Dislocation of a joint and subluxation of a joint N035

Current RMA Instruments
Reasonable Hypothesis SOP55 of 2019
Balance of Probabilities SOP 56 of 2019
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 831.04, 831.1, 831.10, 831.14,832-834,837-838,839.2,839.3,839.30,839.41-839.49,839.5,835.52,839.59,839.6-839.7
  • ICD-10-AM Codes: M24.3, M99.1, S03.0, S33.1, S33.2, S33.3, S43.1, S43.2, S43.3, S53.0, S53.1, S63.0, S63.1, S63.2, S93.0, S93.1, S93.3
Brief description

This SOP covers one-off episodes of dislocation or subluxation (partial dislocation) of a joint.  Recurrent dislocation is covered by the joint instability SOP.

Confirming the diagnosis

The diagnosis can be made on clinical grounds and by a treating GP. There will often have been an X-ray taken to confirm the precise nature of the dislocation and whether there has been any associated injury/ fracture.  Such evidence should be obtained where available.

The relevant medical specialist is an orthopaedic surgeon.

Additional diagnoses that are covered by this SOP
  • Subluxation, or partial dislocation of the joint
  • Closed, compound, or complicated dislocation
  • Dislocation of an artificial joint/a joint with a prosthesis
  • Fracture-dislocation of a joint - see comments below
  • Labral tear occurring in conjunction with acute traumatic dislocation - see comments below
Conditions that are not covered by this SOP
  • Congenital dislocation
  • Recurrent dislocation* - joint instability SOP
  • Dislocation of lens of eye#
  • Fracture*

* another SOP applies  - the SOP has the same name unless otherwise specified

# non-SOP condition

Clinical onset

A dislocation is an acute event associated with immediate symptoms (particularly pain) and deformity of the joint.  Clinical onset will be at the time of the acute event.  In subluxation there is no persisting deformity and so clinical onset will be based on self-report of a joint going "out of place" with associated pain.

Clinical worsening

For worsening, the SOP has only an inability to obtain appropriate clincial management factor.  Lack of appropriate management could lead to sequelae / other consequences (warranting separate diagnoses), but it is diffiuclt to envisage how there could be worsening of the dislocation per se.

Comments

When an acute traumatic dislocation of a joint is associated with other damage to the same joint, from the same acute injury mechanism, such as an articular fracture or a labral tear (shoulder or hip), the other damage can either be determined separately, using the relevant SOP (fracture, labral tear) or a combined diagnostic label can be used and the injury determined as one condition using the dislocation SOP. 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/c-d/dislocation-n035-7182830-8358363-83

Last amended

Factors in CCPS as at 27 September 2014 (N035)

Current RMA Instruments
Reasonable Hypothesis SOP55 of 2019
Balance of Probabilities SOP 56 of 2019
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 831.04, 831.1, 831.10, 831.14,832-834,837-838,839.2,839.3,839.30,839.41-839.49,839.5,835.52,839.59,839.6-839.7
  • ICD-10-AM Codes: M24.3, M99.1, S03.0, S33.1, S33.2, S33.3, S43.1, S43.2, S43.3, S53.0, S53.1, S63.0, S63.1, S63.2, S93.0, S93.1, S93.3
Brief description

This SOP covers one-off episodes of dislocation or subluxation (partial dislocation) of a joint.  Recurrent dislocation is covered by the joint instability SOP.

Confirming the diagnosis

The diagnosis can be made on clinical grounds and by a treating GP. There will often have been an X-ray taken to confirm the precise nature of the dislocation and whether there has been any associated injury/ fracture.  Such evidence should be obtained where available.

The relevant medical specialist is an orthopaedic surgeon.

Additional diagnoses that are covered by this SOP
  • Subluxation, or partial dislocation of the joint
  • Closed, compound, or complicated dislocation
  • Dislocation of an artificial joint/a joint with a prosthesis
  • Fracture-dislocation of a joint - see comments below
  • Labral tear occurring in conjunction with acute traumatic dislocation - see comments below
Conditions that are not covered by this SOP
  • Congenital dislocation
  • Recurrent dislocation* - joint instability SOP
  • Dislocation of lens of eye#
  • Fracture*

* another SOP applies  - the SOP has the same name unless otherwise specified

# non-SOP condition

Clinical onset

A dislocation is an acute event associated with immediate symptoms (particularly pain) and deformity of the joint.  Clinical onset will be at the time of the acute event.  In subluxation there is no persisting deformity and so clinical onset will be based on self-report of a joint going "out of place" with associated pain.

Clinical worsening

For worsening, the SOP has only an inability to obtain appropriate clincial management factor.  Lack of appropriate management could lead to sequelae / other consequences (warranting separate diagnoses), but it is diffiuclt to envisage how there could be worsening of the dislocation per se.

Comments

When an acute traumatic dislocation of a joint is associated with other damage to the same joint, from the same acute injury mechanism, such as an articular fracture or a labral tear (shoulder or hip), the other damage can either be determined separately, using the relevant SOP (fracture, labral tear) or a combined diagnostic label can be used and the injury determined as one condition using the dislocation SOP. 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/c-d/dislocation-n035/factors-ccps-27-september-2014-n035

Last amended

An inflammatory or infectious condition to ear or nose or throat

Current RMA Instruments
Reasonable Hypothesis SOP55 of 2019
Balance of Probabilities SOP 56 of 2019
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 831.04, 831.1, 831.10, 831.14,832-834,837-838,839.2,839.3,839.30,839.41-839.49,839.5,835.52,839.59,839.6-839.7
  • ICD-10-AM Codes: M24.3, M99.1, S03.0, S33.1, S33.2, S33.3, S43.1, S43.2, S43.3, S53.0, S53.1, S63.0, S63.1, S63.2, S93.0, S93.1, S93.3
Brief description

This SOP covers one-off episodes of dislocation or subluxation (partial dislocation) of a joint.  Recurrent dislocation is covered by the joint instability SOP.

Confirming the diagnosis

The diagnosis can be made on clinical grounds and by a treating GP. There will often have been an X-ray taken to confirm the precise nature of the dislocation and whether there has been any associated injury/ fracture.  Such evidence should be obtained where available.

The relevant medical specialist is an orthopaedic surgeon.

Additional diagnoses that are covered by this SOP
  • Subluxation, or partial dislocation of the joint
  • Closed, compound, or complicated dislocation
  • Dislocation of an artificial joint/a joint with a prosthesis
  • Fracture-dislocation of a joint - see comments below
  • Labral tear occurring in conjunction with acute traumatic dislocation - see comments below
Conditions that are not covered by this SOP
  • Congenital dislocation
  • Recurrent dislocation* - joint instability SOP
  • Dislocation of lens of eye#
  • Fracture*

* another SOP applies  - the SOP has the same name unless otherwise specified

# non-SOP condition

Clinical onset

A dislocation is an acute event associated with immediate symptoms (particularly pain) and deformity of the joint.  Clinical onset will be at the time of the acute event.  In subluxation there is no persisting deformity and so clinical onset will be based on self-report of a joint going "out of place" with associated pain.

Clinical worsening

For worsening, the SOP has only an inability to obtain appropriate clincial management factor.  Lack of appropriate management could lead to sequelae / other consequences (warranting separate diagnoses), but it is diffiuclt to envisage how there could be worsening of the dislocation per se.

Comments

When an acute traumatic dislocation of a joint is associated with other damage to the same joint, from the same acute injury mechanism, such as an articular fracture or a labral tear (shoulder or hip), the other damage can either be determined separately, using the relevant SOP (fracture, labral tear) or a combined diagnostic label can be used and the injury determined as one condition using the dislocation SOP. 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dislocation-n035-7182830-8358363-83/rulebase-dislocation/inflammatory-or-infectious-condition-ear-or-nose-or-throat

Last amended

Biomechanical abnormality

Current RMA Instruments
Reasonable Hypothesis SOP55 of 2019
Balance of Probabilities SOP 56 of 2019
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 831.04, 831.1, 831.10, 831.14,832-834,837-838,839.2,839.3,839.30,839.41-839.49,839.5,835.52,839.59,839.6-839.7
  • ICD-10-AM Codes: M24.3, M99.1, S03.0, S33.1, S33.2, S33.3, S43.1, S43.2, S43.3, S53.0, S53.1, S63.0, S63.1, S63.2, S93.0, S93.1, S93.3
Brief description

This SOP covers one-off episodes of dislocation or subluxation (partial dislocation) of a joint.  Recurrent dislocation is covered by the joint instability SOP.

Confirming the diagnosis

The diagnosis can be made on clinical grounds and by a treating GP. There will often have been an X-ray taken to confirm the precise nature of the dislocation and whether there has been any associated injury/ fracture.  Such evidence should be obtained where available.

The relevant medical specialist is an orthopaedic surgeon.

Additional diagnoses that are covered by this SOP
  • Subluxation, or partial dislocation of the joint
  • Closed, compound, or complicated dislocation
  • Dislocation of an artificial joint/a joint with a prosthesis
  • Fracture-dislocation of a joint - see comments below
  • Labral tear occurring in conjunction with acute traumatic dislocation - see comments below
Conditions that are not covered by this SOP
  • Congenital dislocation
  • Recurrent dislocation* - joint instability SOP
  • Dislocation of lens of eye#
  • Fracture*

* another SOP applies  - the SOP has the same name unless otherwise specified

# non-SOP condition

Clinical onset

A dislocation is an acute event associated with immediate symptoms (particularly pain) and deformity of the joint.  Clinical onset will be at the time of the acute event.  In subluxation there is no persisting deformity and so clinical onset will be based on self-report of a joint going "out of place" with associated pain.

Clinical worsening

For worsening, the SOP has only an inability to obtain appropriate clincial management factor.  Lack of appropriate management could lead to sequelae / other consequences (warranting separate diagnoses), but it is diffiuclt to envisage how there could be worsening of the dislocation per se.

Comments

When an acute traumatic dislocation of a joint is associated with other damage to the same joint, from the same acute injury mechanism, such as an articular fracture or a labral tear (shoulder or hip), the other damage can either be determined separately, using the relevant SOP (fracture, labral tear) or a combined diagnostic label can be used and the injury determined as one condition using the dislocation SOP. 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dislocation-n035-7182830-8358363-83/rulebase-dislocation/biomechanical-abnormality

Last amended

Damage to a soft tissue structure

Current RMA Instruments
Reasonable Hypothesis SOP55 of 2019
Balance of Probabilities SOP 56 of 2019
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 831.04, 831.1, 831.10, 831.14,832-834,837-838,839.2,839.3,839.30,839.41-839.49,839.5,835.52,839.59,839.6-839.7
  • ICD-10-AM Codes: M24.3, M99.1, S03.0, S33.1, S33.2, S33.3, S43.1, S43.2, S43.3, S53.0, S53.1, S63.0, S63.1, S63.2, S93.0, S93.1, S93.3
Brief description

This SOP covers one-off episodes of dislocation or subluxation (partial dislocation) of a joint.  Recurrent dislocation is covered by the joint instability SOP.

Confirming the diagnosis

The diagnosis can be made on clinical grounds and by a treating GP. There will often have been an X-ray taken to confirm the precise nature of the dislocation and whether there has been any associated injury/ fracture.  Such evidence should be obtained where available.

The relevant medical specialist is an orthopaedic surgeon.

Additional diagnoses that are covered by this SOP
  • Subluxation, or partial dislocation of the joint
  • Closed, compound, or complicated dislocation
  • Dislocation of an artificial joint/a joint with a prosthesis
  • Fracture-dislocation of a joint - see comments below
  • Labral tear occurring in conjunction with acute traumatic dislocation - see comments below
Conditions that are not covered by this SOP
  • Congenital dislocation
  • Recurrent dislocation* - joint instability SOP
  • Dislocation of lens of eye#
  • Fracture*

* another SOP applies  - the SOP has the same name unless otherwise specified

# non-SOP condition

Clinical onset

A dislocation is an acute event associated with immediate symptoms (particularly pain) and deformity of the joint.  Clinical onset will be at the time of the acute event.  In subluxation there is no persisting deformity and so clinical onset will be based on self-report of a joint going "out of place" with associated pain.

Clinical worsening

For worsening, the SOP has only an inability to obtain appropriate clincial management factor.  Lack of appropriate management could lead to sequelae / other consequences (warranting separate diagnoses), but it is diffiuclt to envisage how there could be worsening of the dislocation per se.

Comments

When an acute traumatic dislocation of a joint is associated with other damage to the same joint, from the same acute injury mechanism, such as an articular fracture or a labral tear (shoulder or hip), the other damage can either be determined separately, using the relevant SOP (fracture, labral tear) or a combined diagnostic label can be used and the injury determined as one condition using the dislocation SOP. 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dislocation-n035-7182830-8358363-83/rulebase-dislocation/damage-soft-tissue-structure

Last amended

Disease affect the relationship between articulating surfaces of a joint

Current RMA Instruments
Reasonable Hypothesis SOP55 of 2019
Balance of Probabilities SOP 56 of 2019
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 831.04, 831.1, 831.10, 831.14,832-834,837-838,839.2,839.3,839.30,839.41-839.49,839.5,835.52,839.59,839.6-839.7
  • ICD-10-AM Codes: M24.3, M99.1, S03.0, S33.1, S33.2, S33.3, S43.1, S43.2, S43.3, S53.0, S53.1, S63.0, S63.1, S63.2, S93.0, S93.1, S93.3
Brief description

This SOP covers one-off episodes of dislocation or subluxation (partial dislocation) of a joint.  Recurrent dislocation is covered by the joint instability SOP.

Confirming the diagnosis

The diagnosis can be made on clinical grounds and by a treating GP. There will often have been an X-ray taken to confirm the precise nature of the dislocation and whether there has been any associated injury/ fracture.  Such evidence should be obtained where available.

The relevant medical specialist is an orthopaedic surgeon.

Additional diagnoses that are covered by this SOP
  • Subluxation, or partial dislocation of the joint
  • Closed, compound, or complicated dislocation
  • Dislocation of an artificial joint/a joint with a prosthesis
  • Fracture-dislocation of a joint - see comments below
  • Labral tear occurring in conjunction with acute traumatic dislocation - see comments below
Conditions that are not covered by this SOP
  • Congenital dislocation
  • Recurrent dislocation* - joint instability SOP
  • Dislocation of lens of eye#
  • Fracture*

* another SOP applies  - the SOP has the same name unless otherwise specified

# non-SOP condition

Clinical onset

A dislocation is an acute event associated with immediate symptoms (particularly pain) and deformity of the joint.  Clinical onset will be at the time of the acute event.  In subluxation there is no persisting deformity and so clinical onset will be based on self-report of a joint going "out of place" with associated pain.

Clinical worsening

For worsening, the SOP has only an inability to obtain appropriate clincial management factor.  Lack of appropriate management could lead to sequelae / other consequences (warranting separate diagnoses), but it is diffiuclt to envisage how there could be worsening of the dislocation per se.

Comments

When an acute traumatic dislocation of a joint is associated with other damage to the same joint, from the same acute injury mechanism, such as an articular fracture or a labral tear (shoulder or hip), the other damage can either be determined separately, using the relevant SOP (fracture, labral tear) or a combined diagnostic label can be used and the injury determined as one condition using the dislocation SOP. 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dislocation-n035-7182830-8358363-83/rulebase-dislocation/disease-affect-relationship-between-articulating-surfaces-joint

Last amended

Fracture or avulsion or bony defect

Current RMA Instruments
Reasonable Hypothesis SOP55 of 2019
Balance of Probabilities SOP 56 of 2019
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 831.04, 831.1, 831.10, 831.14,832-834,837-838,839.2,839.3,839.30,839.41-839.49,839.5,835.52,839.59,839.6-839.7
  • ICD-10-AM Codes: M24.3, M99.1, S03.0, S33.1, S33.2, S33.3, S43.1, S43.2, S43.3, S53.0, S53.1, S63.0, S63.1, S63.2, S93.0, S93.1, S93.3
Brief description

This SOP covers one-off episodes of dislocation or subluxation (partial dislocation) of a joint.  Recurrent dislocation is covered by the joint instability SOP.

Confirming the diagnosis

The diagnosis can be made on clinical grounds and by a treating GP. There will often have been an X-ray taken to confirm the precise nature of the dislocation and whether there has been any associated injury/ fracture.  Such evidence should be obtained where available.

The relevant medical specialist is an orthopaedic surgeon.

Additional diagnoses that are covered by this SOP
  • Subluxation, or partial dislocation of the joint
  • Closed, compound, or complicated dislocation
  • Dislocation of an artificial joint/a joint with a prosthesis
  • Fracture-dislocation of a joint - see comments below
  • Labral tear occurring in conjunction with acute traumatic dislocation - see comments below
Conditions that are not covered by this SOP
  • Congenital dislocation
  • Recurrent dislocation* - joint instability SOP
  • Dislocation of lens of eye#
  • Fracture*

* another SOP applies  - the SOP has the same name unless otherwise specified

# non-SOP condition

Clinical onset

A dislocation is an acute event associated with immediate symptoms (particularly pain) and deformity of the joint.  Clinical onset will be at the time of the acute event.  In subluxation there is no persisting deformity and so clinical onset will be based on self-report of a joint going "out of place" with associated pain.

Clinical worsening

For worsening, the SOP has only an inability to obtain appropriate clincial management factor.  Lack of appropriate management could lead to sequelae / other consequences (warranting separate diagnoses), but it is diffiuclt to envisage how there could be worsening of the dislocation per se.

Comments

When an acute traumatic dislocation of a joint is associated with other damage to the same joint, from the same acute injury mechanism, such as an articular fracture or a labral tear (shoulder or hip), the other damage can either be determined separately, using the relevant SOP (fracture, labral tear) or a combined diagnostic label can be used and the injury determined as one condition using the dislocation SOP. 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dislocation-n035-7182830-8358363-83/rulebase-dislocation/fracture-or-avulsion-or-bony-defect

Last amended

Inability to obtain appropriate clinical management for dislocation

Current RMA Instruments
Reasonable Hypothesis SOP55 of 2019
Balance of Probabilities SOP 56 of 2019
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 831.04, 831.1, 831.10, 831.14,832-834,837-838,839.2,839.3,839.30,839.41-839.49,839.5,835.52,839.59,839.6-839.7
  • ICD-10-AM Codes: M24.3, M99.1, S03.0, S33.1, S33.2, S33.3, S43.1, S43.2, S43.3, S53.0, S53.1, S63.0, S63.1, S63.2, S93.0, S93.1, S93.3
Brief description

This SOP covers one-off episodes of dislocation or subluxation (partial dislocation) of a joint.  Recurrent dislocation is covered by the joint instability SOP.

Confirming the diagnosis

The diagnosis can be made on clinical grounds and by a treating GP. There will often have been an X-ray taken to confirm the precise nature of the dislocation and whether there has been any associated injury/ fracture.  Such evidence should be obtained where available.

The relevant medical specialist is an orthopaedic surgeon.

Additional diagnoses that are covered by this SOP
  • Subluxation, or partial dislocation of the joint
  • Closed, compound, or complicated dislocation
  • Dislocation of an artificial joint/a joint with a prosthesis
  • Fracture-dislocation of a joint - see comments below
  • Labral tear occurring in conjunction with acute traumatic dislocation - see comments below
Conditions that are not covered by this SOP
  • Congenital dislocation
  • Recurrent dislocation* - joint instability SOP
  • Dislocation of lens of eye#
  • Fracture*

* another SOP applies  - the SOP has the same name unless otherwise specified

# non-SOP condition

Clinical onset

A dislocation is an acute event associated with immediate symptoms (particularly pain) and deformity of the joint.  Clinical onset will be at the time of the acute event.  In subluxation there is no persisting deformity and so clinical onset will be based on self-report of a joint going "out of place" with associated pain.

Clinical worsening

For worsening, the SOP has only an inability to obtain appropriate clincial management factor.  Lack of appropriate management could lead to sequelae / other consequences (warranting separate diagnoses), but it is diffiuclt to envisage how there could be worsening of the dislocation per se.

Comments

When an acute traumatic dislocation of a joint is associated with other damage to the same joint, from the same acute injury mechanism, such as an articular fracture or a labral tear (shoulder or hip), the other damage can either be determined separately, using the relevant SOP (fracture, labral tear) or a combined diagnostic label can be used and the injury determined as one condition using the dislocation SOP. 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dislocation-n035-7182830-8358363-83/rulebase-dislocation/inability-obtain-appropriate-clinical-management-dislocation

Last amended

Intravenous sedation

Current RMA Instruments
Reasonable Hypothesis SOP55 of 2019
Balance of Probabilities SOP 56 of 2019
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 831.04, 831.1, 831.10, 831.14,832-834,837-838,839.2,839.3,839.30,839.41-839.49,839.5,835.52,839.59,839.6-839.7
  • ICD-10-AM Codes: M24.3, M99.1, S03.0, S33.1, S33.2, S33.3, S43.1, S43.2, S43.3, S53.0, S53.1, S63.0, S63.1, S63.2, S93.0, S93.1, S93.3
Brief description

This SOP covers one-off episodes of dislocation or subluxation (partial dislocation) of a joint.  Recurrent dislocation is covered by the joint instability SOP.

Confirming the diagnosis

The diagnosis can be made on clinical grounds and by a treating GP. There will often have been an X-ray taken to confirm the precise nature of the dislocation and whether there has been any associated injury/ fracture.  Such evidence should be obtained where available.

The relevant medical specialist is an orthopaedic surgeon.

Additional diagnoses that are covered by this SOP
  • Subluxation, or partial dislocation of the joint
  • Closed, compound, or complicated dislocation
  • Dislocation of an artificial joint/a joint with a prosthesis
  • Fracture-dislocation of a joint - see comments below
  • Labral tear occurring in conjunction with acute traumatic dislocation - see comments below
Conditions that are not covered by this SOP
  • Congenital dislocation
  • Recurrent dislocation* - joint instability SOP
  • Dislocation of lens of eye#
  • Fracture*

* another SOP applies  - the SOP has the same name unless otherwise specified

# non-SOP condition

Clinical onset

A dislocation is an acute event associated with immediate symptoms (particularly pain) and deformity of the joint.  Clinical onset will be at the time of the acute event.  In subluxation there is no persisting deformity and so clinical onset will be based on self-report of a joint going "out of place" with associated pain.

Clinical worsening

For worsening, the SOP has only an inability to obtain appropriate clincial management factor.  Lack of appropriate management could lead to sequelae / other consequences (warranting separate diagnoses), but it is diffiuclt to envisage how there could be worsening of the dislocation per se.

Comments

When an acute traumatic dislocation of a joint is associated with other damage to the same joint, from the same acute injury mechanism, such as an articular fracture or a labral tear (shoulder or hip), the other damage can either be determined separately, using the relevant SOP (fracture, labral tear) or a combined diagnostic label can be used and the injury determined as one condition using the dislocation SOP. 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dislocation-n035-7182830-8358363-83/rulebase-dislocation/intravenous-sedation

Last amended

Laxity of the joint capsule or stabilising ligament

Current RMA Instruments
Reasonable Hypothesis SOP55 of 2019
Balance of Probabilities SOP 56 of 2019
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 831.04, 831.1, 831.10, 831.14,832-834,837-838,839.2,839.3,839.30,839.41-839.49,839.5,835.52,839.59,839.6-839.7
  • ICD-10-AM Codes: M24.3, M99.1, S03.0, S33.1, S33.2, S33.3, S43.1, S43.2, S43.3, S53.0, S53.1, S63.0, S63.1, S63.2, S93.0, S93.1, S93.3
Brief description

This SOP covers one-off episodes of dislocation or subluxation (partial dislocation) of a joint.  Recurrent dislocation is covered by the joint instability SOP.

Confirming the diagnosis

The diagnosis can be made on clinical grounds and by a treating GP. There will often have been an X-ray taken to confirm the precise nature of the dislocation and whether there has been any associated injury/ fracture.  Such evidence should be obtained where available.

The relevant medical specialist is an orthopaedic surgeon.

Additional diagnoses that are covered by this SOP
  • Subluxation, or partial dislocation of the joint
  • Closed, compound, or complicated dislocation
  • Dislocation of an artificial joint/a joint with a prosthesis
  • Fracture-dislocation of a joint - see comments below
  • Labral tear occurring in conjunction with acute traumatic dislocation - see comments below
Conditions that are not covered by this SOP
  • Congenital dislocation
  • Recurrent dislocation* - joint instability SOP
  • Dislocation of lens of eye#
  • Fracture*

* another SOP applies  - the SOP has the same name unless otherwise specified

# non-SOP condition

Clinical onset

A dislocation is an acute event associated with immediate symptoms (particularly pain) and deformity of the joint.  Clinical onset will be at the time of the acute event.  In subluxation there is no persisting deformity and so clinical onset will be based on self-report of a joint going "out of place" with associated pain.

Clinical worsening

For worsening, the SOP has only an inability to obtain appropriate clincial management factor.  Lack of appropriate management could lead to sequelae / other consequences (warranting separate diagnoses), but it is diffiuclt to envisage how there could be worsening of the dislocation per se.

Comments

When an acute traumatic dislocation of a joint is associated with other damage to the same joint, from the same acute injury mechanism, such as an articular fracture or a labral tear (shoulder or hip), the other damage can either be determined separately, using the relevant SOP (fracture, labral tear) or a combined diagnostic label can be used and the injury determined as one condition using the dislocation SOP. 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dislocation-n035-7182830-8358363-83/rulebase-dislocation/laxity-joint-capsule-or-stabilising-ligament

Last amended

Physical trauma

Current RMA Instruments
Reasonable Hypothesis SOP55 of 2019
Balance of Probabilities SOP 56 of 2019
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 831.04, 831.1, 831.10, 831.14,832-834,837-838,839.2,839.3,839.30,839.41-839.49,839.5,835.52,839.59,839.6-839.7
  • ICD-10-AM Codes: M24.3, M99.1, S03.0, S33.1, S33.2, S33.3, S43.1, S43.2, S43.3, S53.0, S53.1, S63.0, S63.1, S63.2, S93.0, S93.1, S93.3
Brief description

This SOP covers one-off episodes of dislocation or subluxation (partial dislocation) of a joint.  Recurrent dislocation is covered by the joint instability SOP.

Confirming the diagnosis

The diagnosis can be made on clinical grounds and by a treating GP. There will often have been an X-ray taken to confirm the precise nature of the dislocation and whether there has been any associated injury/ fracture.  Such evidence should be obtained where available.

The relevant medical specialist is an orthopaedic surgeon.

Additional diagnoses that are covered by this SOP
  • Subluxation, or partial dislocation of the joint
  • Closed, compound, or complicated dislocation
  • Dislocation of an artificial joint/a joint with a prosthesis
  • Fracture-dislocation of a joint - see comments below
  • Labral tear occurring in conjunction with acute traumatic dislocation - see comments below
Conditions that are not covered by this SOP
  • Congenital dislocation
  • Recurrent dislocation* - joint instability SOP
  • Dislocation of lens of eye#
  • Fracture*

* another SOP applies  - the SOP has the same name unless otherwise specified

# non-SOP condition

Clinical onset

A dislocation is an acute event associated with immediate symptoms (particularly pain) and deformity of the joint.  Clinical onset will be at the time of the acute event.  In subluxation there is no persisting deformity and so clinical onset will be based on self-report of a joint going "out of place" with associated pain.

Clinical worsening

For worsening, the SOP has only an inability to obtain appropriate clincial management factor.  Lack of appropriate management could lead to sequelae / other consequences (warranting separate diagnoses), but it is diffiuclt to envisage how there could be worsening of the dislocation per se.

Comments

When an acute traumatic dislocation of a joint is associated with other damage to the same joint, from the same acute injury mechanism, such as an articular fracture or a labral tear (shoulder or hip), the other damage can either be determined separately, using the relevant SOP (fracture, labral tear) or a combined diagnostic label can be used and the injury determined as one condition using the dislocation SOP. 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dislocation-n035-7182830-8358363-83/rulebase-dislocation/physical-trauma

Last amended

Surgical procedure involving the head or neck

Current RMA Instruments
Reasonable Hypothesis SOP55 of 2019
Balance of Probabilities SOP 56 of 2019
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 831.04, 831.1, 831.10, 831.14,832-834,837-838,839.2,839.3,839.30,839.41-839.49,839.5,835.52,839.59,839.6-839.7
  • ICD-10-AM Codes: M24.3, M99.1, S03.0, S33.1, S33.2, S33.3, S43.1, S43.2, S43.3, S53.0, S53.1, S63.0, S63.1, S63.2, S93.0, S93.1, S93.3
Brief description

This SOP covers one-off episodes of dislocation or subluxation (partial dislocation) of a joint.  Recurrent dislocation is covered by the joint instability SOP.

Confirming the diagnosis

The diagnosis can be made on clinical grounds and by a treating GP. There will often have been an X-ray taken to confirm the precise nature of the dislocation and whether there has been any associated injury/ fracture.  Such evidence should be obtained where available.

The relevant medical specialist is an orthopaedic surgeon.

Additional diagnoses that are covered by this SOP
  • Subluxation, or partial dislocation of the joint
  • Closed, compound, or complicated dislocation
  • Dislocation of an artificial joint/a joint with a prosthesis
  • Fracture-dislocation of a joint - see comments below
  • Labral tear occurring in conjunction with acute traumatic dislocation - see comments below
Conditions that are not covered by this SOP
  • Congenital dislocation
  • Recurrent dislocation* - joint instability SOP
  • Dislocation of lens of eye#
  • Fracture*

* another SOP applies  - the SOP has the same name unless otherwise specified

# non-SOP condition

Clinical onset

A dislocation is an acute event associated with immediate symptoms (particularly pain) and deformity of the joint.  Clinical onset will be at the time of the acute event.  In subluxation there is no persisting deformity and so clinical onset will be based on self-report of a joint going "out of place" with associated pain.

Clinical worsening

For worsening, the SOP has only an inability to obtain appropriate clincial management factor.  Lack of appropriate management could lead to sequelae / other consequences (warranting separate diagnoses), but it is diffiuclt to envisage how there could be worsening of the dislocation per se.

Comments

When an acute traumatic dislocation of a joint is associated with other damage to the same joint, from the same acute injury mechanism, such as an articular fracture or a labral tear (shoulder or hip), the other damage can either be determined separately, using the relevant SOP (fracture, labral tear) or a combined diagnostic label can be used and the injury determined as one condition using the dislocation SOP. 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dislocation-n035-7182830-8358363-83/rulebase-dislocation/surgical-procedure-involving-head-or-neck

Last amended

Tracheal intubation

Current RMA Instruments
Reasonable Hypothesis SOP55 of 2019
Balance of Probabilities SOP 56 of 2019
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 831.04, 831.1, 831.10, 831.14,832-834,837-838,839.2,839.3,839.30,839.41-839.49,839.5,835.52,839.59,839.6-839.7
  • ICD-10-AM Codes: M24.3, M99.1, S03.0, S33.1, S33.2, S33.3, S43.1, S43.2, S43.3, S53.0, S53.1, S63.0, S63.1, S63.2, S93.0, S93.1, S93.3
Brief description

This SOP covers one-off episodes of dislocation or subluxation (partial dislocation) of a joint.  Recurrent dislocation is covered by the joint instability SOP.

Confirming the diagnosis

The diagnosis can be made on clinical grounds and by a treating GP. There will often have been an X-ray taken to confirm the precise nature of the dislocation and whether there has been any associated injury/ fracture.  Such evidence should be obtained where available.

The relevant medical specialist is an orthopaedic surgeon.

Additional diagnoses that are covered by this SOP
  • Subluxation, or partial dislocation of the joint
  • Closed, compound, or complicated dislocation
  • Dislocation of an artificial joint/a joint with a prosthesis
  • Fracture-dislocation of a joint - see comments below
  • Labral tear occurring in conjunction with acute traumatic dislocation - see comments below
Conditions that are not covered by this SOP
  • Congenital dislocation
  • Recurrent dislocation* - joint instability SOP
  • Dislocation of lens of eye#
  • Fracture*

* another SOP applies  - the SOP has the same name unless otherwise specified

# non-SOP condition

Clinical onset

A dislocation is an acute event associated with immediate symptoms (particularly pain) and deformity of the joint.  Clinical onset will be at the time of the acute event.  In subluxation there is no persisting deformity and so clinical onset will be based on self-report of a joint going "out of place" with associated pain.

Clinical worsening

For worsening, the SOP has only an inability to obtain appropriate clincial management factor.  Lack of appropriate management could lead to sequelae / other consequences (warranting separate diagnoses), but it is diffiuclt to envisage how there could be worsening of the dislocation per se.

Comments

When an acute traumatic dislocation of a joint is associated with other damage to the same joint, from the same acute injury mechanism, such as an articular fracture or a labral tear (shoulder or hip), the other damage can either be determined separately, using the relevant SOP (fracture, labral tear) or a combined diagnostic label can be used and the injury determined as one condition using the dislocation SOP. 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dislocation-n035-7182830-8358363-83/rulebase-dislocation/tracheal-intubation

Last amended

Wide opening of the mouth

Current RMA Instruments
Reasonable Hypothesis SOP55 of 2019
Balance of Probabilities SOP 56 of 2019
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 831.04, 831.1, 831.10, 831.14,832-834,837-838,839.2,839.3,839.30,839.41-839.49,839.5,835.52,839.59,839.6-839.7
  • ICD-10-AM Codes: M24.3, M99.1, S03.0, S33.1, S33.2, S33.3, S43.1, S43.2, S43.3, S53.0, S53.1, S63.0, S63.1, S63.2, S93.0, S93.1, S93.3
Brief description

This SOP covers one-off episodes of dislocation or subluxation (partial dislocation) of a joint.  Recurrent dislocation is covered by the joint instability SOP.

Confirming the diagnosis

The diagnosis can be made on clinical grounds and by a treating GP. There will often have been an X-ray taken to confirm the precise nature of the dislocation and whether there has been any associated injury/ fracture.  Such evidence should be obtained where available.

The relevant medical specialist is an orthopaedic surgeon.

Additional diagnoses that are covered by this SOP
  • Subluxation, or partial dislocation of the joint
  • Closed, compound, or complicated dislocation
  • Dislocation of an artificial joint/a joint with a prosthesis
  • Fracture-dislocation of a joint - see comments below
  • Labral tear occurring in conjunction with acute traumatic dislocation - see comments below
Conditions that are not covered by this SOP
  • Congenital dislocation
  • Recurrent dislocation* - joint instability SOP
  • Dislocation of lens of eye#
  • Fracture*

* another SOP applies  - the SOP has the same name unless otherwise specified

# non-SOP condition

Clinical onset

A dislocation is an acute event associated with immediate symptoms (particularly pain) and deformity of the joint.  Clinical onset will be at the time of the acute event.  In subluxation there is no persisting deformity and so clinical onset will be based on self-report of a joint going "out of place" with associated pain.

Clinical worsening

For worsening, the SOP has only an inability to obtain appropriate clincial management factor.  Lack of appropriate management could lead to sequelae / other consequences (warranting separate diagnoses), but it is diffiuclt to envisage how there could be worsening of the dislocation per se.

Comments

When an acute traumatic dislocation of a joint is associated with other damage to the same joint, from the same acute injury mechanism, such as an articular fracture or a labral tear (shoulder or hip), the other damage can either be determined separately, using the relevant SOP (fracture, labral tear) or a combined diagnostic label can be used and the injury determined as one condition using the dislocation SOP. 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dislocation-n035-7182830-8358363-83/rulebase-dislocation/wide-opening-mouth

Last amended