Patients with any of the following suspected should be sent to A&E:
Urgent appointments should be made in a consultant led clinic for patients with:
Immediate referral if infection or tumour are suspected (this is extremely rare)or if the condition is worsening very suddenly. If very urgent send to A&E.
For ACJ ligament sprain and OA:
If no improvement; suggest self referral or refer on to Physiotherapy Service for diagnosis (if needed) and treatment.
If no improvement with comprehensive management consider referral to Interface Team.
If patient does not wish to explore surgical option refer back to GP or consider Pain Consultant for advice regarding analgesia.
Referral to Orthopaedic Surgeon is appropriate in cases of complex diagnosis and management.
ACJ Surgery is indicated for:
Consider the following:
Surgical interventions include:
Note: ACJ / GHJ and rotator cuff conditions often co-exist and therefore cross referencing pathways is essential.