Red flags and referral

• Same day emergency assessment:

  • Any signs of joint infection e.g. erythema, fever
  • Unreduced dislocation
  • Acute trauma e.g. fracture
• Urgent OP assessment:

  • Suspected acute rotator cuff tear caused by trauma - history of trauma, significant pain/weakness, sudden loss of ability to actively raise arm
  • Concerns about malignancy refer via 2WW - cancer history, mass, lymphadenopathy
  • Inflammatory arthritis
  • Neurological lesion