19 Del. Admin. Code § 1342-E-4.0

Current through Register Vol. 27, No. 12, June 1, 2024

Section 1342-E-4.0 - History Taking and Physical Examination (HX & PE)

There are two standard procedures that should be utilized when initially diagnosing work-related shoulder instability. These procedures are generally accepted, well-established and widely used procedures that establish the foundation/basis for and dictate all other following stages of diagnostic and therapeutic procedures. When findings of clinical evaluations and those of other diagnostic procedures are not complementing each other, the objective clinical findings should have preference.

4.1 HISTORY TAKING should address at least the following for each shoulder injury diagnosis:

4.1.1 Occupational relationship, and

4.1.2 History of non-occupational injury and avocational pursuits need to be specifically documented.

4.2 PHYSICAL FINDINGS are specific to and addressed within each shoulder injury diagnosis noted in this section. Given the complexity of the shoulder mechanism, an evaluation for concomitant injury should be considered.

19 Del. Admin. Code § 1342-E-4.0