ANNEXURE B
COIDA & RSSA - INDICATIONS FOR MR IMAGING OF INJURY ON DUTY PATIENTS
Select the appropriate injury, modality and indication. To be used in conjunction with a MRI/CT motivation. Refer also to the document "Guidelines for Imaging of MRI and other studies for Injury on Duty Patients".
| ❑ | Head Injury - Acute (1) (Acute regarded as within first week of date of injury) |
| ❑ | Reduced level of consciousness (1.i.a) |
| ❑ | Neurological deficit (1.i.c) |
| ❑ | Skull or facial bone fractures (1.i.d) |
| ❑ | Head + Cervical Spine Injury – Acute (2) |
| ❑ | CT Spine (bone or joint injury) depending on result spine x-ray (2.ii) |
| ❑ | MRI – in selected cases following a CT (2.iii) |
| ❑ | Head Injury – Sub a cute |
| ❑ | Rotational axonal injury (2.d) |
| ❑ | Chronic subdural haemorrhage |
| ❑ | Head Injury – long-term sequela (3) |
| ❑ | If convulsions present in semi acute phase, do CT first (3.b) |
| ❑ | Epilepsy (contrast and additional sequences often required) (3.a) |
| ❑ | Long-term structural changes (3.c) |
| ❑ | Bone or joint injury (4.i) |
| ❑ | Neurological signs (nerve root) (5.ii) |
| ❑ | Vertebral body fracture (selected cases) (5.iii) |
| ❑ | Spine – sub acute and long term sequela |
| ❑ | Post-operative assessment (selected cases) (6iii) |
| ❑ | Other organs / soft tissue |
| ❑ | Complicated fractures and dislocations (10) |
| ❑ | Muscle distal biceps insertion (9) |
| ❑ | Cartilage, tendons, labrum, soft tissue of joints (8.iii.a) |
| ❑ | Planning repair of joints (8.iii.b) |
| ❑ | Knee, elbow, ankle (usually no contrast) (8.iii.d) |
| ❑ | Shoulder, writ, hip (usually with contrast) (8.iii.c) |
