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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.

Accepted — what is it worth?

A Statement of Principles decides one thing only: whether DVA accepts liability for acute articular cartilage tear. It says nothing about how much you are paid. Compensation is worked out separately, from impairment points under the GARP — so a condition can be accepted and still rate few points, or rate more than you expect once it is combined with everything else on your file.

Presumptive liability · from 1 July 2026

Acute articular cartilage tear may be accepted without proving the link to service

Acute articular cartilage tear is listed in Part 2 of the determination as attributable to defence service, provided the criteria below are met.

  • Qualifying service: Any defence service.
    Onset: during the qualifying service.

A diagnosis is still required, and the presumption may not apply where there is clear evidence of a cause other than service. "Onset" means when an injury was sustained, or when all the signs and symptoms of a disease were first present — not the date of diagnosis. Applies to claims made on or after 1 July 2026.

How presumptive liability works →

Part of DVA Claims — Knees & legs — every Statement of Principles covering the knees and legs.

Others in this area:

Dr Thomas Perkins, Veterans Health Centre

Reviewed by Dr Thomas Perkins

Founding doctor, Veterans Health Centre · former RAAF aviation medical officer · 13 years working exclusively with ADF members and veterans. Full profile →