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American Family Children's Hospital
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Orthopedics and Rehabilitation Referral Guidelines

UW Health orthopedic physicians in Madison, Wisconsin, provide surgical care for a wide range of orthopedic disorders.
 
Referral Guidelines for:

 

Acetabular Labral Tears

  • Suggested tests/management: Dedicated hip MRI to evaluate for labral tears and cartilage degeneration
  • Evaluation and management suggestions prior to referral: Activity modification (recommend six weeks sports cessation), physical therapy, NSAIDS (daily, physician directed)
  • Patient is not a hip arthroscopy candidate if more than 55 years old, has a BMI greater than 35, is a smoker, has a HgA1C greater than 7.5 (diabetic patients), has isolated trochanteric bursitis
  • Appointment timeframe: first available
  • Contact: Call the Orthopedic Clinics at (608) 263-7540.

 

Arthritis of the Hip

  • Evaluation and management suggestions prior to referral: Activity modification, weight loss, body mass index less than 45, physical therapy, non-steroidal anti-inflammatory drugs (NSAIDS), HgA1C less than 7.5 for patients with diabetes, smoking cessation.
  • Patient is not a joint replacement candidate if on dialysis or if stented (cardiac or other vessel). Typically patients should have no elective surgery for the previous six to 12 months.
  • Patients should have evidence of arthritis in current x-rays: AP pelvis, frog views, and cross-table lateral of hip
  • Appointment timeframe: first available
  • Contact: Call the Orthopedic Clinics at (608) 263-7540. 

Arthritis of the Knee

  • Evaluation and management suggestions prior to referral: Activity modification, weight loss, body mass index less than 45, physical therapy, non-steroidal anti-inflammatory drugs (NSAIDS), HgA1C less than 7.5 for patients with diabetes.
  • Patient is not a joint replacement candidate if on dialysis or if stented (cardiac or other vessel). Typically patients should have no elective surgery for the previous six to 12 months.
  • Patients should have evidence of arthritis in current x-rays: Standing AP, lateral, Rosenberg and Laurin views of knee
  • Appointment timeframe: first available
  • Contact: Call the Orthopedic Clinics at (608) 263-7540.

 

Painful Total Hip Arthroplasty

  • Suggested tests/management:
    1. X-rays: AP, AP pelvis, and cross-table lateral of hip
    2. Erythrocyte sedimentation rate (ESR)/C-Reactive Protein (CRP)
    3. Aspiration of hip if ESR/CRP is elevated
    4. Bone scan
  • The Orthopedics Clinic will need operative notes and implant stickers from patient's original surgery faxed to (608) 262-8145 prior to appointment.
  • Current x-rays need to loaded to PACS system or mailed to the Orthopedics Clinic. Please call for address.
  • Appointment timeframe: to be determined by Joint Coordinator/Provider
  • Contact: Call the Orthopedic Clinics at (608) 263-7540.

 

Painful Total Knee Arthroplasty

  • Suggested tests/management:
    1. X-rays: Standing AP, lateral and sunrise views of knee
    2. Erythrocyte sedimentation rate (ESR)/C-Reactive Protein (CRP)
    3. Aspiration of knee if ESR/CRP is elevated, recommended to be done at UW Hospital
  • The Orthopedics Clinic will need operative notes and implant stickers from patient's original surgery faxed to (608) 262-8145 prior to appointment.
  • Current x-rays need to loaded to PACS system or mailed to the Orthopedics Clinic. Please call for address.
  • Appointment timeframe: to be determined by Joint Coordinator/Provider
  • Contact: Call the Orthopedic Clinics at (608) 263-7540.