This factor is only relevant if the dislocation is of the rotational atlantoaxial joint (C1-C2 level of the spine).
In medical terms the ear, nose, and throat are described to involve the following:
Ear: The pinna or auricle ( the outside part of the ear), the external auditory canal or tube, the tympanic membrane (eardrum), middle ear (tympanic cavity), consisting of the ossicles – called the malleus ,incus , and stapes, the eustachian tube, and the inner ear , consisting of the cochlea , vestibule, and semicircular canals.
Nose: The external meatus, external nostrils, septum, nasal passages , and sinuses.
Throat: The larynx, epiglottis, tonsils and adenoids.
Inflammatory conditions or infections that can involve the ear, nose or throat will normally involve both infection and inflammation, and can include:
A history of an inflammatory or infectious condition involving the ear nose or throat in the 14 to 21 days before the onset of the rotational atlantoaxial dislocation should have been noted on the medical records, although medical attention may not have been sought by the person. Therefore, a reliable history of a condition in this period before the onset of the dislocation will generally be accepted unless there is contradictory evidence. If the evidence is unclear, seek medical advice.
Type | Title | PDF Format | Word Format |
---|---|---|---|
Medical Report | An inflammatory or infectious condition to ear or nose or throat | MR9430.pdf [3] | MR9430.docx [4] |
42247 there is some evidence that an inflammatory or infectious condition to the ear, nose or throat may be a factor in the development of dislocation.
42248 the veteran has a dislocation of the rotational atlantoaxial joint.
42249 the veteran had an inflammatory or infectious condition to the ear, nose or throat at some time.
42250 the veteran had the inflammatory or infectious condition to the ear, nose or throat due to an illness or injury which is identifiable.
42251 the veteran has established the causal connection between the inflammatory or infectious condition to the ear, nose or throat and VEA service for the clinical onset of dislocation.
42252 the veteran has established the causal connection between the inflammatory or infectious condition to the ear, nose or throat and eligible service for the clinical onset of dislocation.
or
42253 the veteran has established the causal connection between inflammatory or infectious condition to the ear, nose or throat and operational service for the clinical onset of dislocation.
42256 the veteran had the illness or injury, an inflammatory or infectious condition to the ear, nose or throat within the 21 days before the clinical onset of dislocation.
42257 the identified illness or injury, an inflammatory or infectious condition to the ear, nose or throat, is causally related to operational service.
42254 the veteran had the illness or injury, an inflammatory or infectious condition to the ear, nose or throat within the 14 days before the clinical onset of dislocation.
42255 the identified illness or injury, an inflammatory or infectious condition to the ear, nose or throat, is causally related to eligible service.
In the Statements of Principles for joint instability and dislocation the RMA defines "a biomechanical abnormality involving the affected joint" to mean an abnormality of the forces acting on the affected joint as a result of a muscle, tendon, ligament, or bone, that maintains the normal structural or functional relationship between the articulating surfaces of the affected joint, and that is not functioning correctly, is abnormal or is misaligned. This definition includes biomechanical abnormality as a result of surgery involving the stabilising structures of the affected joint and extra-articular malunion of a fracture of a bone involved in the affected joint.
This type of abnormality can result from injury or disease. For the abnormality to contribute to dislocation or joint instability, it must involve the same joint as the joint affected by the dislocation, or joint instability.
You may need to seek medical advice to establish if any contended condition meets the requirements of the definition.
Type | Title | PDF Format | Word Format |
---|---|---|---|
Medical Report | Development of Dislocation | MR9083.pdf [5] | MR9083.docx [6] |
42238 there is some evidence that a biomechanical abnormality involving the affected joint may be a factor in the development of dislocation.
42141 the veteran had a biomechanical abnormality as defined in the Statement of Principles.
42239 the veteran had a biomechanical abnormality to side and site of the body at some time.
42240 the veteran had the biomechanical abnormality to side and site of the body due to an illness or injury which is identifiable.
42241 as a consequence of the identified illness or injury, the veteran had the biomechanical abnormality, to side and site of the body, at the time of the clinical onset of dislocation.
42242 the veteran has established the causal connection between the biomechanical abnormality and VEA service for the clinical onset of dislocation.
42243 the veteran has established the causal connection between the biomechanical abnormality and operational service for the clinical onset of dislocation.
or
42244 the veteran has established the causal connection between the biomechanical abnormality and eligible service for the clinical onset of dislocation.
42245 the identified illness or injury, which caused the biomechanical abnormality affecting side and site of the body, is causally related to operational service.
42246 the identified illness or injury, which caused the biomechanical abnormality affecting side and site of the body, is causally related to eligible service.
In the Statements of Principles for dislocation the requirement is having damage to a soft tissue structure as specified, at the time of clinical onset.
The RMA has defined a soft tissue structure as specified to mean:
"a tendon, ligament or fibrocartilaginous structure that contributes to joint stability in the affected joint"
There is no definition given for damage, so this can include injury or damage as a result of a disease process.
The history of the damage to the soft tissue structure that resulted in the dislocation should have been noted on the medical records, although medical attention may not have been sought immediately. Therefore, a reliable history of an injury or damage to the joint that meets the relevant description at the time of the onset of the dislocation will generally be accepted unless there is contradictory evidence. If the evidence is unclear, seek medical advice.
Type | Title | PDF Format | Word Format |
---|---|---|---|
Medical Report | Development of Dislocation | MR9083.pdf [7] | MR9083.docx [8] |
42203 there is some evidence that damage to a soft tissue structure may be a factor in the development of dislocation.
42204 the veteran had damage to a soft tissue structure to side and site of the body at some time.
42205 the veteran had the damage to a soft tissue structure to side and site of the body as defined in the Statement of Principles.
42207 the veteran has established the causal connection between the damage to a soft tissue structure as specified and VEA service for the clinical onset of dislocation.
42208 the veteran has established the causal connection the damage to a soft tissue structure as specified and operational service for the clinical onset of dislocation.
or
42209 the veteran has established the causal connection between the damage to a soft tissue structure as specified and eligible service for the clinical onset of dislocation.
42210 on operational service, the veteran had the damage to a soft tissue structure as specified to the side and site of the body.
42211 on operational service, the veteran had the damage to a soft tissue structure as specified to the side and site of the body at the time of clinical onset of the dislocation.
42212 the damage to the soft tissue as specified to side and site of the body at the time of the clinical onset of the dislocation, on operational service, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
42213 the veteran had the damage to the soft tissue structure as specified to side and site of the body due to an illness or injury which is identifiable.
42214 as a consequence of the identified illness or injury, the veteran had the damage to the soft tissue structure as specified to side and site of the body at the time of the clinical onset of dislocation.
42215 the identified illness or injury, which caused the damage to the soft tissue structure as specified affecting side and site of the body, is causally related to operational service.
42216 on eligible service, the veteran had the damage to a soft tissue structure as specified to side and site of the body.
42217 as a causal result of eligible service, the veteran had the damage to the soft tissue structure as specified at side and site of the body.
42218 as a causal result of eligible service, the veteran had the damage to the soft tissue structure as specified at side and site of the body at the time of the clinical onset of dislocation.
42219 the damage to the soft tissue as specified 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
42213 the veteran had the damage to the soft tissue structure as specified to side and site of the body due to an illness or injury which is identifiable.
42214 as a consequence of the identified illness or injury, the veteran had the damage to the soft tissue structure as specified to side and site of the body at the time of the clinical onset of dislocation.
42309 the identified illness or injury, which caused the damage to the soft tissue structure as specified affecting side and site of the body, is causally related to eligible service.
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:
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:
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.
Type | Title | PDF Format | Word Format |
---|---|---|---|
Medical Report | Development of Dislocation | MR9083.pdf [9] | MR9083.docx [10] |
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.
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.
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.
Fracture: The RMA defines "fracture" to mean an acquired break or rupture in a bone.
Avulsion: Generally refers to a tearing away (or pulling off) such as with a traumatic amputation.
An avulsion fracture is a bone fracture which occurs when a fragment of bone tears away from the main mass of bone as a result of physical trauma. This can occur at the ligament due to the application forces external to the body (such as a fall or pull) or at the tendon due to a muscular contraction that is stronger than the forces holding the bone together. This type of fracture is more prevalent in highly trained athletes.
If the fracture is small, it is usually sufficient to treat with ice, rest and support bandage, but in more severe cases surgery and fixation or pinning may be required.
Bony defect: Is any abnormality to the bone, but is usually represented by additional or missing bone structure. It can be caused by congenital malformations, such as with a cleft palate, or due to joints not healing properly or not being aligned properly following fracture or from surgical procedures such as a hip replacement, or knee reconstruction.
For a fracture, or avulsion, or bony defect to contribute to dislocation or joint instability, it must have involved (at least one of) the articulating surfaces of the affected joint.
Type | Title | PDF Format | Word Format |
---|---|---|---|
Medical Report | Development of Dislocation | MR9083.pdf [11] | MR9083.docx [12] |
42233 there is some evidence that a fracture or avulsion or bony defect involving the articulating surfaces may be a factor in the development of dislocation.
42124 the veteran had a fracture or avulsion or bony defect involving the articulating surfaces at side and site of the body at some time.
42125 the veteran had the fracture or avulsion or bony defect involving the articulating surfaces to side and site of the body due to an illness or injury which is identifiable.
42234 as a consequence of the identified illness or injury, the veteran had the fracture or avulsion or bony defect involving the articulating surfaces, to side and site of the body, at the time of the clinical onset of dislocation.
42235 the veteran has established the causal connection between the fracture or avulsion or bony defect involving the articulating surfaces and VEA service for the clinical onset of dislocation.
42236 the veteran has established the causal connection between the fracture or avulsion or bony defect involving the articulating surfaces and operational service for the clinical onset of dislocation.
or
42237 the veteran has established the causal connection between the fracture or avulsion or bony defect involving the articulating surfaces and eligible service for the clinical onset of dislocation.
42135 the identified illness or injury, which caused the fracture or avulsion or bony defect involving the articulating surfaces affecting side and site of the body, is causally related to operational service.
42136 the identified illness or injury, which caused the fracture or avulsion or bony defect involving the articulating surfaces affecting side and site of the body, is causally related to eligible service.
In the case of a dislocation, appropriate clinical management may include rest of the affected region, strapping, support, splinting, physiotherapy procedures to promote healing Eg. ultrasound, interferential therapy and passive exercises, and surgical procedures.
Inability to obtain appropriate clinical managementType | Title | PDF Format | Word Format |
---|---|---|---|
Medical Report | Inability to obtain appropriate clinical management | GQACM.pdf [13] | GQACM.docx [14] |
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.
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.
This factor is only relevant if the dislocation is of the temporomandibular joint.
Intravenous (IV) sedation is a form of sedation where medications are given through a vein normally through the back of the hand, and usually by an anaesthetist, to make the person unaware of their surroundings, or to relax, or subdue the person. This form of anaesthetic is used where it is better to have the person conscious when performing a procedure and is used because it is a more predictable form of sedation due to small doses being given until the desired state of drowsiness is reached.
IV sedation is mostly used for minor or 'day' surgical procedures, such as a having skin lesions removed, biopsies or other external type procedures. It will often be used in combination with a local anaesthetic to the area being operated on . It is also commonly used for dental surgery.
If a person required IV sedation it would normally be recorded in the dentist's, or doctors' notes and/or hospital records. However, these records may have been destroyed or can no longer be obtained. Therefore, if there is a reliable history of a condition for which it would be medically feasible that this procedure was performed at a particular time, this generally will be accepted, unless there is contradictory evidence. Seek medical advice if it is unclear whether the person would have required this type of procedure.
Type | Title | PDF Format | Word Format |
---|---|---|---|
Medical Report | Temporomandibular joint dislocation | MR9431.pdf [15] | MR9431.docx [16] |
42281 there is some evidence that undergoing intravenous sedation may be a factor in the development of dislocation.
42282 the veteran has a dislocation of the temporomandibular joint.
42283 the veteran has undergone intravenous sedation at some time.
42284 the intravenous sedation was due to an illness or injury which is identifiable.
42285 the veteran had the intravenous sedation, for the identified illness, at the time of clinical onset of the dislocation.
42286 the veteran has established the causal connection between the intravenous sedation and VEA service for the clinical onset of dislocation.
42287 the veteran has established the causal connection between the intravenous sedation and operational service for the clinical onset of dislocation.
or
42288 the veteran has established the causal connection between the intravenous sedation and eligible service for the clinical onset of dislocation.
42289 the identified illness or injury, for which the intravenous sedation was given, is causally related to operational service.
42290 the identified illness or injury, for which the intravenous sedation was given, is causally related to eligible service.
The factor applies in both joint instability and dislocation SOPs.
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.
Type | Title | PDF Format | Word Format |
---|---|---|---|
Medical Report | Development of Dislocation | MR9083.pdf [17] | MR9083.docx [18] |
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.
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.
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.
For the purposes of dislocation, physical trauma to the affected site means a force, applied either directly or indirectly to the body, which is applied directly or transmitted to the joint now being considered in this claim. This can include electric shock.
This means that a physical injury such as a hit, blow, knock or twisting injury does not have to have occurred at the joint which has become dislocated but the force must have been transmitted to that joint ie. a joint may become dislocated even though the point of impact of a blow was remote from the joint. For example, where a person lands on his feet after jumping from a height, the force transmitted to the knee may cause dislocation of the knee joint even though the physical trauma was applied to the soles of his feet.
The power of the force required to produce a dislocation depends upon the relative soundness of the joint and its supporting structures, as well as its position at the time of injury. Seek medical advice if it is unclear whether or not a specific physical trauma would have transmitted a force to the relevant joint.
Type | Title | PDF Format | Word Format |
---|---|---|---|
Medical Report | Development of Dislocation | MR9083.pdf [19] | MR9083.docx [20] |
42180 the veteran has had a physical trauma to side and site of the body at some time.
42181 the veteran had the physical trauma to side and site of the body at the time of the clinical onset of the dislocation.
42183 the veteran has established the causal connection between the physical trauma and VEA service for the clinical onset of dislocation.
42184 the veteran has established the causal connection between the physical trauma and operational service for the clinical onset of dislocation.
or
42185 the veteran has established the causal connection between the physical trauma and eligible service for the clinical onset of dislocation.
42186 the veteran had the physical trauma to side and site of the body at the time of the clinical onset of the dislocation, on operational service.
42187 the physical trauma to side and site of the body at the time of the clinical onset of the dislocation, on operational service, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
13929 the physical trauma to side and site of the body was due to an illness or injury which is identifiable.
13930 the identified illness or injury that caused the physical trauma to side and site of the body is causally related to operational service.
42188 the veteran had the physical trauma to side and site of the body at the time of the clinical onset of the dislocation, on eligible service.
42189 the veteran had the physical trauma to side and site of the body at the time of the clinical onset of the dislocation, on eligible service, as a causal result of eligible service duties.
42190 the physical trauma 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
13929 the physical trauma to side and site of the body was due to an illness or injury which is identifiable.
13931 the identified illness or injury that caused the physical trauma to side and site of the body is causally related to eligible service.
This factor is only relevant if the dislocation is of the temporomandibular joint.
A surgical procedure is a treatment or operation that involves penetrating the surface of the skin or mucous membrane. It includes procedures such as tattooing (by doctors or by tattoo artists) and suturing (stitching) wounds.
The head includes the face and the neck includes that area down to the nape of the neck (C7 of the cervical spine).
Although some minor surgical procedures may be performed in doctors' surgeries, details of any surgical procedure performed by a medical officer would normally be recorded in doctors' notes and/or hospital records. However, these records may have been destroyed or can no longer be obtained. Therefore, if there is a reliable history of a surgical procedure at a particular time, this generally will be accepted, unless there is contradictory evidence. Seek medical advice if it is unclear whether the claimed surgical history is medically feasible.
Type | Title | PDF Format | Word Format |
---|---|---|---|
Medical Report | Atlantoaxial joint dislocation | MR9430.pdf [21] | MR9430.docx [22] |
42260 there is some evidence that having undergone a surgical procedure to the head or neck may be a factor in the development of dislocation.
42248 the veteran has a dislocation of the rotational atlantoaxial joint.
42261 the veteran has undergone a surgical procedure to the head or neck at some time.
42262 the surgical procedure to the head or neck was due to an illness or injury which is identifiable.
42263 the veteran has established the causal connection between the surgical procedure to the head or neck and vea service for the clinical onset of dislocation.
42264 the veteran has established the causal connection between the surgical procedure to the head or neck and eligible service for the clinical onset of dislocation.
or
42265 the veteran has established the causal connection between the surgical procedure to the head or neck and operational service for the clinical onset of dislocation.
42268 the veteran had the surgical procedure to the head or neck, for the identified illness, within the 21 days before the clinical onset of dislocation.
42269 the identified illness or injury, for which the veteran had a surgical procedure to the head or neck, is causally related to operational service.
42266 the veteran had the surgical procedure to the head or neck, for the identified illness, within the 14 days before the clinical onset of dislocation.
42267 the identified illness or injury, for which the veteran had a surgical procedure to the head or neck, is causally related to eligible service.
This factor is only relevant if the dislocation is of the temporomandibular joint.
Tracheal, or endotracheal intubation is a medical procedure in which a tube is placed into the windpipe (trachea), through the mouth or the nose. In most emergency situations it is placed through the mouth.
It is done to open the airway to give oxygen, medication, or anaesthesia, and to help with breathing. It may also be done to remove blockages (foreign bodies) from the airway or to allow the doctor to get a better view of the upper airway.
Persons requiring this type of procedure will normally also require time on a respirator, this would normally be recorded in doctors' notes and/or hospital records. However, these records may have been destroyed or can no longer be obtained. Therefore, if there is a reliable history of a condition for which it would be medically feasible that this procedure was performed at a particular time, this generally will be accepted, unless there is contradictory evidence. Seek medical advice if it is unclear whether the person would have required this type of procedure.
Type | Title | PDF Format | Word Format |
---|---|---|---|
Medical Report | Temporomandibular joint dislocation | MR9431.pdf [23] | MR9431.docx [24] |
42270 there is some evidence that undergoing tracheal intubation may be a factor in the development of dislocation.
42282 the veteran has a dislocation of the temporomandibular joint.
42272 the veteran has undergone a tracheal intubation at some time.
42273 the veteran had the tracheal intubation due to an illness or injury which is identifiable.
42274 as a consequence of the identified illness or injury, the veteran had the tracheal intubation, to the side and site, at the time of the clinical onset of dislocation.
42275 veteran has established the causal connection between the tracheal intubation and vea service for the clinical onset of dislocation.
42276 veteran has established the causal connection between the tracheal intubation and operational service for the clinical onset of dislocation.
or
42277 veteran has established the causal connection between the tracheal intubation and eligible service for the clinical onset of dislocation.
42278 identified illness or injury, for which the tracheal intubation was performed, is causally related to operational service.
42279 identified illness or injury, for which the tracheal intubation was performed, is causally related to eligible service.
The Statement of Principles requirements here only apply to dislocation of the temporomandibular joint.
The factor for both standards of proof requires undergoing an activity that involves wide opening of the mouth at the time of the clinical onset of dislocation.
The RMA defines "an activity that involves wide opening of the mouth" to mean an activity in which an active force imposes undue tension on the temporomandibular joint capsular ligaments, and includes dental procedures, vomiting and coughing.
You will therefore need to that the activity would have imposed an undue tension on the temporomandibular joint capsular ligaments before considering if the activity is service related. Seek medical advice if it is not clear if the activity meets these requirements.
Type | Title | PDF Format | Word Format |
---|---|---|---|
Medical Report | Temporomandibular joint dislocation | MR9431.pdf [25] | MR9431.docx [26] |
42291 there is some evidence that undergoing an activity that involves wide opening of the mouth may be a factor in the development of dislocation.
42282 the veteran has a dislocation of the temporomandibular joint.
42292 the veteran has undergone an activity that involved wide opening of the mouth at some time.
42294 the veteran has established the causal connection between undergoing an activity that involves wide opening of the mouth and VEA service for the clinical onset of dislocation.
42295 the veteran has established the causal connection between undergoing an activity that involves wide opening of the mouth and operational service for the clinical onset of dislocation.
or
42296 the veteran has established the causal connection between undergoing an activity that involves wide opening of the mouth and eligible service for the clinical onset of dislocation.
42297 on operational service, the veteran undertook an activity that involved wide opening of the mouth.
42298 on operational service, the veteran undertook the activity that involved wide opening of the mouth, at the time of clinical onset of the dislocation.
42299 the activity that involved wide opening of the mouth at the time of the clinical onset of the dislocation, on operational service, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
42300 the veteran undertook the activity involving wide opening of the mouth due to an illness or injury which is identifiable.
42301 as a consequence of the identified illness or injury, the veteran undertook the activity involving wide opening of the mouth at the time of the clinical onset of dislocation.
42302 the identified illness or injury, for which the veteran undertook an activity involving wide opening of the mouth, is causally related to operational service.
42303 on eligible service, the veteran undertook an activity that involved wide opening of the mouth.
42304 as a causal result of eligible service, the veteran undertook the activity that involved wide opening of the mouth.
42305 as a causal result of eligible service, the veteran undertook the activity that involved wide opening of the mouth at the time of the clinical onset of dislocation.
42306 the activity that involved wide opening of the mouth 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
42300 the veteran undertook the activity involving wide opening of the mouth due to an illness or injury which is identifiable.
42301 as a consequence of the identified illness or injury, the veteran undertook the activity involving wide opening of the mouth at the time of the clinical onset of dislocation.
42307 the identified illness or injury, for which the veteran undertook an activity involving wide opening of the mouth, is causally related to eligible service.
Links
[1] https://clik.dva.gov.au/user/login?destination=comment/reply/63482%23comment-form
[2] http://www.rma.gov.au/SOP/alpha_ind/d.htm
[3] https://clik.dva.gov.au/system/files/media/MR9430_0.pdf
[4] https://clik.dva.gov.au/system/files/media/MR9430_0.docx
[5] https://clik.dva.gov.au/system/files/media/MR9083.pdf
[6] https://clik.dva.gov.au/system/files/media/MR9083.docx
[7] https://clik.dva.gov.au/system/files/media/MR9083_0.pdf
[8] https://clik.dva.gov.au/system/files/media/MR9083_0.docx
[9] https://clik.dva.gov.au/system/files/media/MR9083_1.pdf
[10] https://clik.dva.gov.au/system/files/media/MR9083_1.docx
[11] https://clik.dva.gov.au/system/files/media/MR9083_2.pdf
[12] https://clik.dva.gov.au/system/files/media/MR9083_2.docx
[13] https://clik.dva.gov.au/system/files/media/GQACM_14.pdf
[14] https://clik.dva.gov.au/system/files/media/GQACM_14.docx
[15] https://clik.dva.gov.au/system/files/media/MR9431.pdf
[16] https://clik.dva.gov.au/system/files/media/MR9431.docx
[17] https://clik.dva.gov.au/system/files/media/MR9083_3.pdf
[18] https://clik.dva.gov.au/system/files/media/MR9083_3.docx
[19] https://clik.dva.gov.au/system/files/media/MR9083_4.pdf
[20] https://clik.dva.gov.au/system/files/media/MR9083_4.docx
[21] https://clik.dva.gov.au/system/files/media/MR9430.pdf
[22] https://clik.dva.gov.au/system/files/media/MR9430.docx
[23] https://clik.dva.gov.au/system/files/media/MR9431_0.pdf
[24] https://clik.dva.gov.au/system/files/media/MR9431_0.docx
[25] https://clik.dva.gov.au/system/files/media/MR9431_1.pdf
[26] https://clik.dva.gov.au/system/files/media/MR9431_1.docx