To refer a patient for treatment of a Shoulder or Elbow Periprosthetic Fracture, please complete this online referral form. In addition, you will need to forward all relevant images via IEP. Also available is a printable PDF version of the Periprosthetic fracture referral form.
Our referral criteria are found in the Referrals page.
After the referral has been submitted, an automated reply will confirm the referral has been received. The referrer will be contacted by the Shoulder and Elbow MDT coordinator regarding any images not available via IEP.
All referrals will be triaged within 72 hours and all cases will be discussed at the Shoulder and Elbow MDT meetings held at the RNOHT.
If the referral is urgent, in addition, please also contact:
Printed forms should be sent to:Shoulder and Elbow Unit,
Muriel Sands Building
Royal National Orthopaedic Hospital NHS Trust
Brockley Hill, Stanmore
Middlesex, HA7 4LP
|PDF version of the Periprosthetic fracture referral form.pdf||176 KB|