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Painful/stiff wrist


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • History of trauma – consider upper limb trauma criteria
    • Rapid deterioration in function
  • Category 2
    (appointment within 90 calendar days)
    • No category 2 criteria
  • Category 3
    (appointment within 365 calendar days)
    • Painful/stiff wrist >3 months

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • History of fall or trauma
  • Functional assessment (ROM)
  • XR results - AP and lateral wrist (consider scaphoid views) - instruct patient to bring imaging films/results to clinic appointment

3. Additional referral information Useful for processing the referral

  • Management to date
  • FBC ESR & CRP results if inflammation is suspected

4. Request

Last updated: 13 June 2023