Anterior cruciate ligament injury

Who to Refer-

• Instability/Giving way
• Reduced ROM<90 degrees/ locked knee
• Positive lachmans/anterior drawer
• Surgical candidate is young (<40 yrs old) and active
• Unlikely to operate BMI >40

Urgent Referral Criteria

• Acute traumatic injury with confirmed ACL tear with no input prior to referral

How to refer

We accept referrals through SCI gateway for those who are based in Scotland.

We also accept e referrals through the below email address using the attached form for those who are based just on the other side of the border. 

E- Referral Email address - bor.orthoreferrals@borders.scot.nhs.uk

Referral form - E-Referral to Orthopaedics (Non Sci-Gateway)      

• X-Ray – AP & lateral to exclude #
• Primary care treatment
• Analgesia
• PRICE (Protection, Rest, Ice, Compression, Elevation)
• Walking aids eg crutch
• Physiotherapy referral at same time of ortho for prehab

Primary Knee Pathway - developed by First Contact Practitioners Primary Knee Pathway

orthopaedics@borders.scot.nhs.uk 

bor.orthoreferrals@borders.scot.nhs.uk