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:
Consider Diagnosis (discuss within peer review).
X-ray if suspicious of trauma, infection, tumour or OA.
If not responding consider referral to Interface Team.
X-ray if suspicious of trauma, infection, tumour or OA or if scaphoid collapse, non union or Keinbocks suspected.
Referral is appropriate if surgery is an option or for complex diagnosis.
Surgery may be considered if the patient is suffering from significant pain related functional impairment
Consider the following: