shoulder operation

Discussion in 'Joining Up - Royal Navy Recruiting' started by hughey, Jan 11, 2010.

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  1. alright lads just got a question if any one can help out i dislocated my shoulder in 2007 and had to have a operation and a srew put in to staibalise it ive not had any problems with it since and i box
    will this cause me to fail my medical? i have it at the end of the month .
  2. not sure but it will cause alot of complications i can tell you that

    They are very strict when it comes to medicals in the armed services now
  3. Hughey here is a cut and Paste of a sticky thread from the Newbies forum in which Ninja stoker an AFCO Man quotes the regulations concerning Medical Conditions which can effect Recruits. I've highlighted in RED the relevant part, Musculoskeletal Disorders, the rest of theC&P is worth reading though.
    You can wait for the hard word from ninja himself, but it seems you maybe going to have to go for another Pussers Medical after your Op, at the very least.

    Guidance Notes on Medical Standards For Entry
    Posted: Fri Jan 04, 2008 9:40 am

    Please note that the AFCO staff are not medically qualified and that the decision regarding medical suitability for enlistment is determined by selection medical staff.

    The aim of this thread, probably about to become longer , is to clarify the medical standards laid down to all applicants joining the Armed Forces. In general terms if an individual fails to meet the medical standard for a specific trade in one of the services, they will most likely do likewise in the equivalent trade in one of the other arms of the Services.

    Despite individual experience expressed to the contrary, the medical standards for entry are different for those currently serving personnel who may develop a condition “in service†which precludes entry, but does not always stop them continuing to serve after they have joined.

    Rather than enter into the semantics or “fairness†of the standards outlined below, those wishing to complain about it would be better off directing their complaint at the medical authorities who set the standard – they get paid a lot more than me anyway. The following is an extract from the AFCO Form 5, Application Form Information and Guidance Booklet that is given to every applicant (which invariably remain unread!). Any spelling errors are mine, my apologies:

    AFCO FORM 5 Revised Mar 07



    Fit to Serve. The Armed Forces require anyone who enters to be medically fit to serve world-wide.

    New entrants to the Armed Forces undergo Intensive training which is physically demanding and mentally taxing, therefore the Service medical authorities have to be made aware of your medical history. Your application will be rejected if you fail to meet the minimum acceptable medical standard for entry. Your medical history is confidential and is not disclosed to those not authorised to hold this information.

    The following initial medical examinations will take place for the:

    Unsuitable conditions..........

    Musculoskeletal disorders

    Any abnormality that interferes with the ability to undertake military training.
    Spinal abnormalities. Certain spinal operations. Recurrent back pain or sciatica.
    Joint disease, pain or limitation of joint movement. Hypermobility (laxity)
    of the joints, Bone or joint operations within the last 12 months. Anterior
    cruciate ligament reconstruction (subject to single Service policy). Recurrent
    joint dislocations. Severe deformity following fractures. Loss of a limb. Foot
    abnormalities (e.g. club foot, hammer toe). Complete loss of either big toe.
    Complete loss of either thumb. Arthritis and similar conditions.........

    Waiting list for an operation.......


    Rather than enter into the semantics or “fairness†of the standards outlined, those wishing to complain about it would be better off directing their complaint at the medical authorities who set the standard.

    Please note that the AFCO staff are not medically qualified and that the decision regarding medical suitability for enlistment is determined by selection medical staff.
  4. chears for your help lads
  5. Gather up all the documents you have from the surgery, initial examination and diagnosis notes, pre-op report, post-op report, any further reports you have had since. If you haven't got them then get in touch with your consultant's secretary and ask for a copy of all your notes. The doctor you see for your medical will need to see these because they can't tell anything from just looking from the outside, the tip is take everything you can find with you and then they are more able to make an informed decision rather that just sending you away to come back again or to go and see a specialist.

    Yeah cheers for that, how can you tell him it will cause a lot of complications right after saying you weren't sure? How do you know they are very strict when it comes to medicals in the armed FORCES now? That response was as much use as Anne Frank's drumkit now shhhhhhh :roll:
  6. Hughey

    Our resident Doc will be along at some point to add his opinion.

    In the meantime, highly recommend that you follow Lonestar's advice.

    With complex medical questions, candidates' cases are referred upwards so that the details can be looked at carefully. The medical specialists who consider these cases are very busy and it can take a while for the decision to come back, but don't be put off by this.
  7. One op to stabilise the shoulder after recurrent dislocation is fine - it shouldn't cause you any probs. I'm quite surprised you were operated on after just a single dislocation - usually operations are only required for those who get recurrent dislocations (usually it's around the double-figure mark by the time the waiting list comes down).

    As long as you have full range of movement and no ongoing pain or discomfort then you shouldn't have any probs. Copies of letters from your orthopaedic surgeon to your GP should be sufficient.

    RN Medical Officer
  8. they had to operate as i managed to brake of a bit of the bone from the rim of the socket witch is where the screw is . it only came out twice and i only went to hospital once where they scanned it and decided to stick a screw in it .thanks for the advice much appreciated
  9. Hughey: I doubt you would fail a medical for a remedial surgical procedure, especially since you have been boxing etc. Also it's 3 years ago and you've had no problems with it. Shoulder stabilisation means just that - stabilisation..good luck...p.s. our teams at work do these ops all the time and we have a good success rate..
  10. For general info of other posters - this does not apply to the original poster:
    If you have had an orthopaedic procedure/operation, resolution of your symptoms and lack of pain does not guarantee you will pass the medical to enter the Armed Forces. There are some rules based on the liklihood of recurrence and arthritis in the relatively short term after the operation.

    My advice, as an RN MO, is always ask. Be wary of the opinions of some on this site: they are just that - opinions. My posts are based on knowledge of the regulations and seeing how these things pan out in reality.

    The more jack of you will recognise the expression "the only thing you should assume is an NBCD state".

    Moderator, Health & Fitness
  11. dam it i had my medical Thursday just gone, they said my shoulder is to much of a liability to join so they failed me . i don't really understand why it is a liability it is solid I've had no problems for three years i past a medical two weeks ago for a boxing mach i train three times a week and train with waites there is no issues with it at all. Is there any thing i can do to challenge it i no the docs word is final but im willing to give any thing ago .
  12. You cannot challenge the medical standards as they are laid down in tri-service regulations. You can challenge their interpretation in an appeal - something the AFCO guys (Ninja Stoker or Super Mario) are much better informed about than I.

    Your operation is not a typical one required for a dislocated shoulder, and I suspect that is where the problem lies. One could say the dislocation is irrelevant - you have had a nasty shoulder fracture which required fixation. This increases the risk of arthritis and it is for that reason you failed the medical.

    For what it is worth, I suspect an appeal will come up with the same decision.
  13. Sorry to hear that mate, I'm waiting on an MRI scan to see what's wrong with my shoulder (possibly and Bankart or Sachs Hill lesion). Really worried about ending up failing my medical after having already passed selection :(

    Hughey check your PM

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