Shoulders

Availability

North South North West Statewide

Pre-referral work-up

History

Refer to clinics if patient fails to respond to treatment or shows evidence of weakness and a history of trauma for the following:

  • Rotator cuff tendonitis/tears (only in patients under 70 years)
  • Pain/stiffness in shoulder including frozen shoulder
  • AC joint problems
  • Recurrent dislocation on instability of shoulder
  • Shoulder instability

All referrals should comply to referral standards and include in particular:

  • Duration of condition
  • Conservative management undertaken
  • Previous surgery on area

Tests

  • X-ray (True AP, scapular lateral and axillary lateral shoulder)
    • Must have X-RAY, regardless of USS/MRI or other imaging
  • U/S scan
  • Consider FBE, ESR & CRP

Interim/GP management

To refer a patient with this condition, please see the Orthopaedic Surgery clinic page for the full referral process and templates.

  • Anti-inflammatory medication
  • Physiotherapy
  • Cortisone injection if appropriate
  • Direct link to Health Pathways Shoulder or Humeral fractures folder

For more information please see the Tasmanian Health Pathways website.

Emergency

Urgent / category 1

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

RACGP Referral for Joint Replacement: A management guide for health providers

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED
– Phone: (03) 6777 6405  Fax: (03) 6348 7382
MCH ED
– Phone: (03) 6478 5120  Fax: (03) 6426 5115
NWRH ED
– Phone: (03) 6493 6340  Fax: (03) 6430 6691
RHH ED
– Phone: (03) 6166 6100  Fax: (03) 6222 8919

Urgent:
Urgent referrals (including fractures) should be accompanied by a phone call to the Registrar to organise urgent review in clinic and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment