Warning

 Serious generic pathologies

  • Malignancy
  • Major trauma
  • Infection/septic arthritis
  • Inflammatory arthhropathy
  • Neurological lesions
  • Vascular lesions.

Special questions:-

  • PMH malignancy
  • Major trauma
  • Structural deformity
  • Systemically unwell
  • Severe unremitting night pain
  • Non mechanical pain, constant or progressive
  • Systemic steroid use
  • PMH TB/HIV
  • History of intravenous drug abuse (IVDA)
  • Unexplained weight loss (5-10% body weight in 3-6 months)
  • Inflammatory signs and symptoms
  • Subjective history not matching objective findings
  • Weight loss
  • Fatigue/malaise
  • Night pain
  • History of minor trauma with osteoporosis
  • Alcohol/drug abuse
  • Smoking.

Editorial Information

Next review date: 01/10/2027

Author(s): Reid J.

Version: 01.0

Approved By: Trauma & Orthopaedics Acute Governance

Reviewer name(s): Reid J, Tanagho A.