Significant physical force

Acute Articular Cartilage Tear - Significant physical force Factor

There are now a number of SOPs which have a significant physical force factor.

All of the factors require a significant physical force applied to or through the affected joint at the time of clinical onset or clinical worsening of the condition.

There is no further definition of what constitutes a significant physical force.  However this could include direct, or indirect trauma, twisting, wrenching or stretching the joint ligaments, muscles or tendons, or a combination of these.

The circumstance of any stated injury will need to be considered in each case as to whether the injury would constitute the significant physical force as required.

Establishing the onset of the injury

The history of a significant physical force should have been noted on the medical records, although medical attention may not have been sought immediately for the resulting injury.  Therefore, a reliable history of an injury the meets the relevant description at the time of the onset of the condition being considered will generally be accepted unless there is contradictory evidence.  If the evidence is unclear, seek medical advice.

LAST REVIEWED FOR CCPS 10 JUNE 2012.

INVESTIGATIVE DOCUMENTS

PRELIMINARY QUESTIONS [41908]

41876 the veteran had a significant physical force applied to or through side and site of the body at some time.

41953 the veteran had the significant physical force applied to or through side and site of the body at the time of the clinical onset of the acute articular cartilage tear.

41868  the veteran has established the causal connection between the significant physical force and VEA service for the clinical onset of the acute articular cartilage tear.

41869   the veteran has established a causal connection between the significant physical force and operational service for the clinical onset of the acute articular cartilage tear.

or

41870   the veteran has established a causal connection between the significant physical force and eligible service for the clinical onset of the acute articular cartilage tear.

CLINICAL ONSET AND OPERATIONAL SERVICE [41869]

41878 the veteran had the significant physical force applied to or through side and site of the body at the time of the clinical onset of the acute articular cartilage tear, on operational service.

41871 the significant physical force applied to or through side and site of the body that the veteran experienced at the time of the clinical onset of the acute articular cartilage tear, on operational service, was due to the veteran's serious default, wilful act or serious breach of discipline.

or

41872 the significant physical force applied to or through side and site of the body that caused the acute articular cartilage tear was due to an illness or injury which is identifiable.

41879 the veteran had the significant physical force to side and site of the body at the time of the clinical onset of the acute articular cartilage tear as a consequence of the identified illness or injury.

41874  the identified illness or injury that caused the acute articular cartilage tear due to the significant physical force to side and site of the body is causally related to operational service.

CLINICAL ONSET AND ELIGIBLE SERVICE [41870]

41881 the veteran had the significant physical force applied to or through side and site of the body at the time of the clinical onset of the acute articular cartilage tear, on eligible service.

41882 the veteran had the significant physical force applied to or through side and site of the body at the time of the clinical onset of the acute articular cartilage tear, on eligible service, as a causal result of eligible service duties.

41883 the significant physical force applied to or through side and site of the body that the veteran experienced at the time of the clinical onset of the acute articular cartilage tear, on eligible service, was due to the veteran's serious default, wilful act or serious breach of discipline.

or

41872 the significant physical force applied to or through side and site of the body that caused the acute articular cartilage tear was due to an illness or injury which is identifiable.

41879 the veteran had the significant physical force to side and site of the body at the time of the clinical onset of the acute articular cartilage tear as a consequence of the identified illness or injury.

41884  the identified illness or injury that caused the acute articular cartilage tear due to the significant physical force to side and site of the body is causally related to eligible service.