Document ID: chunk:federal_register_of_legislation:F2019L00238:reg:8
Version: federal_register_of_legislation:F2019L00238
Segment Type: reg
Provision Reference: reg 8
Character Range: 3407–6134

8               Factors that must exist
At least one of the following factors must exist before it can be said that, on the balance of probabilities, trigger finger or death from trigger finger is connected 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 diabetes mellitus before the clinical onset of trigger finger;
(4)          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.
(5)          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.
(6)          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.
(7)          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.
(8)          having diabetes mellitus before the clinical worsening of trigger finger;
(9)          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.
(10)      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.
(11)      inability to obtain appropriate clinical management for trigger finger.