In the case of an acute meniscal tear of the knee, appropriate clinical management may include a range of treatments. This may consist of any of the following:
With arthroscopic surgery recovery and rehabilitation periods are quite short. Patients are usually able to walk after a couple of days and can resume normal activities 2-3 months following surgery.
Full surgical repair or knee replacement takes longer, and patients may need knee braces and crutches for an extended period of months before being able to undertake weight bearing activities.
Inability to obtain appropriate clinical management
11109 the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7066 there is some evidence that an inability to obtain appropriate clinical management for the condition under consideration may be a factor in the worsening of the condition under consideration.
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.
7378 the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.
7379 the inability to obtain appropriate clinical management for the condition under consideration contributed to the clinical worsening of the condition under consideration.
11233 the veteran satisfies the occurrence provisions for the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration.
898 the veteran has some operational service.
or
899 the veteran has some eligible service.
11234 the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration.
11235 the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and operational service for the clinical worsening of the condition under consideration.
or
11236 the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and eligible service for the clinical worsening of the condition under consideration.
7384 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during operational service.
21084 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during operational service, as a causal result of operational service.
7387 the veteran's inability to obtain appropriate clinical management for the condition under consideration during operational service was due to the veteran's serious default, wilful act or serious breach of discipline.
or
7389 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, because of an illness or injury which is identifiable.
7390 the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to operational service.
7392 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related.
7385 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during eligible service.
7386 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during eligible service, as a causal result of eligible service.
7388 the veteran's inability to obtain appropriate clinical management for the condition under consideration during eligible service was due to the veteran's serious default, wilful act or serious breach of discipline.
or
7389 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, because of an illness or injury which is identifiable.
7391 the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to eligible service.
7393 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related.
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.
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.
Type |
Title |
PDF Format |
Word Format |
---|---|---|---|
Claimant Report | Significant Physical Force | CR9325.pdf [3] | CR9325.docx [4] |
Medical Report | Significant Physical Force | MR9428.pdf [5] | MR9428.docx [6] |
41876 the veteran had a significant physical force applied to or through side and site of the body at some time.
41954 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 meniscal tear of the knee.
41911 the veteran satisfies the occurrence provisions for the significant physical force and VEA service for the clinical onset of the acute meniscal tear of the knee.
898 the veteran has some operational service.
or
899 the veteran has some eligible service.
41912 the veteran has established the causal connection between the significant physical force and VEA service for the clinical onset of the acute meniscal tear of the knee.
41913 the veteran has established a causal connection between the significant physical force and operational service for the clinical onset of the acute meniscal tear of the knee.
or
41914 the veteran has established a causal connection between the significant physical force and eligible service for the clinical onset of the acute meniscal tear of the knee.
41915 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 meniscal tear of the knee, on operational service.
41916 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 meniscal tear of the knee, on operational service, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
41917 the significant physical force applied to or through side and site of the body that caused the acute meniscal tear of the knee was due to an illness or injury which is identifiable.
41918 the veteran had the significant physical force to side and site of the body at the time of the clinical onset of the acute meniscal tear of the knee as a consequence of the identified illness or injury.
41919 the identified illness or injury that caused the acute meniscal tear of the knee due to the significant physical force to side and site of the body is causally related to operational service.
41920 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 meniscal tear of the knee, on eligible service.
41921 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 meniscal tear of the knee, on eligible service, as a causal result of eligible service duties.
41922 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 meniscal tear of the knee, on eligible service, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
41917 the significant physical force applied to or through side and site of the body that caused the acute meniscal tear of the knee was due to an illness or injury which is identifiable.
41918 the veteran had the significant physical force to side and site of the body at the time of the clinical onset of the acute meniscal tear of the knee as a consequence of the identified illness or injury.
41923 the identified illness or injury that caused the acute meniscal tear of the knee due to the significant physical force to side and site of the body is causally related to eligible service.
Links
[1] https://clik.dva.gov.au/user/login?destination=comment/reply/63196%23comment-form
[2] http://www.rma.gov.au/SOP/alpha_ind/a.htm
[3] https://clik.dva.gov.au/system/files/media/CR9325_0.pdf
[4] https://clik.dva.gov.au/system/files/media/CR9325.docx
[5] https://clik.dva.gov.au/system/files/media/MR9428.pdf
[6] https://clik.dva.gov.au/system/files/media/MR9428.docx