Disease affect the relationship between articulating surfaces of a joint

Dislocation - Disease affecting the relationship between articulating surfaces of a joint Factor

In the Statements of Principles for dislocation the requirement is having a disease process affecting the normal structural or functional relationship between the articulating surfaces of the affected joint, at the time of the clinical onset.

A joint is the junction between two or more bones.  The articulating surfaces of a joint are the surfaces of the bones which are in contact with each other.  There are two groups of diseases which may affect the stability or normal structural relationship between the articulating surfaces of a joint:

1. a degenerative or inflammatory condition of the affected joint, including neuropathic arthropathy, rheumatoid arthritis, osteoarthritis or tuberculosis, which affects the integrity of the affected joint; or
2. a neurological, muscular, or vascular condition, including cerebrovascular accident, epileptic seizure, poliomyelitis or dyskinesia caused by neuroleptic drugs, which affects those tissues, or control of those tissues, which maintain the integrity of the affected joint;

General Information

For the disease process to contribute to the dislocation, it must involve the same joint as the joint affected by the dislocation, and either affect the:

• normal structural; or
• functional relationship

of the articulating surfaces.

The fact that a person may have suffered a disease such as tuberculosis or stroke does not necessarily mean that the stability or normal structural relationship between the articulating surfaces of any joint has been affected by the disease Eg. following a mild stroke there may be no residual impairment.

If there is a history of any of a disease process, you may need to seek medical advice as to whether or not any joints were affected.

Last reviewed for CCPS 27 September 2014.

Investigative Documents

Preliminary questions [42191]

42192 there is some evidence that a disease process affecting the relationship between the articulating surfaces of the joint may be a factor in the development of the dislocation.

42193 the veteran had a disease process affecting the relationship between the articulating surfaces of the joint as defined in the Statement of Principles.

42194 the veteran had the disease process as specified to side and site of the body at some time.

42195 the veteran had the disease process as specified to side and site of the body, due to an illness or injury that is identifiable.

42196 as a consequence of the identified illness or injury, the veteran had the disease process as specified to side and site of the body, at the time of the clinical onset of the dislocation.

42197  the veteran has established the causal connection between the disease process as specified and VEA service for the clinical onset of dislocation.

42198   the veteran has established the causal connection the disease process as specified and operational service for the clinical onset of dislocation.

or

42199   the veteran has established the causal connection between the disease process and eligible service for the clinical onset of dislocation.

Clinical onset and operational service [42198]

42200  the identified illness or injury, which caused the disease process as specified to side and site of the body, is causally related to operational service.

Clinical onset and eligible service [42199]

42201  the identified illness or injury, which caused the disease process as specified to side and site of the body, is causally related to eligible service.