Recommendation
Particular Injections with Liposomal Lupivacaine vs. Ropivacaine or Bupivacaine in TJA
Strong Recommendation Strong Recommendation
Morphine in Periarticular Injection in TJA
Strong Recommendation Strong Recommendation

Clinical Practice Guideline for the Treatment of Clavicle Fractures (2022)
ISOLATED DISPLACED MIDSHAFT FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT [ADULT]
Strong Recommendation Strong Recommendation

Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants Up to Six Months of Age (2022)
Evaluation of Infants with Risk Factors for DDH
Strong Recommendation Strong Recommendation

Diagnosis and Prevention of Periprosthetic Joint Infections
Blood Tests for Preoperative Diagnosis (Strong Evidence)
Strong Recommendation Strong Recommendation
Infected Joint Replacements - Intraoperative Tests - (Strong)
Strong Recommendation Strong Recommendation
Antibiotics With Low Preoperative Suspicion or Established PJI
Strong Recommendation Strong Recommendation

Diagnosis and Treatment of Osteochondritis Dissecans (2023)
MRI OCD Knee
Strong Recommendation Strong Recommendation

Limb Salvage or Early Amputation
Psychosocial Factors
Strong Recommendation Strong Recommendation

Management of Anterior Cruciate Ligament Injuries (2022)
HISTORY AND PHYSICAL
Strong Recommendation Strong Recommendation
SURGICAL TIMING
Strong Recommendation Strong Recommendation
SINGLE OR DOUBLE BUNDLE ACL RECONSTRUCTION
Strong Recommendation Strong Recommendation
AUTOGRAFT SOURCE
Moderate Recommendation Moderate Recommendation
AUTOGRAFT VS. ALLOGRAFT
Strong Recommendation Strong Recommendation
REPAIR VS. RECONSTRUCTION
Strong Recommendation Strong Recommendation

Management of Carpal Tunnel Syndrome (2024)
DIAGNOSIS: CTS-6, ULTRASONOGRAPHY, NCV/EMG
Strong Recommendation Strong Recommendation
CORTICOSTEROID INJECTION
Strong Recommendation Strong Recommendation
PLATELET-RICH PLASMA (PRP) INJECTION
Strong Recommendation Strong Recommendation
SURGICAL RELEASE TECHNIQUE
Strong Recommendation Strong Recommendation
MODES OF ANESTHESIA
Strong Recommendation Strong Recommendation
POSTOPERATIVE PAIN: NSAID, ACETAMINOPHEN
Strong Recommendation Strong Recommendation

Management of Distal Radius Fractures
Indications for Fixation (Geriatric Patients)
Strong Recommendation Strong Recommendation
Fixation Tech
Strong Recommendation Strong Recommendation

Management of Glenohumeral Joint Osteoarthritis
HYALURONIC ACID
Strong Recommendation Strong Recommendation
PROGNOSTIC FACTORS (BMI)
Strong Recommendation Strong Recommendation
PROGNOSTIC FACTORS (GENDER/SEX)
Strong Recommendation Strong Recommendation
PROGNOSTIC FACTORS (COMORBIDITIES)
Strong Recommendation Strong Recommendation
TOTAL SHOULDER ARTHROPLASTY
Strong Recommendation Strong Recommendation
GLENOID COMPONENT – PEGGED OR KEELED
Strong Recommendation Strong Recommendation

Management of Hip Fractures in Older Adults
Preoperative Traction
Strong Recommendation Strong Recommendation
Venous Thromboembolism Prophylaxis
Strong Recommendation Strong Recommendation
Anesthesia
Strong Recommendation Strong Recommendation
Unstable Femoral Neck Fractures - Arthroplasty vs Fixation
Strong Recommendation Strong Recommendation
Cemented Femoral Stems
Strong Recommendation Strong Recommendation
Cephalomedullary Device - Stable Intertrochanteric Fractures
Strong Recommendation Strong Recommendation
Cephalomedullary Device - Subtrochanteric/Reverse Obliquity Fractures
Strong Recommendation Strong Recommendation
Cephalomedullary Device - Unstable Intertrochanteric Fractures
Strong Recommendation Strong Recommendation
Multimodal Analgesia
Strong Recommendation Strong Recommendation
Tranexamic Acid
Strong Recommendation Strong Recommendation
Interdisciplinary Care Programs
Strong Recommendation Strong Recommendation

Management of Osteoarthritis of the Hip (2023)
TRANEXAMIC ACID
Strong Recommendation Strong Recommendation
INTRAARTICULAR HYALURONIC ACID
Strong Recommendation Strong Recommendation
PHARMACOLOGICAL MANAGEMENT: NSAIDs
Strong Recommendation Strong Recommendation

Management of Osteoarthritis of the Knee (Non-Arthroplasty) (3rd Edition)
Lateral Wedge Insoles (Recommendation Against)
Strong Recommendation Strong Recommendation
Topical Treatments
Strong Recommendation Strong Recommendation
Supervised Exercise
Strong Recommendation Strong Recommendation
Self-Management
Strong Recommendation Strong Recommendation
Patient Education
Strong Recommendation Strong Recommendation
Oral NSAIDs
Strong Recommendation Strong Recommendation
Oral Acetaminophen
Strong Recommendation Strong Recommendation
Oral Narcotics (Recommendation Against)
Strong Recommendation Strong Recommendation

Management of Rotator Cuff Injuries
Management of Small to Medium Tears
Strong Recommendation Strong Recommendation
Long Term Non-Operative Management
Strong Recommendation Strong Recommendation
Diagnosis (Clinical Examination)
Strong Recommendation Strong Recommendation
Diagnosis (Imaging)
Strong Recommendation Strong Recommendation
Post-Op Mobilization Timing
Strong Recommendation Strong Recommendation
High-Grade Partial Thickness Rotator Cuff Tears
Strong Recommendation Strong Recommendation
Prognostic Factors (Age)
Strong Recommendation Strong Recommendation
Prognostic Factors (Worker's Compensation)
Strong Recommendation Strong Recommendation
Biological Augmentation with Platelet Derived Products
Strong Recommendation Strong Recommendation
Single-Row vs Double-Row Repair
Strong Recommendation Strong Recommendation
Single-Row vs Double-Row Repair Re-Tears
Strong Recommendation Strong Recommendation
Open vs Arthroscopic Repairs
Strong Recommendation Strong Recommendation

Management of Surgical Site Infections
Cultures
Strong Recommendation Strong Recommendation
C-Reactive Protein
Strong Recommendation Strong Recommendation
Strong Evidence of Factors Associated with Increased Risk of SSI
Strong Recommendation Strong Recommendation

Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery (2021)
Neuromuscular Electrical Stimulation
Strong Recommendation Strong Recommendation
Peri-op Injections Total Shoulder Arthroplasty
Strong Recommendation Strong Recommendation
COX-2
Strong Recommendation Strong Recommendation
Oral Acetaminophen
Strong Recommendation Strong Recommendation
Acetaminophen
Strong Recommendation Strong Recommendation
Gabapentin
Strong Recommendation Strong Recommendation
Gabapentin
Strong Recommendation Strong Recommendation
Ketamine
Strong Recommendation Strong Recommendation

Prevention of Surgical Site Infection After Major Extremity Trauma (2022)
Perioperative and Postoperative Antibiotics - Systemic and Local
Strong Recommendation Strong Recommendation
Initial Wound Management -Irrigation and Fixation
Strong Recommendation Strong Recommendation
Negative Pressure Wound Therapy - Open and Closed Fractures
Strong Recommendation Strong Recommendation
Open Wound Closure
Strong Recommendation Strong Recommendation
Modifiable Risk Factors
Strong Recommendation Strong Recommendation

Surgical Management of Osteoarthritis of the Knee (2022)
PERIPHERAL NERVE BLOCKADE (PNB)
Strong Recommendation Strong Recommendation
PERIARTICULAR LOCAL INFILTRATION
Strong Recommendation Strong Recommendation
TRANEXAMIC ACID
Strong Recommendation Strong Recommendation
RISK FACTORS: BODY MASS INDEX (BMI)
Strong Recommendation Strong Recommendation
RISK FACTORS: DIABETES/HYPERGLYCEMIA
Strong Recommendation Strong Recommendation
TOURNIQUETS
Strong Recommendation Strong Recommendation
PATELLAR RESURFACING
Strong Recommendation Strong Recommendation
CRUCIATE RETAINING ARTHROPLASTY
Strong Recommendation Strong Recommendation
PATIENT SPECIFIC TECHNOLOGY
Strong Recommendation Strong Recommendation
KINEMATIC VS. MECHANICAL ALIGNMENT
Strong Recommendation Strong Recommendation

Tranexamic Acid in Total Joint Arthroplasty
Administration Method Versus Other Methods
Strong Recommendation Strong Recommendation
Administration Method Versus Placebo
Strong Recommendation Strong Recommendation
Dosing
Strong Recommendation Strong Recommendation
Multiple Dose vs. Single Dose
Strong Recommendation Strong Recommendation
VTE Risk (Patients Without History)
Strong Recommendation Strong Recommendation

Treatment of Metastatic Carcinoma and Myeloma of the Femur
Doseage Response of BMAs
Strong Recommendation Strong Recommendation

Treatment of Pediatric Diaphyseal Femur Fractures
Child Abuse
Strong Recommendation Strong Recommendation
Elastic Intramedullary Nails
Strong Recommendation Strong Recommendation

Use of Imaging Prior to Referral to a Musculoskeletal Oncologist
MRI: Use of Contrast
Moderate Recommendation Moderate Recommendation
MRI: Use of Contrast Benign or Malignant
Strong Recommendation Strong Recommendation
Tumor Size: Greater than 5 cm
Strong Recommendation Strong Recommendation

Defining Strength Ratings
 
Range Terminology Definition Language Stem
6/2013 - Present Strong (2nd Ed) Two or more HIGH quality studies Strong evidence supports that the practitioner should/should not do X, because…
7/2009 - 5/2013 Strong (1st Ed) Two or more HIGH quality studies We recommend…
or We cannot recommend
2007 - 6/2009 A More than one Level I study with consistent findings for or against recommending intervention. We recommend Treatment X
 
Moderate Recommendation

Acute Isolated Meniscal Pathology
PHYSICAL EXAMINATION
Moderate Recommendation Moderate Recommendation
JOINT DEGENERATION
Moderate Recommendation Moderate Recommendation
BIOLOGICAL ENHANCEMENT
Moderate Recommendation Moderate Recommendation

Anesthesia and Analgesia in Total Joint Arthroplasty (2020)
Acetaminophen and Postoperative Pain and/or Opiod Use
Moderate Recommendation Moderate Recommendation
Efficacy Between Low- and High-Dose Gabapentinoids
Moderate Recommendation Moderate Recommendation
Oral COX-2 NSAID and Postoperative Pain and/or Opioid Use
Moderate Recommendation Moderate Recommendation
Oral NSAID Use After Discharge Following TKA
Moderate Recommendation Moderate Recommendation
Postoperative IV Ketorolac
Moderate Recommendation Moderate Recommendation
TJA and Preoperative Opioid Use
Moderate Recommendation Moderate Recommendation
Opioids Administered Intraoperatively
Moderate Recommendation Moderate Recommendation
Opioid Use Following TJA Surgery
Moderate Recommendation Moderate Recommendation
Opioid Use Following TJA Surgery
Moderate Recommendation Moderate Recommendation
Tramadol Use Following TJA Surgery
Moderate Recommendation Moderate Recommendation

Anesthesia and Analgesia in Total Joint Arthroplasty (2021)
Single Shot Lumbar Plexus Nerve Block in THA
Moderate Recommendation Moderate Recommendation
Single-Shot Fascia Ilicia Block in THA
Moderate Recommendation Moderate Recommendation
Single-Shot Fascia Ilicia Block vs Lumbar Plexus Nerve Block in THA
Moderate Recommendation Moderate Recommendation
Fascia Iliaca Block vs Peri-Articular Local Anesthetic Infiltration In THA
Moderate Recommendation Moderate Recommendation
Lumbar Plexus Block vs Peri-Articular Local Anesthetic Infiltration in THA
Moderate Recommendation Moderate Recommendation
Continuous vs. Single-Shot Adductor Canal Block in TKA
Moderate Recommendation Moderate Recommendation
Single-Shot Adductor Canal Block vs Peri-Articular Local Anesthetic Infiltration in TKA
Moderate Recommendation Moderate Recommendation
Combined Single-Shot Adductor Canal Block and Peri-Articular Local Anesthetic Infiltration
Moderate Recommendation Moderate Recommendation
Single-Shot Adductor Block & Peri-Articular Local Anesthetic Infiltration vs. Single-Shot Alone
Moderate Recommendation Moderate Recommendation
Ketamine and Postoperative Pain/Nausea/Vomiting
Moderate Recommendation Moderate Recommendation
Periarticular Injections of Ketorolac in TKA
Moderate Recommendation Moderate Recommendation
Periarticular Injections of Corticosteroids in TKA
Moderate Recommendation Moderate Recommendation

Clinical Practice Guideline for the Treatment of Clavicle Fractures (2022)
BONE STIMULATOR
Moderate Recommendation Moderate Recommendation
HOOK PLATE VS. LATERAL LOCKING PLATE FOR LATERAL FRACTURE
Moderate Recommendation Moderate Recommendation
NAILING VS. SINGLE PLATE
Moderate Recommendation Moderate Recommendation

Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants Up to Six Months of Age (2022)
Universal Ultrasound Screening
Moderate Recommendation Moderate Recommendation
Surveillance After Normal Infant Hip Exam
Moderate Recommendation Moderate Recommendation
Type of Brace for the Unstable Hip
Moderate Recommendation Moderate Recommendation

Diagnosis and Prevention of Periprosthetic Joint Infections
Risk Factors for PJI (Moderate Evidence)
Moderate Recommendation Moderate Recommendation
Blood Tests for Preoperative Diagnosis (Moderate Evidence)
Moderate Recommendation Moderate Recommendation
Infected Joint Replacements - Synovial Fluid Tests
Moderate Recommendation Moderate Recommendation
Infected Joint Replacements - Intraoperative Tests - (Moderate)
Moderate Recommendation Moderate Recommendation
Gram Stain
Moderate Recommendation Moderate Recommendation
Initiating Antimicrobials Prior to Obtaining Intra-Articular Culture
Moderate Recommendation Moderate Recommendation

Evaluation of Psychosocial Factors Influencing Recovery From Adult Orthopaedic Trauma
Factors Associated with Patient Outcomes
Moderate Recommendation Moderate Recommendation

Limb Salvage or Early Amputation
Burden of Injury (Non-Limb Specific Injury - Time 0 and Time 1)
Moderate Recommendation Moderate Recommendation
Burden of Injury (Non-Limb Specific Injury - Time 0 and Time 1)
Moderate Recommendation Moderate Recommendation
Burden of Injury (Limb Specific Injury - Time 1 and Beyond)
Moderate Recommendation Moderate Recommendation
Rehabilitation
Moderate Recommendation Moderate Recommendation
Smoking
Moderate Recommendation Moderate Recommendation
Lower Extremity Injury Scores
Moderate Recommendation Moderate Recommendation

Management of Acute Compartment Syndrome
Serum Biomarkers - Femoral Vein Lactate Concentration
Moderate Recommendation Moderate Recommendation
Pressure Methods - Diagnosis
Moderate Recommendation Moderate Recommendation
Pressure Methods - Ruling Out
Moderate Recommendation Moderate Recommendation

Management of Anterior Cruciate Ligament Injuries (2022)
ACL TRAINING PROGRAMS
Moderate Recommendation Moderate Recommendation
ANTEROLATERAL LIGAMENT / LATERAL EXTRAARTICULAR TENODESIS
Moderate Recommendation Moderate Recommendation

Management of Carpal Tunnel Syndrome (2024)
DIAGNOSIS: MRI, UPPER LIMB NEURODYNAMIC TESTING
Moderate Recommendation Moderate Recommendation
POSTOPERATIVE THERAPY
Moderate Recommendation Moderate Recommendation
POSTOPERATIVE IMMOBILIZATION
Moderate Recommendation Moderate Recommendation

Management of Distal Radius Fractures
Arthroscopic Assistance
Moderate Recommendation Moderate Recommendation
Indications for Fixation (Non-Geriatric Patients)
Moderate Recommendation Moderate Recommendation

Management of Glenohumeral Joint Osteoarthritis
PROGNOSTIC FACTORS (AGE)
Moderate Recommendation Moderate Recommendation
PROGNOSTIC FACTORS (SMOKING)
Moderate Recommendation Moderate Recommendation
PROGNOSTIC FACTORS (PRE-OPERATIVE FUNCTION)
Moderate Recommendation Moderate Recommendation
PROGNOSTIC FACTORS (DEPRESSION)
Moderate Recommendation Moderate Recommendation
GLENOID COMPONENT – METAL BACKED CEMENTLESS
Moderate Recommendation Moderate Recommendation
TOTAL SHOULDER ARTHROPLASTY – SUBSCAPULARIS PEEL, LESSER TUBEROSITY OSTEOTOMY, TENOTOMY
Moderate Recommendation Moderate Recommendation

Management of Hip Fractures in Older Adults
Surgical Timing
Moderate Recommendation Moderate Recommendation
Unipolar/Bipolar Hemiarthroplasty
Moderate Recommendation Moderate Recommendation
Unstable Femoral Neck Fractures - Total Arthroplasty vs. Hemi Arthroplasty
Moderate Recommendation Moderate Recommendation
Surgical Approach
Moderate Recommendation Moderate Recommendation
Transfusion
Moderate Recommendation Moderate Recommendation

Management of Osteoarthritis of the Hip (2023)
Postoperative Physical Therapy
Moderate Recommendation Moderate Recommendation
PHYSICAL THERAPY AS CONSERVATIVE TREATMENT
Moderate Recommendation Moderate Recommendation
INTRAARTICULAR CORTICOSTEROID INJECTION
Moderate Recommendation Moderate Recommendation
CEMENTED VS. CEMENTLESS FEMORAL FIXATION
Moderate Recommendation Moderate Recommendation
EXPOSURE APPROACH
Moderate Recommendation Moderate Recommendation

Management of Osteoarthritis of the Knee (Non-Arthroplasty) (3rd Edition)
Canes
Moderate Recommendation Moderate Recommendation
Braces
Moderate Recommendation Moderate Recommendation
Neuromuscular Training
Moderate Recommendation Moderate Recommendation
Weight Loss Intervention
Moderate Recommendation Moderate Recommendation
Hyaluronic Acid (Recommendation Against)
Moderate Recommendation Moderate Recommendation
Intra-articular Corticosteroids
Moderate Recommendation Moderate Recommendation
Lavage/Debridement (Recommendation Against)
Moderate Recommendation Moderate Recommendation
Partial Meniscectomy
Moderate Recommendation Moderate Recommendation

Management of Rotator Cuff Injuries
Operative Management
Moderate Recommendation Moderate Recommendation
Acromioplasty & Rotator Cuff Repair
Moderate Recommendation Moderate Recommendation
Distal Clavicle Resection
Moderate Recommendation Moderate Recommendation
Corticosteroid Injections for Rotator Cuff Tears
Moderate Recommendation Moderate Recommendation
Prognostic Factors (Higher BMI)
Moderate Recommendation Moderate Recommendation
Prognostic Factors (Comorbidities)
Moderate Recommendation Moderate Recommendation
Prognostic Factors (Diabetes)
Moderate Recommendation Moderate Recommendation
Prognostic Factors (Patient Expectations)
Moderate Recommendation Moderate Recommendation
Postoperative Pain Management
Moderate Recommendation Moderate Recommendation

Management of Surgical Site Infections
Clinical Exam for the Diagnosis of Surgical Site Infections
Moderate Recommendation Moderate Recommendation
Increased Associated Risk of SSI
Moderate Recommendation Moderate Recommendation
Antibiotic Duration for Management of Surgical Site Infections
Moderate Recommendation Moderate Recommendation
Rifampin Use for Management of Surgical Site Infections
Moderate Recommendation Moderate Recommendation

Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery (2021)
Massage
Moderate Recommendation Moderate Recommendation
Transcutaneous Electrical Nerve Stimulation
Moderate Recommendation Moderate Recommendation
Peri-op Injections
Moderate Recommendation Moderate Recommendation
Guided Relaxation Therapy
Moderate Recommendation Moderate Recommendation
Pregabalin
Moderate Recommendation Moderate Recommendation
Oral Relaxants
Moderate Recommendation Moderate Recommendation

Prevention of Surgical Site Infection After Major Extremity Trauma (2022)
Initial Antibiotics
Moderate Recommendation Moderate Recommendation
Preoperative Antibiotics
Moderate Recommendation Moderate Recommendation
Surgery Timing
Moderate Recommendation Moderate Recommendation
Perioperative and Postoperative Antibiotics - Systemic and Local
Moderate Recommendation Moderate Recommendation
Initial Wound Management -Irrigation and Fixation
Moderate Recommendation Moderate Recommendation
Wound Coverage
Moderate Recommendation Moderate Recommendation
Silver Coated Dressings
Moderate Recommendation Moderate Recommendation
Modifiable Risk Factors
Moderate Recommendation Moderate Recommendation
Administrative Risk Factors
Moderate Recommendation Moderate Recommendation

Surgical Management of Osteoarthritis of the Knee (2022)
DRAINS
Moderate Recommendation Moderate Recommendation
CEMENTLESS FIXATION: CEMENTED FEMORAL & TIBIAL COMPONENTS VS. CEMENTLESS FEMORAL & TIBIAL COMPONENTS
Moderate Recommendation Moderate Recommendation
CEMENTLESS FIXATION: ALL CEMENTED COMPONENTS VS. HYBRID FIXATION (CEMENTLESS FEMORAL COMPONENT)
Moderate Recommendation Moderate Recommendation
UNICOMPARTMENTAL VS. TOTAL KNEE ARTHROPLASTY
Moderate Recommendation Moderate Recommendation
SURGICAL NAVIGATION
Moderate Recommendation Moderate Recommendation
PRE-OPERATIVE OPIOID USE
Moderate Recommendation Moderate Recommendation

Tranexamic Acid in Total Joint Arthroplasty
ATE Risk
Moderate Recommendation Moderate Recommendation
Timing of Administration
Moderate Recommendation Moderate Recommendation
VTE Risk (Patients With History)
Moderate Recommendation Moderate Recommendation

Treatment of Metastatic Carcinoma and Myeloma of the Femur
Efficacy of Radiation Therapy
Moderate Recommendation Moderate Recommendation
Multi-Fraction Radiation Treatment
Moderate Recommendation Moderate Recommendation

Treatment of Pediatric Diaphyseal Femur Fractures
Early or Delayed Spica Casting
Moderate Recommendation Moderate Recommendation

Treatment of Pediatric Supracondylar Humerus Fractures
Gartland Type 1 Immobilization
Moderate Recommendation Moderate Recommendation
Closed Reduction Fixation
Moderate Recommendation Moderate Recommendation

Use of Imaging Prior to Referral to a Musculoskeletal Oncologist
Cortical Irregularity/Periosteal Reaction
Moderate Recommendation Moderate Recommendation
History of Growth: Soft Tissue Tumor
Moderate Recommendation Moderate Recommendation
History of Pain: Radiographs and MRI
Moderate Recommendation Moderate Recommendation
Plain Radiographs: Unknown Etiology
Moderate Recommendation Moderate Recommendation
Tumor Interface
Moderate Recommendation Moderate Recommendation
Ultrasound: Benign Tumor
Moderate Recommendation Moderate Recommendation

Defining Strength Ratings
 
Range Terminology Definition Language Stem
6/2013 - Present Moderate (2nd Ed) 1 HIGH or 2 MODERATE quality studies Moderate evidence supports that the practitioner could/could not do X, because…       
7/2009 - 5/2013 Moderate (1st Ed) 1 HIGH or 2 MODERATE quality studies We suggest…
2007 - 6/2009 B More than 1 Level II or III study with
consistent findings or a single
Level I study for or against recommending intervention
We suggest Treatment X
Limited Recommendation

Acute Isolated Meniscal Pathology
SURGICAL INTERVENTION AFTER NON-OPERATIVE TREATMENT
Limited Recommendation Limited Recommendation
MENISCUS REPAIR
Limited Recommendation Limited Recommendation

Anesthesia and Analgesia in Total Joint Arthroplasty (2020)
NSAIDs Use and Postoperative Medical Complications
Limited Recommendation Limited Recommendation
Reduction of Opioid Use Prior to TJA
Limited Recommendation Limited Recommendation

Anesthesia and Analgesia in Total Joint Arthroplasty (2021)
Perioperative Corticosteroid Doseage
Limited Recommendation Limited Recommendation
Single Shot Quadratus Lumborum Block in THA
Limited Recommendation Limited Recommendation
Block vs. Control iPACK in TKA
Limited Recommendation Limited Recommendation
Epinephrine in Periarticular Injection in TKA
Limited Recommendation Limited Recommendation
Clonidine in Periarticular Injections and TKA
Limited Recommendation Limited Recommendation

Clinical Practice Guideline for the Treatment of Clavicle Fractures (2022)
NON-MODIFIABLE RISK FACTORS: AGE AND SEX
Limited Recommendation Limited Recommendation
MODIFIABLE RISK FACTORS: SMOKING
Limited Recommendation Limited Recommendation
DUAL PLATING
Limited Recommendation Limited Recommendation
ANTERIOR VS. SUPERIOR PLATING
Limited Recommendation Limited Recommendation
PRE-CONTOURED PLATE VS. NON-PRE-CONTOURED PLATE
Limited Recommendation Limited Recommendation
RADIOGRAPH: SUPINE VS. UPRIGHT
Limited Recommendation Limited Recommendation
PREDICTORS OF NON-UNION FOLLOWING NON-OPERATIVELY TREATED CLAVICLE FRACTURE
Limited Recommendation Limited Recommendation
ISOLATED DISPLACED MIDSHAFT FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT[ADOLESCENT ≤18 YEARS]
Limited Recommendation Limited Recommendation

Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants Up to Six Months of Age (2022)
Imaging of the Unstable Hip
Limited Recommendation Limited Recommendation
Imaging of the Infant Hip
Limited Recommendation Limited Recommendation
Stable Hip With Ultrasound Imaging Abnormalities
Limited Recommendation Limited Recommendation
Treatment of Clinical Instability
Limited Recommendation Limited Recommendation
Monitoring of Patients During Brace Treatment
Limited Recommendation Limited Recommendation

Diagnosis and Prevention of Periprosthetic Joint Infections
Risk Factors for PJI (Limited Evidence)
Limited Recommendation Limited Recommendation
Injections Prior to Arthroplasty
Limited Recommendation Limited Recommendation
Infected Joint Replacements - Intraoperative Tests - (Limited)
Limited Recommendation Limited Recommendation
Diagnostic Imaging
Limited Recommendation Limited Recommendation
Diagnostic Imaging - Nuclear Imaging
Limited Recommendation Limited Recommendation
Avoiding Antimicrobials Two Weeks Prior to Obtaining Intra-Articular Culture
Limited Recommendation Limited Recommendation
Perioperative Antibiotic Selection - (Limited)
Limited Recommendation Limited Recommendation
Antibiotic Cement
Limited Recommendation Limited Recommendation
Antibiotic Cement
Limited Recommendation Limited Recommendation
Preoperative Screening and Decolonization - (Limited)
Limited Recommendation Limited Recommendation

Diagnosis and Treatment of Osteochondritis Dissecans (2023)
Radiographs
Limited Recommendation Limited Recommendation
Option of Surgery for Skeletally Immature Patients with Salvageable Unstable OCD Lesions
Limited Recommendation Limited Recommendation
Option of Surgery for Skeletally Mature Patients with Salvageable Unstable OCD Lesions
Limited Recommendation Limited Recommendation

Limb Salvage or Early Amputation
Nerve Injury
Limited Recommendation Limited Recommendation
Massive Soft Tissue and Muscle Damage (Time 1)
Limited Recommendation Limited Recommendation
Vascular Injury/Limb Ischmia
Limited Recommendation Limited Recommendation
Amputation/Limb Salvage
Limited Recommendation Limited Recommendation

Management of Acute Compartment Syndrome
Biomarkers - Myoglobinuria and Serum Troponin
Limited Recommendation Limited Recommendation
Biomarkers - Electrical Injury
Limited Recommendation Limited Recommendation
Physical Exam (Awake)
Limited Recommendation Limited Recommendation
Wound Management
Limited Recommendation Limited Recommendation

Management of Anterior Cruciate Ligament Injuries (2022)
ACL SURGICAL RECONSTRUCTION
Limited Recommendation Limited Recommendation
MENISCAL REPAIR
Limited Recommendation Limited Recommendation
COMBINED ACL / MCL TEAR
Limited Recommendation Limited Recommendation
PROPHYLACTIC KNEE BRACING
Limited Recommendation Limited Recommendation
RETURN TO SPORT
Limited Recommendation Limited Recommendation
RETURN TO ACTIVITY FUNCTIONAL BRACING
Limited Recommendation Limited Recommendation

Management of Carpal Tunnel Syndrome (2024)
THERAPEUTIC ULTRASOUND
Limited Recommendation Limited Recommendation
NON-OPERATIVE TREATMENTS VS. PLACEBO/CONTROL
Limited Recommendation Limited Recommendation
NON-OPERATIVE TREATMENTS: LONG-TERM
Limited Recommendation Limited Recommendation
COMPARISON OF NON-OPERATIVE TREATMENTS
Limited Recommendation Limited Recommendation
SITE OF SERVICE
Limited Recommendation Limited Recommendation
ANTICOAGULATION
Limited Recommendation Limited Recommendation
PROPHYLACTIC PERIOPERATIVE ANTIBIOTICS
Limited Recommendation Limited Recommendation

Management of Distal Radius Fractures
Home Exercise Program
Limited Recommendation Limited Recommendation
Serial Radiography
Limited Recommendation Limited Recommendation

Management of Glenohumeral Joint Osteoarthritis
HEMIARTHROPLASTY - STEMS
Limited Recommendation Limited Recommendation

Management of Hip Fractures in Older Adults
Stable Femoral Neck Fractures
Limited Recommendation Limited Recommendation
Cephalomedullary Device - Pertrochanteric Fractures
Limited Recommendation Limited Recommendation
Weight Bearing
Limited Recommendation Limited Recommendation

Management of Metastatic Humeral Disease (2023)
Plating/Internal Fixation, Intramedullary Fixation, and/or Photodynamic Polymer
Limited Recommendation Limited Recommendation
Cementation Vs No Cementation
Limited Recommendation Limited Recommendation
Reconstruction Approach
Limited Recommendation Limited Recommendation
Prognostic Markers
Limited Recommendation Limited Recommendation

Management of Osteoarthritis of the Hip (2023)
BMI: ADVERSE EVENTS
Limited Recommendation Limited Recommendation
BMI: CLINICAL OUTCOMES
Limited Recommendation Limited Recommendation
DIABETES: ADVERSE EVENTS
Limited Recommendation Limited Recommendation
SOCIAL DETERMINANTS OF HEALTH
Limited Recommendation Limited Recommendation
NEURAXIAL VS. GENERAL ANAESTHESIA
Limited Recommendation Limited Recommendation
TOBACCO
Limited Recommendation Limited Recommendation

Management of Osteoarthritis of the Knee (Non-Arthroplasty) (3rd Edition)
Oral/Dietary Supplements
Limited Recommendation Limited Recommendation
Manual Therapy
Limited Recommendation Limited Recommendation
Massage
Limited Recommendation Limited Recommendation
Laser Treatment
Limited Recommendation Limited Recommendation
Acupuncture
Limited Recommendation Limited Recommendation
Transcutaneous Electrical Nerve Stimulation
Limited Recommendation Limited Recommendation
Percutaneous Electrical Nerve Stimulation
Limited Recommendation Limited Recommendation
Extracorporeal Shockwave Therapy
Limited Recommendation Limited Recommendation
Platelet-rich Plasma
Limited Recommendation Limited Recommendation
Denervation Therapy
Limited Recommendation Limited Recommendation
Tibial Osteotomy
Limited Recommendation Limited Recommendation

Management of Rotator Cuff Injuries
Hyaluronic Acid Injections for Rotator Cuff Tears
Limited Recommendation Limited Recommendation
Platelet Rich Plasma (PRP) Injection in Partial-Thickness Tears
Limited Recommendation Limited Recommendation
Marrow Stimulation
Limited Recommendation Limited Recommendation
Dermal Allografts
Limited Recommendation Limited Recommendation
Xenografts
Limited Recommendation Limited Recommendation

Management of Surgical Site Infections
Use of Imaging
Limited Recommendation Limited Recommendation
Erythrocyte Sedimentation Rate
Limited Recommendation Limited Recommendation
Limited Evidence of Increased Associated SSI Risk
Limited Recommendation Limited Recommendation

Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery (2021)
Acupuncture
Limited Recommendation Limited Recommendation
Acupuncture
Limited Recommendation Limited Recommendation
Acupressure
Limited Recommendation Limited Recommendation
Compression
Limited Recommendation Limited Recommendation
Cryotherapy
Limited Recommendation Limited Recommendation
Early Mobilization
Limited Recommendation Limited Recommendation
Cognitive/Behavioral Treatment
Limited Recommendation Limited Recommendation
Music Therapy
Limited Recommendation Limited Recommendation
Patient Education
Limited Recommendation Limited Recommendation
Virtual Reality
Limited Recommendation Limited Recommendation
Intra-Articular Opioids vs NSAIDs
Limited Recommendation Limited Recommendation
Opioid Combo vs NSAID
Limited Recommendation Limited Recommendation
Tramadol Combo vs NSAID
Limited Recommendation Limited Recommendation
Fentanyl Patch vs Morphine
Limited Recommendation Limited Recommendation
Tramadol vs NSAID
Limited Recommendation Limited Recommendation
Acetaminophen/NSAID Combination Treatment vs NSAID
Limited Recommendation Limited Recommendation

Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Prophylactic Antibiotics
Limited Recommendation Limited Recommendation

Prevention of Surgical Site Infection After Major Extremity Trauma (2022)
Modifiable Risk Factors
Limited Recommendation Limited Recommendation
Administrative Risk Factors
Limited Recommendation Limited Recommendation
Negative Pressure Wound Therapy - High Risk Surgical Incisions
Limited Recommendation Limited Recommendation
Orthoplastic Team
Limited Recommendation Limited Recommendation
Hyperbaric O2
Limited Recommendation Limited Recommendation

Surgical Management of Osteoarthritis of the Knee (2022)
CEMENTLESS FIXATION: ALL CEMENTLESS COMPONENTS VS. HYBRID FIXATION (CEMENTLESS TIBIAL COMPONENT)
Limited Recommendation Limited Recommendation
UNICOMPARTMENTAL KNEE ARTHROPLASTY VS. HIGH/PROXIMAL TIBIAL OSTEOTOMY
Limited Recommendation Limited Recommendation
DISCHARGE FACILITIES / DISPOSITION
Limited Recommendation Limited Recommendation
ROBOTICS IN TOTAL KNEE ARTHROPLASTY
Limited Recommendation Limited Recommendation
ROBOTICS IN UNICOMPARTMENTAL KNEE ARTHROPLASTY
Limited Recommendation Limited Recommendation

Treatment of Metastatic Carcinoma and Myeloma of the Femur
Arthroplasty
Limited Recommendation Limited Recommendation

Treatment of Pediatric Diaphyseal Femur Fractures
Infant Femur Fracture
Limited Recommendation Limited Recommendation
ORIF Pediatric Femur Fractures
Limited Recommendation Limited Recommendation
Pain Control
Limited Recommendation Limited Recommendation
Waterproof Casting
Limited Recommendation Limited Recommendation

Treatment of Pediatric Supracondylar Humerus Fractures
Medial vs. Lateral Pinning
Limited Recommendation Limited Recommendation
Open Reduction Criteria
Limited Recommendation Limited Recommendation

Use of Imaging Prior to Referral to a Musculoskeletal Oncologist
History of Pain: Tc99 Bone Scan
Limited Recommendation Limited Recommendation

Defining Strength Ratings
 
Range Terminology Definition Language Stem
6/2013 - Present Limited (2nd Ed) 1 MODERATE or 2 or more LOW quality studies Limited evidence supports that the practitioner might/might not do X, because…
7/2009 - 5/2013 Limited (1st Ed) 1 MODERATE or 2 LOW quality studies Treatment X is an OPTION
2007 - 6/2009 N/A N/A N/A
Consensus Recommendation

Acute Isolated Meniscal Pathology
INDICATIONS FOR ACUTE SURGICAL INTERVENTION
Consensus Recommendation Consensus Recommendation
INDICATIONS FOR ACUTE SURGICAL INTERVENTION
Consensus Recommendation Consensus Recommendation
PHYSICAL THERAPY
Consensus Recommendation Consensus Recommendation
SURGICAL REPAIR TECHNIQUE
Consensus Recommendation Consensus Recommendation

Anesthesia and Analgesia in Total Joint Arthroplasty (2020)
Acetaminophen Use After Discharge
Consensus Recommendation Consensus Recommendation
Oral NSAID Use After Discharge Following THA
Consensus Recommendation Consensus Recommendation

Anesthesia and Analgesia in Total Joint Arthroplasty (2021)
Perioperative Corticosteroids and Complications after TJA
Consensus Recommendation Consensus Recommendation
Contraindications to Perioperative Corticosteroid Use
Consensus Recommendation Consensus Recommendation
Periarticular Injections of Ketorolac in THA
Consensus Recommendation Consensus Recommendation
Perioperative Corticosteroids and Postoperative Pain/Opioid Use in THA
Consensus Recommendation Consensus Recommendation
Epinephrine in Periarticular Injection in THA
Consensus Recommendation Consensus Recommendation
Clonidine in Periarticular Injections and THA
Consensus Recommendation Consensus Recommendation

Clinical Practice Guideline for the Treatment of Clavicle Fractures (2022)
IMMOBILIZATION METHOD
Consensus Recommendation Consensus Recommendation
LATERAL CLAVICLE FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT
Consensus Recommendation Consensus Recommendation

Diagnosis and Prevention of Periprosthetic Joint Infections
Risk Factors for PJI (Consensus)
Consensus Recommendation Consensus Recommendation
Risk Factors for PJI (Consensus)
Consensus Recommendation Consensus Recommendation
Diagnostic Imaging - (Consensus)
Consensus Recommendation Consensus Recommendation
Perioperative Antibiotic Selection - (Consensus)
Consensus Recommendation Consensus Recommendation
Preoperative Screening and Decolonization - (Consensus)
Consensus Recommendation Consensus Recommendation
Intraoperative Technical Factors
Consensus Recommendation Consensus Recommendation

Diagnosis and Treatment of Osteochondritis Dissecans (2023)
Evaluation of OCD Healing
Consensus Recommendation Consensus Recommendation
Post Operative Physical Therapy
Consensus Recommendation Consensus Recommendation

Limb Salvage or Early Amputation
Massive Muscle Damage (Time 0)
Consensus Recommendation Consensus Recommendation
Orthotics/Prosthetics
Consensus Recommendation Consensus Recommendation
Comorbidities
Consensus Recommendation Consensus Recommendation

Management of Acute Compartment Syndrome
Serum Biomarkers in Late/Missed ACS
Consensus Recommendation Consensus Recommendation
Pressure Monitoring in Late/Missed ACS
Consensus Recommendation Consensus Recommendation
Physical Exam (Obtunded)
Consensus Recommendation Consensus Recommendation
Alternative Methods of Diagnosis
Consensus Recommendation Consensus Recommendation
Fasciotomy Methods
Consensus Recommendation Consensus Recommendation
Fasciotomy for Late/Missed ACS
Consensus Recommendation Consensus Recommendation
Associated Fracture
Consensus Recommendation Consensus Recommendation
Pain Management Effects on Diagnosis
Consensus Recommendation Consensus Recommendation

Management of Anterior Cruciate Ligament Injuries (2022)
ASPIRATION OF THE KNEE
Consensus Recommendation Consensus Recommendation

Management of Carpal Tunnel Syndrome (2024)
RISK FACTORS: KEYBOARDING, CLERICAL WORK
Consensus Recommendation Consensus Recommendation
SURGICAL DRAPING
Consensus Recommendation Consensus Recommendation
PREOPERATIVE TESTING
Consensus Recommendation Consensus Recommendation
ADJUNCTIVE TESTING
Consensus Recommendation Consensus Recommendation
POSTOPERATIVE PAIN: TRAMADOL
Consensus Recommendation Consensus Recommendation

Management of Distal Radius Fractures
Opioid Use
Consensus Recommendation Consensus Recommendation

Management of Glenohumeral Joint Osteoarthritis
PRE-OPERATIVE PHYSICAL THERAPY
Consensus Recommendation Consensus Recommendation
POST-OPERATIVE PHYSICAL THERAPY
Consensus Recommendation Consensus Recommendation
INJECTABLE BIOLOGICS
Consensus Recommendation Consensus Recommendation
ALTERNATIVE NON-SURGICAL TREATMENTS
Consensus Recommendation Consensus Recommendation
OPIOID PAIN MEDICATION
Consensus Recommendation Consensus Recommendation
NON-PROSTHETIC SURGICAL OPTIONS
Consensus Recommendation Consensus Recommendation
RADIOGRAPHS
Consensus Recommendation Consensus Recommendation
ANATOMIC OR REVERSE TOTAL SHOULDER ARTHROPLASTY
Consensus Recommendation Consensus Recommendation
CEMENTED STEMS
Consensus Recommendation Consensus Recommendation
GLENOID COMPONENTS – POLYETHYLENE-METAL OR ALL POLYETHYLENE
Consensus Recommendation Consensus Recommendation
BICEP TENODESIS AND TENOTOMY
Consensus Recommendation Consensus Recommendation
TRANEXAMIC ACID
Consensus Recommendation Consensus Recommendation
SUPRASPINATUS TEARS
Consensus Recommendation Consensus Recommendation
DISCHARGE
Consensus Recommendation Consensus Recommendation
CRYOTHERAPY
Consensus Recommendation Consensus Recommendation
MULTIMODAL PAIN MANAGEMENT
Consensus Recommendation Consensus Recommendation

Management of Osteoarthritis of the Hip (2023)
PRESCRIPTION OPIOID AS CONSERVATIVE TREATMENT
Consensus Recommendation Consensus Recommendation
PHARMACOLOGICAL MANAGEMENT: ACETAMINOPHEN
Consensus Recommendation Consensus Recommendation
HIP-SPINE RELATIONSHIP
Consensus Recommendation Consensus Recommendation

Management of Osteoarthritis of the Knee (Non-Arthroplasty) (3rd Edition)
Dry Needling
Consensus Recommendation Consensus Recommendation
Free Floating Interpositional Devices
Consensus Recommendation Consensus Recommendation

Management of Rotator Cuff Injuries
Supervised Exercise vs Unsupervised Exercise
Consensus Recommendation Consensus Recommendation
Multiple Steroid Injections for Rotator Cuff Tears
Consensus Recommendation Consensus Recommendation
Platelet Rich Plasma (PRP) Injection in Full-Thickness Tears
Consensus Recommendation Consensus Recommendation
Partial Rotator Cuff Tear
Consensus Recommendation Consensus Recommendation
Unrepairable Tears Without Arthropathy (Non-Reverse Arthroplasty)
Consensus Recommendation Consensus Recommendation
Massive, Unrepairable Rotator Cuff Tear (Reverse Arthroplasty)
Consensus Recommendation Consensus Recommendation
Unrepairable Tears with Arthropathy
Consensus Recommendation Consensus Recommendation

Management of Surgical Site Infections
Adjunctive Treatment
Consensus Recommendation Consensus Recommendation
Surgical Timing and Percutaneous Drainage
Consensus Recommendation Consensus Recommendation
Surgical Timing
Consensus Recommendation Consensus Recommendation
Timing and Implant Removal
Consensus Recommendation Consensus Recommendation
Multidisciplinary Team
Consensus Recommendation Consensus Recommendation

Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery (2021)
Anti-Depressants
Consensus Recommendation Consensus Recommendation

Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Oral Hygiene
Consensus Recommendation Consensus Recommendation

Prevention of Surgical Site Infection After Major Extremity Trauma (2022)
Preoperative Skin Preparation
Consensus Recommendation Consensus Recommendation

Surgical Management of Osteoarthritis of the Knee (2022)
BILATERAL SIMULTANEOUS TOTAL KNEE ARTHROPLASTY VS. STAGED
Consensus Recommendation Consensus Recommendation
RISK FACTORS: SMOKING
Consensus Recommendation Consensus Recommendation

Treatment of Metastatic Carcinoma and Myeloma of the Femur
Imaging and Clinical Findings
Consensus Recommendation Consensus Recommendation
Efficacy of Bone Modifying Agents
Consensus Recommendation Consensus Recommendation
BMAs for Various Diagnosis
Consensus Recommendation Consensus Recommendation
Imaging Findings and Atypical Fractures
Consensus Recommendation Consensus Recommendation
Radiation Therapy and Prophylactic Femur Stabilization
Consensus Recommendation Consensus Recommendation
Radiation Therapy after Resection and Reconstruction
Consensus Recommendation Consensus Recommendation
Estimating Survival and Reconstruction Method
Consensus Recommendation Consensus Recommendation
Long Stem Hemiarthroplasty
Consensus Recommendation Consensus Recommendation
Cephalomedullary Nailing
Consensus Recommendation Consensus Recommendation

Treatment of Pediatric Supracondylar Humerus Fractures
Closed Reduction with Decreased Perfusion of Hand
Consensus Recommendation Consensus Recommendation
Open Exploration for No Pulse and Underperfused Hand
Consensus Recommendation Consensus Recommendation

Use of Imaging Prior to Referral to a Musculoskeletal Oncologist
CT Scans: Prior Chest Radiograph
Consensus Recommendation Consensus Recommendation
CT Scans: Staging
Consensus Recommendation Consensus Recommendation
CT Scans: Staging
Consensus Recommendation Consensus Recommendation
History of Growth: MRI
Consensus Recommendation Consensus Recommendation
History of Pain: Contrast-Enhanced CT Scan
Consensus Recommendation Consensus Recommendation
History of Pain: MRI
Consensus Recommendation Consensus Recommendation
History of Pain: Unknown Etiology
Consensus Recommendation Consensus Recommendation
MRI and CT Scans: Area to Visualize
Consensus Recommendation Consensus Recommendation
MRI and CT Scans: Area to Visualize
Consensus Recommendation Consensus Recommendation
MRI: Magnet Strength
Consensus Recommendation Consensus Recommendation
MRI: Use of Contrast
Consensus Recommendation Consensus Recommendation
Plain Radiographs: Initial Evaluation
Consensus Recommendation Consensus Recommendation
Tumor Size: Bone or Soft Tissue
Consensus Recommendation Consensus Recommendation
Ultrasound in Large > 5 cm
Consensus Recommendation Consensus Recommendation
Ultrasound in Small < 5 cm
Consensus Recommendation Consensus Recommendation

Defining Strength Ratings
 
Range Terminology Definition Language Stem
6/2013 - Present Consensus (2nd Ed) Expert opinion (no studies) Only used in one circumstance: It pertains to medical interventions that potentially prevent loss of life or limb (catastrophic consequences). In the absence of reliable evidence, it is the opinion of the work group that…
7/2009 - 5/2013 Consensus (1st Ed) Expert opinion (no studies) Only used in two circumstances: 1.Procedures have virtually no associated harm, are of relatively low cost, and reflect routine clinical care. 2. It pertains to medical interventions that potentially prevent loss of life or limb. In the absence of reliable Evidence, it is the opinion of the work group…*
2007 - 6/2009 N/A N/A N/A
Inconclusive

Defining Strength Ratings
 
Range Terminology Definition Language Stem
6/2013 - Present N/A N/A N/A
7/2009 - 5/2013 Inconclusive 1 LOW quality study, Contradictory studies, Lack of evidence (no studies) We are unable to recommend FOR OR AGAINST treatment X
2007 - 6/2009 I There is insufficient or conflicting evidence not allowing a
recommendation for or against intervention.
We are
unable to recommend for or against…