Service Definition with all Clinical Terms Service: Knee Clinic-Orthopaedics-Circle Bath- NV302

Transcription

1 Service Definition with all Clinical Terms Service: Knee ClinicOrthopaedicsCircle Bath NV302 Section 1 Service Details Service ID: Service Comments: Created by GW 23/07/2010 Amended by PM 20/10/2010 Referrer Alert: Service Location: Specialty: Appointment Type: Gender Treated: Directly Bookable: Service Transition Date: CIRCLE BATH Orthopaedics First outpatient Male and Female Service Effective Date Range: 23/07/2010 to Age Range Treated: Request Types Supported Publish: Appointment Request: Advice Request: Diagnostic Request: Available on Secondary Care Menu: 18 years and over No No Section 2 Clinic Types Knee Section 3 Clinical Terms Terms that are in bold have one or more child terms that have a different included/excluded status from the parent term displayed. An asterisk indicates a term that is displayed more than once in this section. Clinical Findings: Acquired deformity of knee Acquired genu recurvatum* Acquired genu valgum* Acquired genu valgum and varum* Acquired genu varum* Acute infection of bone X Acute osteomyelitis X Acute osteomyelitis of the ankle and/or foot X Acute osteomyelitis of the lower leg X Acute osteomyelitis of the pelvic region and/or thigh X Acute osteomyelitis of femur X Acute osteomyelitiscervical spine X Acute osteomyelitislumbar spine X Acute osteomyelitisthoracic spine Amputated above knee Amputated at knee Amputated below knee Amputated leg Biceps femoris tendinitis Bursitis of knee Fibular collateral ligament bursitis* X Inflammation of bursa of patella Infrapatellar bursitis Subpatellar bursitis Prepatellar bursitis Suprapatellar bursitis Miner's knee

2 Popliteal bursitis Semimembranosus bursitis Tibial collateral ligament bursitis Finding of patella structure Bifid patella* Injury of patella* X Fracture of patella* Neoplasm of patella* Benign neoplasm of patella* X Primary malignant neoplasm of patella* Patella dysplasia Nailpatella syndrome Hamstring injury Hamstring sprain Injury of knee Dislocation or subluxation of knee* Congenital dislocation of knee* Dislocation of knee* Subluxation of knee joint* Dislocation of patellofemoral joint* Subluxation of patellofemoral joint* X Fracture dislocation of knee joint* X Fracture dislocation or subluxation knee* X Fracture subluxation of knee joint* Pathological dislocation of knee joint* Recurrent dislocation of knee* Horizontal cleavage tear of medial meniscus* Injury of ligament of knee* Injury of collateral ligament of knee* Injury of lateral collateral ligament of knee* Sprain of lateral collateral ligament of knee* Injury of medial collateral ligament of knee* Sprain of medial collateral ligament of knee* Injury of cruciate ligament of knee* Sprain of cruciate ligament of knee* Sprain of knee* Sprain of cruciate ligament of knee* Sprain of knee and leg* Sprain of lateral collateral ligament of knee* Sprain of medial collateral ligament of knee* Injury of patella* X Fracture of patella* X Open wound of knee Partial division, patellar tendon Strain of patellar tendon Tear of articular cartilage of knee, current* Knee joint finding Arthropathy of knee joint Acquired genu recurvatum* Acquired genu valgum* Acquired genu valgum and varum* Acquired genu varum* Adhesions of knee joint Arthritis of knee* Fibular collateral ligament bursitis* Knee pyogenic arthritis* Reactive arthropathy of knee* Rheumatoid arthritis of knee*

3 Synovitis of knee* Articular cartilage disorder of knee Chondromalacia of patella* Degenerative lesion of articular cartilage of knee Tear of articular cartilage of knee, current* X Avascular necrosis of femoral condyle Avascular necrosis of the medial femoral condyle Congenital deformity of knee joint Bifid patella* Congenital discoid meniscus* Congenital dislocation of knee* Congenital flexion contracture of knee* Congenital genu valgum* Congenital genu varum* Contracture of knee joint X Flexion contracture of the knee Congenital flexion contracture of knee* Deficiency of ligaments of knee joint Deficiency of anterior cruciate ligament Old anterior cruciate ligament disruption* Old partial tear anterior cruciate ligament Partial tear, knee, anterior cruciate ligament* Deficiency of lateral collateral ligament of the knee Deficiency of medial collateral ligament of knee Old medial collateral ligament disruption* Deficiency of posterior cruciate ligament Rupture of posterior cruciate ligament* Complete tear, knee, posterior cruciate ligament* Partial tear, knee, posterior cruciate ligament* Old disruption of ligament of knee Old anterior cruciate ligament disruption* Old medial collateral ligament disruption* Old posterolateral capsular complex tear Derangement of knee Derangement of meniscus Cyst of semilunar cartilage* Cyst of lateral meniscus* Cyst of medial meniscus* Derangement of lateral meniscus Derangement of anterior horn of lateral meniscus Derangement of posterior horn of lateral meniscus Parrot beak tear of posterior horn of lateral meniscus* Derangement of medial meniscus Bucket handle tear of medial meniscus of knee* Old bucket handle tear of medial meniscus* Derangement of posterior horn of medial meniscus Parrot beak tear of posterior horn of medial meniscus* Old tear of posterior horn of medial meniscus* Horizontal cleavage tear of medial meniscus* Multiple tears of medial meniscus* Discoid meniscus of knee Congenital discoid meniscus* Discoid lateral meniscus Dislocation or subluxation of knee* Congenital dislocation of knee* Dislocation of knee* Subluxation of knee joint* Dislocation of patellofemoral joint* Subluxation of patellofemoral joint* X Fracture dislocation of knee joint* X Fracture dislocation or subluxation knee* X Fracture subluxation of knee joint*

4 Pathological dislocation of knee joint* Recurrent dislocation of knee* Disorder of patellofemoral joint Chondromalacia of patella* Dislocation of patellofemoral joint* Subluxation of patellofemoral joint* Patellofemoral maltracking Enthesopathy of knee PellegriniStieda syndrome* X Fat pad syndrome Haemarthrosis of knee Injury of ligament of knee* Injury of collateral ligament of knee* Injury of lateral collateral ligament of knee* Sprain of lateral collateral ligament of knee* Injury of medial collateral ligament of knee* Sprain of medial collateral ligament of knee* Injury of cruciate ligament of knee* Sprain of cruciate ligament of knee* Sprain of knee* Sprain of cruciate ligament of knee* Sprain of knee and leg* Sprain of lateral collateral ligament of knee* Sprain of medial collateral ligament of knee* Knee joint effusion Lesion of ligaments of knee region PellegriniStieda syndrome* Loose body in knee Joint mice in knee Rice bodies in knee Old capsular, collateral ligament and cruciate damage to knee Osteoarthritis of knee Pain due to knee joint prosthesis Rupture of ligament of knee joint Complete tear, knee ligament X Rupture of cruciate ligaments Rupture of anterior cruciate ligament Complete tear, knee, anterior cruciate ligament Old complete tear anterior cruciate ligament Partial tear, knee, anterior cruciate ligament* Rupture of posterior cruciate ligament* Complete tear, knee, posterior cruciate ligament* Partial tear, knee, posterior cruciate ligament* Rupture of lateral collateral ligament of knee Partial tear, knee, lateral collateral ligament Rupture of medial collateral ligament of knee Complete tear, knee, medial collateral ligament Partial tear, knee, medial collateral ligament Synovial cyst of knee* Tear of meniscus of knee Current knee cartilage tear Old torn meniscus of knee Tear of lateral meniscus of knee Acute meniscal tear, lateral Bucket handle tear of lateral meniscus of knee Old bucket handle tear of lateral meniscus Old tear of lateral meniscus Parrot beak tear of posterior horn of lateral meniscus* Radial tear of lateral meniscus

5 Tear of medial meniscus of knee Acute meniscal tear, medial Bucket handle tear of medial meniscus of knee* Old bucket handle tear of medial meniscus* Horizontal cleavage tear of medial meniscus* Multiple tears of medial meniscus* Old tear of medial meniscus Parrot beak tear of posterior horn of medial meniscus* Old tear of posterior horn of medial meniscus* Radial tear of medial meniscus Villonodular synovitis of knee* Chronic instability of knee Clicking knee Deformity of knee joint Acquired genu recurvatum* Acquired genu valgum* Acquired genu valgum and varum* Acquired genu varum* Congenital genu valgum* Congenital genu varum* Flexion deformity of knee Knee joint varus deformity Knee joint range of movement finding Decreased range of knee movement Knee stiff Knee joint inflamed Arthritis of knee* Fibular collateral ligament bursitis* Knee pyogenic arthritis* Reactive arthropathy of knee* Rheumatoid arthritis of knee* Synovitis of knee* Knee joint stability finding X Anteroposterior stability of knee finding X Knee joint anteroposterior instability* X Anterior cruciate instability* X Posterior cruciate instability* Unstable knee X Knee joint anteroposterior instability* X Anterior cruciate instability* X Posterior cruciate instability* Knee locking Knee pain Anterior knee pain Mass of knee joint* Cyst of semilunar cartilage* Cyst of lateral meniscus* Cyst of medial meniscus* Synovial cyst of knee* Villonodular synovitis of knee* X Named sign of knee X Apprehension test finding Leg sprain Localised swelling, mass and lump, lower limb Mass of knee Mass of knee joint* Cyst of semilunar cartilage* Cyst of lateral meniscus* Cyst of medial meniscus* Synovial cyst of knee* Villonodular synovitis of knee* Neoplasm of patella* Benign neoplasm of patella* X Primary malignant neoplasm of patella* X Synovial cyst of popliteal space Rupture of popliteal space synovial cyst Rupture of Baker's cyst knee Mass of shin Osgood Schlatter disease Osteochondritis dissecans Painful gait

6 Patellar tendonitis Pathological fracture lower leg Rupture of patellar tendon Nontraumatic rupture of patellar tendon Rupture of popliteal bursa Semimembranosus tendinitis Swollen knee Tendinitis of knee Tendon injury lower limb Situations: Procedures: Arthroplasty of knee Arthroplasty of knee using cement Arthroplasty of knee without cement Primary uncemented total knee replacement Repair of ligament of knee joint Repair of knee cruciate ligaments Reconstruction of anterior cruciate ligament of knee Repair of meniscus Arthroscopy of knee with meniscus repair* Arthroscopy of knee with medial meniscus repair* Arthroscopic debridement of knee joint Arthroscopic debridement of patella Arthroscopic knee operation Arthroscopic meniscectomy Arthroscopic trimming of meniscus Arthroscopic trimming of lateral meniscus* Arthroscopic trimming of medial meniscus* Endoscopic partial meniscectomy of knee Arthroscopic trimming of medial meniscus* Arthroscopy of knee with lateral meniscectomy* Arthroscopic partial lateral meniscectomy* Arthroscopic trimming of lateral meniscus* Arthroscopy of knee with medial meniscectomy* Arthroscopic partial medial meniscectomy* Arthroscopic total medial meniscectomy* Arthroscopic removal of loose body from knee joint Arthroscopic synovectomy knee joint Arthroscopy of knee with meniscus repair* Arthroscopy of knee with medial meniscus repair* Therapeutic arthroscopic operations on cavity of knee joint Therapeutic arthroscopic operations on semilunar cartilage Arthroscopic washout of knee joint Arthroscopy of knee Arthroscopy of knee with lateral meniscectomy* Arthroscopic partial lateral meniscectomy* Arthroscopic trimming of lateral meniscus* Arthroscopy of knee with medial meniscectomy* Arthroscopic partial medial meniscectomy* Arthroscopic total medial meniscectomy* Diagnostic arthroscopy of knee joint Cemented unicompartmental knee replacement Referral to orthopaedic service Replacement of total knee joint Section 4 Service Restriction Restricted: No Reason for Restriction: Restriction Comments: Authorised Services: Authorised Organisations: Authorised Referrers:

7 Section 5 Priorities Supported and Indicative Wait Time Routine: Urgent: 13 days 13 days Section 6 Contact Information Service Contact Name: Contact Address: Sharon Bartlett & Laura Fields Choose & Book Coordinators FOXCOTE AVENUE BATH BUSINESS PARK PEASEDOWN ST. JOHN BATH BA2 8SF Contact Telephone Number: / Fax Number: Text Telephone Number: Address: sharon.bartlett@circlebath.co.uk Section 7 Service Personnel Workgroups: NV302_Bookings Administrators NV302_Knee Surgeons Allocated Clinicians: Section 8 Commissioning Section 9 Service Specific Booking Guidance Conditions Treated: Knee ligament injury Knee pain Meniscal tear Osteoarthritis of the Knee Soft tissue injuries Subluxation of knee. Swelling of the Knee Procedures Performed: Arthrodesis Aspiration of joint Diagnostic Arthroscopy Excision of Bursa / Ganglion, Muscle, tendon or ligament procedures Steroid injections for pain relief Steroid injections, Therapeutic Arthroscopy Total knee replacement, Unicompartmental knee replacement Exclusions: General Exclusions: 1. Patients who are under 18 years of age 2. Patients with an incapacitating disease that is a constant threat to life 3. Patients who are grossly obese and have a BMI> "2 Week Wait" patients to go through appropriate local NHS 2WW Pathway 5. Patients who have an unstable psychiatric disorder and are receiving psychiatric treatment. Clinic Specific Exclusions: NONE Suggested Investigations: Administrative Requirements:

8 Please attach a referral letter within five days including: Current condition Current medication Relevant medical history Past surgical history BP BMI. MRSA status (if known) Existing Blood Borne Virus Existing Bleeding Disorder Alcohol or Drug Dependency Service Notes: Alternative Services: Section 10 Instructions Thankyou for choosing Circle Bath. You will shortly receive a letter confirming your appointment. If you have any questions or queries please do not hesitate to contact us. By post CircleBath Foxcote Avenue Peasedown St John Bath BA2 8SQ By telephone or Section 11 Slot Management Polling Range from current date: 45 Approximate Polling Range: 03:00 AM Polling Frequency: Every 1 day, daily on M,T,W,Th,F,Sa,S Slot Reservation Period: 1 Provider System Organisation: CIRCLE BATH (NV302) Provider System: Section 12 Referral Correspondence Referral Letter Required: Freeze Time: 0 day Slot Protection Routine: 5 days Urgent: 3 days 2 Week Wait: 1 day