SoP LibraryAcute articular cartilage tear

Statement of Principles

Acute articular cartilage tear — DVA SoP factors

Every factor in the Repatriation Medical Authority Statements of Principles for Acute articular cartilage tear. DVA can only accept a claim for Acute articular cartilage tear if at least one of these factors is met and connected to your service. Reasonable Hypothesis (RH) applies to operational service; Balance of Probabilities (BoP) applies to peacetime service.

Source: Repatriation Medical Authority Statements of Principles as held by the Veterans Health Centre. SoPs are amended and replaced regularly; always confirm the current instrument at rma.gov.au before relying on it.

Acute articular cartilage tear

RH No. 21 of 2019 · BoP No. 22 of 20196 factors

Meaning of acute articular cartilage tear: For the purposes of this Statement of Principles, acute articular cartilage tear: (a) means an injury involving tearing or damage of the articular (hyaline) cartilage of a joint resulting in a sudden onset of pain and tenderness; and (b) excludes chronic tears and degenerative tears of articular cartilage.

Reasonable Hypothesis (RH) — Statement of Principles No. 21 of 2019

At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting acute articular cartilage tear or death from acute articular cartilage tear with the circumstances of a person's relevant service:

  1. (1)
    having a significant physical force applied to or through the affected joint at the time of the clinical onset of acute articular cartilage tear;
  2. (2)
    having intra-articular surgery of the affected joint at the time of the clinical onset of acute articular cartilage tear;

    Note: Examples of processes involved during intra-articular surgery include, but are not limited to, using a drill, placing an anchor suture and inserting an intra-articular infusion pump.

  3. (3)
    inability to obtain appropriate clinical management for acute articular cartilage tear;

Aggravation-only factors: the factors in subsection 9(3) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.

Balance of Probabilities (BoP) — Statement of Principles No. 22 of 2019

3 factors

At least one of the following factors must exist before it can be said that, on the balance of probabilities, acute articular cartilage tear or death from acute articular cartilage tear is connected with the circumstances of a person's relevant service:

  1. (1)
    having a significant physical force applied to or through the affected joint at the time of the clinical onset of acute articular cartilage tear;
  2. (2)
    having intra-articular surgery of the affected joint at the time of the clinical onset of acute articular cartilage tear;

    Note: Examples of processes involved during intra-articular surgery include, but are not limited to, using a drill, placing an anchor suture and inserting an intra-articular infusion pump.

  3. (3)
    inability to obtain appropriate clinical management for acute articular cartilage tear;

Aggravation-only factors: the factors in subsection 9(3) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.

A VHC Diagnostic Assessment addresses each of these factors one by one against your service record and clinical history. See how a VHC DVA claim works, see all fees ($600 + GST per stage) or book an appointment.

About Dr Thomas Perkins

One doctor. Every report.

Founding doctor of the Veterans Health Centre in Ipswich, Queensland, and one of Australia's most experienced practitioners in veterans' medicolegal medicine.

Dr Perkins has spent more than thirteen years working exclusively with current and former ADF members — treating their conditions, writing their reports and navigating the DVA system alongside them. With over 100,000 claims submitted and 2,000 Permanent Impairment Assessments completed, he has seen precisely what separates an accepted claim from a rejected one at every level, from initial liability to the Veterans' Review Board.

Every chart review, diagnostic assessment, impairment rating and appeal that leaves this clinic is personally overseen by Dr Perkins. No template, no locum, no hand-off.

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