Document ID: chunk:federal_register_of_legislation:F2019L00227:reg:8:p1
Version: federal_register_of_legislation:F2019L00227
Segment Type: reg
Provision Reference: reg 8 (pt 1/2)
Character Range: 3411–6443

8               Factors that must exist
At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting trigger finger or death from trigger finger with the circumstances of a person's relevant service:
(1)          performing repetitive activities or forceful activities using the affected hand, for a cumulative period of at least 500 hours within the six months before the clinical onset of trigger finger;
Note:  forceful activities and repetitive activities are defined in the Schedule 1 - Dictionary.
(2)          having acute trauma involving the affected tendon or tendon sheath, within the one year before the clinical onset of trigger finger;
Note:  Examples of acute trauma include, but are not limited to, a laceration, puncture, heavy blow, fracture and crush injury.
(3)          having carpal tunnel release involving the wrist on the affected side, within the one year before the clinical onset of trigger finger;
(4)          having diabetes mellitus before the clinical onset of trigger finger;
(5)          having a space occupying lesion involving the affected tendon or tendon sheath at the time of the clinical onset of trigger finger;
Note:  Examples of a space occupying lesion include, but are not limited to, amyloid deposit, gouty tophus, granuloma and post-surgery adhesion.
(6)          being treated with an aromatase inhibitor within the one year before the clinical onset of trigger finger;
Note:  Examples of aromatase inhibitors include, but are not limited to, anastrozole, exemestane and letrozole.
(7)          performing repetitive activities or forceful activities using the affected hand, for a cumulative period of at least 500 hours within the six months before the clinical worsening of trigger finger;
Note:  forceful activities and repetitive activities are defined in the Schedule 1 - Dictionary.
(8)          having acute trauma involving the affected tendon or tendon sheath, within the one year before the clinical worsening of trigger finger;
Note:  Examples of acute trauma include, but are not limited to, a laceration, puncture, heavy blow, fracture and crush injury.
(9)           having carpal tunnel release involving the wrist on the affected side, within the one year before the clinical worsening of trigger finger;
(10)      having diabetes mellitus before the clinical worsening of trigger finger;
(11)      having a space occupying lesion involving the affected tendon or tendon sheath at the time of the clinical worsening of trigger finger;
Note:  Examples of a space occupying lesion include, but are not limited to, amyloid deposit, gouty tophus, granuloma and post-surgery adhesion.
(12)      being treated with an aromatase inhibitor within the one year before the clinical worsening of trigger finger;
Note:  Examples of aromatase inhibitors include, but are not limited to, anastrozole, exemestane and letrozole.
(13)      inability to obtain appropriate clinical management for trigger