Reasonable Hypothesis SOP [1] | 57 of 2019 |
Balance of Probabilities SOP [2] | 58 of 2019 |
SOP Bulletin 208 [3]
This SOP covers on-going joint problems, that may be chronic or intermittent, where damage to the joint has resulted in instability that manifests as recurrent dislocation, subluxation, or sprain. One-off episodes of dislocation or acute sprain are covered by the respective SOPs for those conditions. A diagnosis of joint instability may subsume an earlier diagnosis of dislocation or acute sprain.
Diagnosis is based on a history of joint instability as evidenced by repeated dislocations, subluxation or sprain, along with clinical findings on examination of joint instability or laxity. The diagnosis can be made by a general practitioner.
The relevant medical specialist is an orthopaedic surgeon.
* another SOP applies
# non-SOP condition
Clinical onset may date from the intital episode of injury/dislocation or from a subsequent episode. This will depend on the nature of each episode, the time between episodes and other circumstances of the particular case.
Clinical worsening will generally be the result of some further event or injury and may be evidenced by increased frequency of episodes or ease of dislocation/subluxation. The condition may be amenable to surgery.
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 |
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Medical Report | Joint Instability | MR9429.pdf [6] | MR9429.docx [7] |
42140 there is some evidence that a biomechanical abnormality involving the affected joint may be a factor in the development or worsening of joint instability.
42141 the veteran had a biomechanical abnormality as defined in the Statement of Principles.
42142 the veteran had a biomechanical abnormality at side and site of the body at some time.
42143 the veteran had a biomechanical abnormality to side and site of the body due to an illness or injury which is identifiable.
42144 the veteran has established the causal connection between a biomechanical abnormality and VEA service for joint instability.
42145 as a consequence of the identified illness or injury, the veteran had a biomechanical abnormality, to side and site of the body, at the time of the clinical onset of joint instability.
42146 the veteran has established the causal connection between a biomechanical abnormality and VEA service for the clinical onset of joint instability.
42149 the veteran has established the causal connection between a biomechanical abnormality and operational service for the clinical onset of joint instability.
or
42150 the veteran has established the causal connection between a biomechanical abnormality 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.
42147 as a consequence of the identified illness or injury, the veteran had a biomechanical abnormality, to side and site of the body, at the time of the clinical worsening of joint instability.
42148 the veteran has established the causal connection between a biomechanical abnormality and VEA service for the clinical worsening of joint instability.
42151 the veteran has established the causal connection between a biomechanical abnormality and operational service for the clinical worsening of joint instability.
or
42152 the veteran has established the causal connection between a biomechanical abnormality and eligible service for the clinical worsening of joint instability.
42153 the identified illness or injury, which caused a biomechanical abnormality affecting side and site of the body, is causally related to operational service.
42154 the identified illness or injury, which caused a biomechanical abnormality affecting side and site of the body, is causally related to eligible service.
42153 the identified illness or injury, which caused a biomechanical abnormality affecting side and site of the body, is causally related to operational service.
42155 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 biomechanical abnormality to side and site of the body, is causally related.
42154 the identified illness or injury, which caused a biomechanical abnormality affecting side and site of the body, is causally related to eligible service.
42156 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 biomechanical abnormality to side and site of the body, is causally related.
In the SOPs for joint instability the requirement is having damage to a soft tissue structure as specified, at the time of clinical onset or clinical worsening.
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 joint instability 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 joint instability 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 | Joint Instability | MR9429.pdf [8] | MR9429.docx [9] |
42062 the veteran had the damage to a soft tissue structure as defined in the statement of principles.
42063 the veteran had the damage to a soft tissue structure as specified at side and site of the body at some time.
42064 the veteran has established the causal connection between the damage to a soft tissue structure as specified and VEA service for joint instability.
42066 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 joint instability.
42069 the veteran has established the causal connection between the damage to a soft tissue structure as specified and operational service for the clinical onset of joint instability.
or
42070 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 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.
42068 the veteran has established the causal connection between the damage to a soft tissue structure as specified and VEA service for the clinical worsening of joint instability.
42071 the veteran has established the causal connection between the damage to a soft tissue structure as specified and operational service for the clinical worsening of joint instability.
or
42072 the veteran has established the causal connection between the damage to a soft tissue structure as specified and eligible service for the clinical worsening of joint instability.
42073 on operational service, the veteran had the damage to a soft tissue structure as specified to side and site of the body.
42074 on operational service, the veteran had the damage to a soft tissue structure as specified to side and site of the body at the time of clinical onset of the joint instability.
42075 the damage to a soft tissue structure as specified, at the time of clinical onset of the joint instability, on operational service, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
42076 the veteran had the damage to a soft tissue structure as specified to side and site of the body due to an illness or injury which is identifiable.
42077 as a consequence of the identified illness or injury, the veteran had the damage to a soft tissue structure as specified, to the side and site of the body, at the time of the clinical onset of joint instability.
42078 the identified illness or injury, which caused the damage to a soft tissue structure as specified affecting side and site of the body, is causally related to operational service.
42079 on eligible service, the veteran had the damage to a soft tissue structure as specified at side and site of the body.
42080 the veteran had the damage to a soft tissue structure as specified at side and site of the body, during eligible service, as a casual result of eligible service.
42081 the veteran had the damage to a soft tissue structure as specified at side and site of the body, during eligible service, as a casual result of eligible service, at the time of the clinical onset of joint instability.
42082 the damage to a soft tissue structure as specified, at the time of clinical onset of the joint instability, on eligible service, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
42076 the veteran had the damage to a soft tissue structure as specified to side and site of the body due to an illness or injury which is identifiable.
42077 as a consequence of the identified illness or injury, the veteran had the damage to a soft tissue structure as specified, to the side and site of the body, at the time of the clinical onset of joint instability.
42083 the identified illness or injury, which caused the damage to a soft tissue structure as specified affecting side and site of the body, is causally related to eligible service.
42073 on operational service, the veteran had the damage to a soft tissue structure as specified to side and site of the body.
42084 the veteran had the damage to a soft tissue structure as specified at side and site of the body, during operational service, as a casual result of operational service.
42085 the veteran had the damage to a soft tissue structure as specified at side and site of the body, during operational service, as a casual result of operational service, at the time of the clinical worsening of joint instability.
42086 the damage to a soft tissue structure as specified, at the time of clinical worsening of the joint instability, on operational service, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
42076 the veteran had the damage to a soft tissue structure as specified to side and site of the body due to an illness or injury which is identifiable.
42087 as a consequence of the identified illness or injury, the veteran had the damage to a soft tissue structure to side and site of the body at the time of the clinical worsening of joint instability.
42078 the identified illness or injury, which caused the damage to a soft tissue structure as specified affecting side and site of the body, is causally related to operational service.
42088 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 damage to a soft tissue as specified to side and site of the body, is causally related.
42079 on eligible service, the veteran had the damage to a soft tissue structure as specified at side and site of the body.
42080 the veteran had the damage to a soft tissue structure as specified at side and site of the body, during eligible service, as a casual result of eligible service.
42089 the veteran had the damage to a soft tissue structure as specified at side and site of the body, during eligible service, as a casual result of eligible service, at the time of the clinical worsening of joint instability.
42090 the damage to a soft tissue structure as specified, at the time of clinical worsening of the joint instability, on eligible service, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
42076 the veteran had the damage to a soft tissue structure as specified to side and site of the body due to an illness or injury which is identifiable.
42087 as a consequence of the identified illness or injury, the veteran had the damage to a soft tissue structure to side and site of the body at the time of the clinical worsening of joint instability.
42083 the identified illness or injury, which caused the damage to a soft tissue structure as specified affecting side and site of the body, is causally related to eligible service.
42091 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 damage to a soft tissue structure as specified to side and site of the body, is causally related.
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:
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:
of the articulating surfaces.
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 | Joint Instability | MR9429.pdf [10] | MR9429.docx [11] |
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.
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.
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.
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.
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.
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 | Joint Instability | MR9429.pdf [12] | MR9429.docx [13] |
42123 there is some evidence that a fracture or avulsion or bony defect involving the articulating surfaces may be a factor in the development or worsening of the joint instability.
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.
42126 the veteran has established the causal connection between the fracture or avulsion or bony defect involving the articulating surfaces and VEA service for joint instability.
42127 as a consequence of the identified illness or injury, the veteran had the fracture or avulsion or bony defect involving the articulating surfaces, to the side and site of the body, at the time of the clinical onset of joint instability.
42128 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 joint instability.
42131 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 joint instability.
or
42132 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 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.
42129 as a consequence of the identified illness or injury, the veteran had the fracture or avulsion or bony defect involving the articulating surfaces, to the side and site of the body, at the time of the clinical worsening of joint instability.
42130 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 worsening of joint instability.
42133 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 worsening of joint instability.
or
42134 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 worsening of joint instability.
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.
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.
42137 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 the fracture or avulsion or bony defect involving the articulating surfaces to the side and site of the body, is causally related.
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.
42138 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 the fracture or avulsion or bony defect involving the articulating surfaces to the side and site of the body, is causally related.
In the case of a joint instability, 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 management
Type |
Title |
PDF Format |
Word Format |
---|---|---|---|
Medical Report | Inability to obtain appropriate clinical management | GQACM.pdf [14] | GQACM.docx [15] |
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.
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 | Joint Instability | MR9429.pdf [16] | MR9429.docx [17] |
42093 the veteran had the laxity of the joint capsule or a stabilising ligament at side and site of the body at some time.
42094 the veteran has established the causal connection between the laxity of the joint capsule or a stabilising ligament and VEA service for joint instability.
42096 the veteran has established the causal connection between the laxity of the joint capsule or a stabilising ligament and VEA service for the clinical onset of joint instability.
42099 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 joint instability.
or
42100 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 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.
42098 the veteran has established the causal connection between the laxity of the joint capsule or a stabilising ligament and VEA service for the clinical worsening of joint instability.
42101 the veteran has established the causal connection between the laxity of the joint capsule or a stabilising ligament and operational service for the clinical worsening of joint instability.
or
42102 the veteran has established the causal connection between the laxity of the joint capsule or a stabilising ligament and eligible service for the clinical worsening of joint instability.
42103 on operational service, the veteran had the laxity of the joint capsule or a stabilising ligament to side and site of the body.
42104 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 joint instability.
42105 the laxity of the joint capsule or a stabilising ligament, at the time of clinical onset of the joint instability, on operational service, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
42106 the veteran had 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.
42107 as a consequence of the identified illness or injury, the veteran had the laxity of the joint capsule or a stabilising ligament, to the side and site of the body, at the time of the clinical onset of joint instability.
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.
42111 as a causal result of eligible service, the veteran had the laxity of the joint capsule or a stabilising ligament, at the side and site of the body, at the time of the clinical onset of joint instability.
42112 the laxity of the joint capsule or a stabilising ligament, at the time of clinical onset of the joint instability, on eligible service, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
42106 the veteran had 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.
42107 as a consequence of the identified illness or injury, the veteran had the laxity of the joint capsule or a stabilising ligament, to the side and site of the body, at the time of the clinical onset of joint instability.
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.
42103 on operational service, the veteran had the laxity of the joint capsule or a stabilising ligament to side and site of the body.
42114 the veteran had the laxity of the joint capsule or a stabilising ligament at side and site of the body, during operational service, as a casual result of operational service.
42115 as a causal result of 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 the clinical worsening of joint instability.
42116 the laxity of the joint capsule or a stabilising ligament, at the time of clinical worsening of the joint instability, on operational service, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
42106 the veteran had 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.
42117 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 worsening of joint instability.
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.
42118 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 laxity of the joint capsule or a stabilising ligament to side and site of the body, is causally related.
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.
42119 the veteran had the laxity of the joint capsule or a stabilising ligament at side and site of the body, during eligible service, as a casual result of eligible service, at the time of the clinical worsening of joint instability.
42120 the laxity of the joint capsule or a stabilising ligament, at the time of clinical worsening of the joint instability, on eligible service, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
42106 the veteran had 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.
42117 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 worsening of joint instability.
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.
42121 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 laxity of the joint capsule or a stabilising ligament to side and site of the body, is causally related.
Links
[1] http://www.rma.gov.au/assets/SOP/2019/057.pdf
[2] http://www.rma.gov.au/assets/SOP/2019/058.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20208.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63693%23comment-form
[5] http://www.rma.gov.au/SOP/alpha_ind/j.htm
[6] https://clik.dva.gov.au/system/files/media/MR9429_8.pdf
[7] https://clik.dva.gov.au/system/files/media/MR9429_10.docx
[8] https://clik.dva.gov.au/system/files/media/MR9429_7.pdf
[9] https://clik.dva.gov.au/system/files/media/MR9429_9.docx
[10] https://clik.dva.gov.au/system/files/media/MR9429_6.pdf
[11] https://clik.dva.gov.au/system/files/media/MR9429_8.docx
[12] https://clik.dva.gov.au/system/files/media/MR9429_5.pdf
[13] https://clik.dva.gov.au/system/files/media/MR9429_7.docx
[14] https://clik.dva.gov.au/system/files/media/GQACM_12.pdf
[15] https://clik.dva.gov.au/system/files/media/GQACM_12.docx
[16] https://clik.dva.gov.au/system/files/media/MR9429_4.pdf
[17] https://clik.dva.gov.au/system/files/media/MR9429_6.docx