Dislocated Shoulder - change in medical standards

Ninja_Stoker

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Good news, hopefully for those affected by repeat dislocations. JSP950 refers, change highlighted in the following quote in red.
JSP950 musculoskeletal said:
35. Shoulder.
Candidates with any functional limitation of shoulder movement are UNFIT. The following guidance is provided for candidates who have suffered shoulder dislocation. Subluxation requiring acute medical intervention should be considered as for dislocation. Each shoulder should be reviewed separately.

Clinical evaluationn should include an assessment looking for full ROM, with resisted assessment of the shoulder in external rotation and abduction. If this causes pain or a feeling of instability (where symptoms improve when the clinician supports the candidate’s shoulder by placing a hand on the anterior aspect), then the candidate is UNFIT.

a. In all cases, at least 12 months must have elapsed since the dislocation/surgery.

b. Candidates with a single episode of dislocation, who have full shoulder function, are asymptomatic, and with negative apprehension test be FIT subject to referral for further assessment.

c. Candidates with two or more dislocations (in the same shoulder), who are symptomatic, have evidence of early arthritic change or have a positive apprehension test are UNFIT.

d. Candidates with multiple dislocations (in the same shoulder), who subsequently undergo a stabilisation procedure and full rehabilitation and who go on to be asymptomatic and fully functional with a negative apprehension test are normally FIT.


Post surgery, cadidates will need to undergo a period of rehabilitation as determined by the service entry medical cell (SEMC), usually 12 months. Once discharged and signed off by the Physio candidates will need a discharge letter which includes a statement regarding whether negative apprehension is evident.

Candidates will then need to produce a 3 month upper body exercise diary as a demonstration there are no further issues.
 

Corona

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Do the medical standards change very often or is it just recently there have been a couple of big changes? It could be me only just noticing these threads more however.

Great news none the less
 

Ninja_Stoker

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Do the medical standards change very often or is it just recently there have been a couple of big changes? It could be me only just noticing these threads more however.

Great news none the less
The medical standards are under constant review, much the same as surgical procedures and outcomes improve over time.

It's just the fact an 'on the ball' careers adviser, who shall remain nameless [SIZE=1][COLOR=#ffffff]@CHUB![/COLOR][/SIZE], gives me a dig whenever a significant one, worthy of highlighting, crops up.

Bottom line is things DO change, so it's worth checking-in every so often if knocked back at medical.
 

Corona

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The medical standards are under constant review, much the same as surgical procedures and outcomes improve over time.

It's just the fact an 'on the ball' careers adviser, who shall remain nameless ([SIZE=1][COLOR=#ffffff]@CHUB![/COLOR][/SIZE]), gives me a dig whenever a significant one, worthy of highlighting, crops up.

Bottom line is things DO change, so it's worth checking-in every so often if knocked back at medical.
Ah right thanks
 

JayJ10255

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I was meant to start RT 20th October last year, 1 week before I dislocated my left shoulder for the first time, I got given a 12 month wait to re apply, and the last 3 months I had to keep a fitness diary, I also re applied after the 9 month mark to get the ball rolling knowing it would be a longer process than before. Once I re applied and got to the medical stage ( 2 weeks ago ) I initially got made TMU and after a long process I got to a face to face and passed, PJFT Tuesday.
 

Ninja_Stoker

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I was meant to start RT 20th October last year, 1 week before I dislocated my left shoulder for the first time, I got given a 12 month wait to re apply, and the last 3 months I had to keep a fitness diary, I also re applied after the 9 month mark to get the ball rolling knowing it would be a longer process than before. Once I re applied and got to the medical stage ( 2 weeks ago ) I initially got made TMU and after a long process I got to a face to face and passed, PJFT Tuesday.
Good effort that man. Have you got a date for PRMC yet or just waiting?
 

JayJ10255

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Good effort that man. Have you got a date for PRMC yet or just waiting?
Thanks ninja, Baring in mind I got MD’d 2 years ago prior to this it’s been a long old road haha! I’ve got my PJFT Tuesday so once that’s out the way I’ll try and get on the next available PRMC, hopefully there’s spaces in November!!
 

lenny22

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I was meant to start RT 20th October last year, 1 week before I dislocated my left shoulder for the first time, I got given a 12 month wait to re apply, and the last 3 months I had to keep a fitness diary, I also re applied after the 9 month mark to get the ball rolling knowing it would be a longer process than before. Once I re applied and got to the medical stage ( 2 weeks ago ) I initially got made TMU and after a long process I got to a face to face and passed, PJFT Tuesday.
Well done you
 

Ninja_Stoker

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Are all AFCO careers advisers aware of this change?
Probably not.

Contact your AFCO and request they verify your current medical status via the Service Entry Medical Cell (SEMC), by all means link to this thread.
 

scottishninja95

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Thanks ninja just seen this been off my feet with life at the moment, i was planning on going reserves but working ad hoc offshore isn’t going to work so busy looking for an onshore job, i have metal work in my shoulder which acts as a block. Ive got pretty much full range of movement back and feels better than ever,

What’s the view on metal work (two titanium screws)
 

cj2396

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Thanks ninja just seen this been off my feet with life at the moment, i was planning on going reserves but working ad hoc offshore isn’t going to work so busy looking for an onshore job, i have metal work in my shoulder which acts as a block. Ive got pretty much full range of movement back and feels better than ever,

What’s the view on metal work (two titanium screws)
I'm in exactly the same position. I've emailed local AFCO and awaiting a reply. It's frustrating that medical standards are not continuously updated on the RN site as the national careers advisers just direct you there.
 

African sunset

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I had shoulder stability surgery 4 years ago at 17 years old from a rugby injury, never fully dislocated!
Just passed joining test and eye sight test last week, wondering what they will say regarding to being passed fit with the medical? I have proof of all the physical activity I’ve done over the last year all written down in a note pad day by day also have all the medical letters sent to me from 4 years ago regarding my injury. Any ideas as what will happen?
Cheers ✌
 

jordthewhat

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I was meant to start RT 20th October last year, 1 week before I dislocated my left shoulder for the first time, I got given a 12 month wait to re apply, and the last 3 months I had to keep a fitness diary, I also re applied after the 9 month mark to get the ball rolling knowing it would be a longer process than before. Once I re applied and got to the medical stage ( 2 weeks ago ) I initially got made TMU and after a long process I got to a face to face and passed, PJFT Tuesday.
How did you get through this? Literally exactly the same as you dislocated my shoulder 9 months ago and re applied last week! Was my first dislocation
 

CpfcGeeza

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This is just the News I've been hoping for I had 3 dislocations and a stabilastion procedure over 2 years ago with no dislocations since I have full movement and no pain and feel great I sent my application in tonight. Providing I pass a medical what happens with regards to the physio mentioned above what exactly is the procedure there.
 

jordthewhat

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@BradT97 as long as you didn't have more than 2 dislocations in 1 year from the same shoulder as I was graded PMU last month because of this
 

CpfcGeeza

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@BradT97 as long as you didn't have more than 2 dislocations in 1 year from the same shoulder as I was graded PMU last month because of this

To me that dont make sense if you have had a stabilisation afterwards and its not happened since why does the time frame before the stabilisation matter are you going to appeal.
 

Ninja_Stoker

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Doubtless there's a medical reason behind the 12 month caveat. I guess the only way to find out is to provide the medical history at the same time as submitting the completed medical questionnaire (it saves a long wait).
 
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