Prior to referral consider / screen to exclude:
Key Clinical Observations of concern
Patients with any of the following suspected should be sent to A&E:
Urgent appointments can be made in elective Hand Clinics for patients with:
If Serious pathology suspected, refer directly to Surgeon via Interface.
If no serious pathology suspected:
Consider referral to Physiotherapy or self referral for Mobilisation/Strengthening/ Activity modification/ TENS.
Consider referral to Occupational Therapy for provision of aids for daily living.
If no improvement after interventions above:
AP & Lateral X-ray to confirm diagnosis especially if history is suggestive of loose bodies causing internal derangement.
AP & Lateral X-ray to confirm diagnosis especially if history is suggestive of loose bodies causing internal derangement or prior to surgical referral.
Referral is appropriate if surgery is an option or for complex diagnosis
Surgical for interventions include: