Screen to exclude traumatic injury/ fracture, infection, neurovascular, inflammatory arthropathy, cancer.
Key clinical observations of concern:
Hot / red / swollen joint with raised body temperature
Rapidly worsening deformity
If the patient is still under consultant care post-operatively any issues relating to post-operative recovery should be referred back to the consultant.
If suspected tumour - refer via 2ww
If suspected acute infection - refer to A&E
If suspected fracture, dislocation, acute traumatic rotator cuff tear or significant acute soft tissue injury - Refer to A&E or the Trauma Triage Service
Clinical evidence of recent denervation with persistent altered sensation, sudden progression of symptoms and risk of permanent irreversible nerve damage - Refer for urgent specialist opinion via MSK Triage MSK Referral form
Suspected new diagnosis of inflammatory arthritis - refer to Rheumatology
Significant likelihood of peripheral vascular disease or occlusion - refer to Vascular surgery