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".
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Head Injury - Acute (1) (Acute regarded as within first week of date of injury) |
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Reduced level of consciousness (1.i.a) |
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Neurological deficit (1.i.c) |
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Skull or facial bone fractures (1.i.d) |
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Head + Cervical Spine Injury – Acute (2) |
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CT Spine (bone or joint injury) depending on result spine x-ray (2.ii) |
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MRI – in selected cases following a CT (2.iii) |
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Head Injury – Sub a cute |
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Rotational axonal injury (2.d) |
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Chronic subdural haemorrhage |
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Head Injury – long-term sequela (3) |
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If convulsions present in semi acute phase, do CT first (3.b) |
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Epilepsy (contrast and additional sequences often required) (3.a) |
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Long-term structural changes (3.c) |
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Bone or joint injury (4.i) |
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Neurological signs (nerve root) (5.ii) |
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Vertebral body fracture (selected cases) (5.iii) |
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Spine – sub acute and long term sequela |
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Post-operative assessment (selected cases) (6iii) |
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Other organs / soft tissue |
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Complicated fractures and dislocations (10) |
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Muscle distal biceps insertion (9) |
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Cartilage, tendons, labrum, soft tissue of joints (8.iii.a) |
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Planning repair of joints (8.iii.b) |
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Knee, elbow, ankle (usually no contrast) (8.iii.d) |
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Shoulder, writ, hip (usually with contrast) (8.iii.c) |
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