Referral to emergency
If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.
- acute Achilles tendon rupture
For clinical advice, please telephone the relevant metropolitan Local Health Network switchboard and ask to speak to the relevant specialty service.
Central Adelaide Local Health Network
Northern Adelaide Local Health Network
Southern Adelaide Local Health Network
Category 1 — appointment clinically indicated within 30 days
- acute Achilles tendon rupture (not seen in emergency department) ≤ 3 weeks
Category 2 — appointment clinically indicated within 90 days
- delayed presentation Achilles tendon rupture ≥ 4 weeks or incomplete tear
Category 3 — appointment clinically indicated within 365 days
- functional impairment with or without pain unresponsive to maximal medical management
For information on referral forms and how to import them, please view general referral information.
Essential referral information
Completion required before first appointment to ensure patients are ready for care. Please indicate in the referral if the patient is unable to access mandatory tests or investigations as they incur a cost or are unavailable locally.
- identifies as Aboriginal and/or Torres Strait Islander
- identify within your referral if you feel your patient is from a vulnerable population and/or requires a third party to receive correspondence on their behalf
- interpreter requirements
- complete past medical history
- current medication list
- functional range of motion (ROM)
- body mass index (BMI)
- previous surgery
- private health cover/compensable status e.g. WorkCover claims
- management history including:
- injury/trauma if relevant
- onset and duration
- associated features, e.g. swelling, instability
- functional impairment
- smoking/vaping status - if active, strongly consider referral for smoking/vaping cessation
Additional information to assist triage categorisation
- plantar fascia/Achilles ultrasound (US)
- alcohol and other drugs history including type, amount and frequency
Consideration of risks versus benefits of surgical intervention may include:
- additional comorbidities
- patient expectations of outcome
- patient suitable for surgery, engagement in self-management
- body mass index (BMI) and information about weight loss
- smoking/vaping status - if active, strongly consider referral for smoking/vaping cessation.
Optimisation of chronic medical conditions should occur as part of initial assessment and conservative management as this may impact on suitability for surgical intervention.
Patients with BMI ≥ 35 should be referred for weight loss management with or without bariatric opinion. Patients with BMI ≤ 40 may be considered for review with documented evidence of participation in attempts to lose weight.