Document ID: chunk:federal_register_of_legislation:F2019L00008:reg:9:p3
Version: federal_register_of_legislation:F2019L00008
Segment Type: reg
Provision Reference: reg 9 (pt 3/4)
Character Range: 9208–12340

to the hand, wrist or forearm of the affected side, within the one year before the clinical worsening of Dupuytren disease;
Note 1: trauma is defined in the Schedule 1 - Dictionary.
            Note 2: Examples of trauma include, but are not limited to, laceration, sprain or crush injury, fracture or surgery, and a thermal, electrical or chemical burn.
(17)      having a clinically significant infection involving the palmar surface of the affected hand, within the three months before the clinical  worsening of Dupuytren disease;
Note:  clinically significant infection involving the palmar surface of the affected hand is defined in the Schedule 1 - Dictionary.
(18)      for bilateral Dupuytren disease only:
(a)          having trauma to the hand, wrist or forearm before the clinical worsening of Dupuytren disease, and where:
(i)            Dupuytren disease first worsened on the side affected by trauma; and
(ii)         Dupuytren disease worsened in both hands within the one year following the trauma; or
Note 1: trauma is defined in the Schedule 1 - Dictionary.
                Note 2: Examples of trauma include, but are not limited to, laceration, sprain or crush injury, fracture or surgery, and a thermal, electrical or chemical burn.
(b)          having a clinically significant infection involving the palmar surface of the affected hand before the clinical worsening of Dupuytren disease, and where:
(i)            Dupuytren disease first worsened on the side affected by the infection; and
(ii)         Dupuytren disease worsened in both hands within the three months following the infection;
               Note: clinically significant infection involving the palmar surface of the affected hand is defined in the Schedule 1 - Dictionary.
(19)      performing any combination of:
(a)          repetitive, strenuous or forceful activities using the affected hand; or
(b)          activities using a hand-held, vibrating or percussive tool in the affected hand;
for a cumulative period of at least 10 000 hours before the clinical worsening of Dupuytren disease; and where these activities have ceased, the clinical worsening of Dupuytren disease has occurred within five years of cessation;
            Note 1: Examples of repetitive, strenuous or forceful activities include, but are not limited to, handling, lifting, moving or carrying a load greater than ten kilograms; using large, hand-held power machinery; lifting, digging or shovelling; and participating in sports involving repetitive, strenuous or forceful activities such as tennis, rock climbing, hockey or baseball.
            Note 2: Examples of a hand-held, vibrating or percussive tool include, but are not limited to, screwdrivers, drills, chainsaws, jackhammers, boring machines and punching machines.
(20)      having diabetes mellitus before the clinical worsening of Dupuytren disease;
(21)      having epilepsy at the time of the clinical worsening of Dupuytren disease;
(22)      being treated with vemurafenib within the two years before the clinical worsening of Dupuytren disease;
(23)      inability to obtain appropriate clinical