Document ID: chunk:federal_register_of_legislation:F2019L00644:reg:9:p2
Version: federal_register_of_legislation:F2019L00644
Segment Type: reg
Provision Reference: reg 9 (pt 2/2)
Character Range: 6637–9179

of the clinical onset of joint instability;
(11)      having physical trauma to the affected joint at the time of the clinical worsening of joint instability;
            Note: Examples of activities and circumstances involving trauma to the affected joint include, but are not limited to, falls, collisions, lifting weights, push ups, pull ups, throwing objects, seizure and electrical injury.
(12)      having damage to a soft tissue structure as specified before the clinical worsening of joint instability;
Note: soft tissue structure as specified is defined in the Schedule 1 – Dictionary.
(13)      having a fracture or bony abnormality involving the articulating surfaces of the affected joint before the clinical worsening of joint instability;
            Note: Examples of conditions which can cause a bony abnormality include, but are not limited to, osteonecrosis, dysbaric osteonecrosis and femoroacetabular impingement.
(14)      having a disease process as specified affecting the normal structural or functional relationship between the articulating surfaces of the affected joint at the time of the clinical worsening of joint instability;
Note: disease process as specified is defined in the Schedule 1 - Dictionary.
(15)      for temporomandibular joint instability only, undertaking an activity or undergoing a medical procedure that involves wide opening of the mouth at the time of the clinical worsening of joint instability;
            Note 1: Examples of activities which may involve wide mouth opening include, but are not limited to, yawning, laughing, vomiting, coughing, and chewing large pieces of food.
            Note 2: Examples of medical procedures that involve wide mouth opening include, but are not limited to, dental procedures, direct laryngoscopy, and intravenous administration of medications which cause drug-induced yawning.
(16)      for total hip prosthesis joint instability only, having lumbar spondylosis, lumbar intervertebral disc prolapse, lumbar spondylolisthesis, lumbar spinal stenosis or lumbar spinal fusion at the time of the clinical worsening of joint instability;
(17)      for total hip joint prosthesis joint instability only, being obese at the time of the clinical worsening of joint instability;
Note: being obese is defined in the Schedule 1 - Dictionary.
(18)      for tibiofemoral joint instability only, having morbid obesity at the time of the clinical worsening of joint instability;
(19)      inability to obtain appropriate clinical management for joint instability.