Dislocation - Laxity of the joint capsule or stabilising ligament Factor
The factor applies in both joint instability and dislocation SOPs.
- Joint capsule laxity: The joint capsule is an envelope surrounding a synovial joint, such as in the wrists, shoulders, elbows, hips, knees, ankles, thumb and spine. Laxity can occur from trauma, activity or from a disease process.
- Ligamentous laxity: Ligaments are elastic bands of tissue that attach to the bones and form a joint. Ligaments provide stability and strength to the joint by restricting movement and holding the bones in place, and thereby facilitate bending, jumping and stretching. Lax ligaments require strapping or taping to improve proprioception properties (the awareness of the movement and position of the body and body parts) and reduce the likelihood of further damage to the affected ligaments and joints. Some cases require surgery if the laxity results in repeated dislocation of the joint.
A history of the activity or disease process that caused the laxity should have been noted by the medical officer managing the person's dislocation or joint instability. However, if the information is unclear, or the relevant medical records cannot be obtained, you will need to seek medical advice to establish if the laxity was present prior to the clinical onset (or clinical worsening) of the condition.
Last reviewed for CCPS 27 September 2014.
Investigative Documents
| Type | Title | PDF Format | Word Format |
|---|---|---|---|
| Medical Report | Development of Dislocation |
Preliminary questions [42220]
42093 the veteran had the laxity of the joint capsule or a stabilising ligament at side and site of the body at some time.
42222 the veteran has established the causal connection between laxity of the joint capsule of a stabilising ligament and VEA service for the clinical onset of dislocation.
42223 the veteran has established the causal connection between the laxity of the joint capsule or a stabilising ligament and operational service for the clinical onset of dislocation.
or
42224 the veteran has established the causal connection between the laxity of the joint capsule or a stabilising ligament and eligible service for the clinical onset of dislocation.
Clinical onset and operational service [42223]
42103 on operational service, the veteran had the laxity of the joint capsule or a stabilising ligament to side and site of the body.
42225 on operational service, the veteran had the laxity of the joint capsule or a stabilising ligament to side and site of the body at the time of clinical onset of the dislocation.
42310 the damage to the laxity of the joint capsule or a stabilising ligament to the side and site of the body at the time of clinical onset of the dislocation, on operational service, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
42226 the veteran had the damage to the laxity of the joint capsule or a stabilising ligament to side and site of the body due to an illness or injury which is identifiable.
42227 as a consequence of the identified illness or injury, the veteran had the laxity of the joint capsule or a stabilising ligament, to side and site of the body, at the time of the clinical onset of dislocation.
42108 the identified illness or injury, which caused the laxity of the joint capsule or a stabilising ligament affecting side and site of the body, is causally related to operational service.
Clinical onset and eligible service [42224]
42109 on eligible service, the veteran had the laxity of the joint capsule or a stabilising ligament at side and site of the body.
42110 as a causal result of eligible service, the veteran had the laxity of the joint capsule or a stabilising ligament at side and site of the body.
42228 as a causal result of eligible service, the veteran had the laxity of the joint capsule or a stabilising ligament, at side and site of the body, at the time of the clinical onset of dislocation.
42229 the laxity of the joint capsule or a stabilising ligament to side and site of the body at the time of the clinical onset of the dislocation, on eligible service, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
42226 the veteran had the damage to the laxity of the joint capsule or a stabilising ligament to side and site of the body due to an illness or injury which is identifiable.
42227 as a consequence of the identified illness or injury, the veteran had the laxity of the joint capsule or a stabilising ligament, to side and site of the body, at the time of the clinical onset of dislocation.
42113 the identified illness or injury, which caused the laxity of the joint capsule or a stabilising ligament affecting side and site of the body, is causally related to eligible service.