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Disease affecting the relationship between articulating surfaces of a joint

Document
Last amended 
10 June 2015

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

In the SOP for joint instability 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 or clinical worsening.

Where "a disease process affecting the normal structural or functional relationship between the articulating surfaces of the affected joint" means:

  • 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
  • a neurological, muscular, or vascular condition, including poliomyelitis or scoliosis, which permanently affects those tissues which maintain the integrity of the affected joint.
General Information

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

  • normal structural; or
  • functional relationship

of the articulating surfaces.

You may need to seek medical advice to establish if any contended condition meets the requirements of the definition.

Last reviewed for CCPS 16 June 2014.

Investigative Documents

Type

Title

PDF Format

Word Format

Medical Report
Joint Instability
MR9429.pdf
MR9429.docx
Preliminary questions [42161]

42163 there is some evidence that a disease process affecting the relationship between the articulating surfaces of a joint may be a factor in the development or worsening of joint instability.

42164 the veteran had a disease process affecting the relationship between the articulating surfaces of a joint as defined in the Statement of Principles.

42165 the veteran had a disease process affecting the relationship between the articulating surfaces of a joint at side and site of the body at some time.

42166 the veteran had a disease process affecting the relationship between the articulating surfaces of a joint to side and site of the body due to an illness or injury which is identifiable.

42167  the veteran has established the causal connection between the disease process affecting the relationship between the articulating surfaces of a joint and VEA service for joint instability.

42168 as a consequence of the identified illness or injury, the veteran had a disease process affecting the relationship between the articulating surfaces of a joint, to side and site of the body, at the time of the clinical onset of joint instability.

42169   the veteran has established the causal connection between the disease process affecting the relationship between the articulating surfaces of a joint and VEA service for the clinical onset of joint instability.

42172  the veteran has established the causal connection between the disease process affecting the relationship between the articulating surfaces of a joint and operational service for the clinical onset of joint instability.

or

42173  the veteran has established the causal connection between the disease process affecting the relationship between the articulating surfaces of a joint and eligible service for the clinical onset of joint instability.

or

7334     the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.

7335     the condition under consideration permanently worsened.

42170 as a consequence of the identified illness or injury, the veteran had a disease process affecting the relationship between the articulating surfaces of a joint, to side and site of the body, at the time of the clinical worsening of joint instability.

42171   the veteran has established the causal connection between the disease process affecting the relationship between the articulating surfaces of a joint and VEA service for the clinical worsening of joint instability.

42174  the veteran has established the causal connection between the disease process affecting the relationship between the articulating surfaces of a joint and operational service for the clinical worsening of joint instability.

or

42175  the veteran has established the causal connection between the disease process affecting the relationship between the articulating surfaces of a joint and eligible service for the clinical worsening of joint instability.

Clinical onset and operational service [42172]

42176  the identified illness or injury, which caused the disease process affecting the relationship between the articulating surfaces of a joint affecting side and site of the body, is causally related to operational service.

Clinical onset and eligible service [42173]

42177  the identified illness or injury, which caused the disease process affecting the relationship between the articulating surfaces of a joint affecting side and site of the body, is causally related to eligible service.

Clinical worsening and operational service [42174]

42176  the identified illness or injury, which caused the disease process affecting the relationship between the articulating surfaces of a joint affecting side and site of the body, is causally related to operational service.

42178 the clinical onset of the joint instability occurred prior to that part of operational service to which the identified illness or injury, as a consequence of which the veteran had a disease process affecting the relationship between the articulating surfaces of a joint to side and site of the body, is causally related.

Clinical worsening and eligible service [42175]

42177  the identified illness or injury, which caused the disease process affecting the relationship between the articulating surfaces of a joint affecting side and site of the body, is causally related to eligible service.

42179 the clinical onset of the joint instability occurred prior to that part of eligible service to which the identified illness or injury, as a consequence of which the veteran had a disease process affecting the relationship between the articulating surfaces of a joint to side and site of the body, is causally related.