GP Access to MRI Pathway

All criteria must apply

1. Less than 45 years old
   • Incidence of osteoarthritis, which is a relative contra indication to arthroscopic treatment, rises sharply over the age of 45

2. Clear history of trauma or twisting injury with immediate swelling
   • Associated with ligamentous disruption and/or displaced/unstable meniscal tear

3. Knee pain impairing ability to work or participate in sport, feeling of instability or intermittent locking

4. Non resolution of symptoms at 6 weeks.
   • Minor injuries which do not require intervention are likely to respond to conservative treatment in this time period

Exclusions

• Fixed locked knee
  • Emergency department referral for orthopaedic assessment required

• Not medically fit to be considered for surgery
• MRI not possible
• MRI contraindicated as per safety questionnaire
• Weight > 250kg (table limit)

Further details on pathway Document

All patients must have a radiograph of the knee prior to referral

• To assess for fracture, ossified intra articular body, osteochondral lesion or tumour
• Post injury
• Not more than 1 year prior to MRI request

Routine e-referral with a completed MRI safety questionnaire

• Waiting time as per current routine examination
• Queries regarding a request or safety questionnaire - please call 028 3756 3795
  or General Enquiries - 028 3756 1925
• All referrals will be vetted by a Consultant Radiologist