Referral to emergency
If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.
- nil
For clinical advice, please telephone the relevant metropolitan Local Health Network switchboard and ask to speak to the relevant specialty service.
Central Adelaide Local Health Network
- Royal Adelaide Hospital (08) 7074 0000
- The Queen Elizabeth Hospital (08) 8222 6000
Northern Adelaide Local Health Network
- Lyell McEwin Hospital (08) 8182 9000
- Modbury Hospital (08) 8161 2000
Southern Adelaide Local Health Network
- Flinders Medical Centre (08) 8204 5511
- Noarlunga Hospital (08) 8384 9222
Category 1 — appointment clinically indicated within 30 days
- nil
Category 2 — appointment clinically indicated within 90 days
- nil
Category 3 — appointment clinically indicated within 365 days
- associated with inflammatory arthropathy affecting other joints
- rapid deterioration in function
- unresponsive to maximal medical management
For more on outpatient referrals, see the general referral information.
Essential referral information
Completion required before first appointment to ensure patients are ready for care. Please indicate in the referral if the patient is unable to access mandatory tests or investigations as they incur a cost or are unavailable locally.
- identifies as Aboriginal and/or Torres Strait Islander
- relevant social history, including identifying if you feel your patient is from a vulnerable population and/or requires a third party to receive correspondence on their behalf
- interpreter requirements
- complete past medical history including relevant surgical history
- current medication list
- private health cover/compensable status e.g. WorkCover claims
- management history including:
- injury/trauma if relevant
- onset and duration
- pain - including severity
- associated features, e.g. functional impairment
- immobilisation/splint/cast
- allied health reports
- functional range of motion (ROM)
- plain X-ray anterior posterior/lateral views, include radiological details/accession number
Consideration of risks versus benefits of surgical intervention may include:
- age
- frailty
- additional comorbidities
- patient expectations of outcome
- patient suitable for surgery, engagement in self-management
- body mass index (BMI) and weight loss
- smoking/vaping status - if active, strongly consider referral for smoking/vaping cessation.
Optimisation of chronic medical conditions should occur as part of initial assessment and conservative management as this may impact on suitability for surgical intervention.
Patients with BMI ≥ 35 should be referred for weight loss management with or without bariatric opinion. Patients with BMI ≤ 40 may be considered for review with documented evidence of participation in attempts to lose weight.