Consultant upper limb surgeon assessing a patient's shoulder and wrist movement during a medico-legal examination
Specialist Reports

Upper limb consultant medico-legal reports

Independent reports on shoulder, elbow, wrist and hand injuries from GMC-registered consultant upper limb surgeons, prepared to CPR Part 35 standards for personal injury and clinical negligence claims across England and Wales.

The upper limb does fine work, so injuries to the shoulder, elbow, wrist and hand carry consequences out of proportion to their size. Expert Medical arranges independent reports from consultant upper limb surgeons covering rotator cuff tears, shoulder dislocations, elbow fractures, scaphoid and distal radius fractures, tendon and nerve injuries, and work-related upper limb disorders. Each report addresses diagnosis, causation, treatment and prognosis, including the effect on grip, dexterity and work.

Solicitors instruct upper limb reports in road traffic accident, workplace and public liability claims, and in employers' liability cases involving repetitive strain, vibration exposure or lifting injuries. Insurers ask for the same independent evidence when a claimed restriction needs objective assessment. Where hand function is central to the claimant's occupation, the report deals with loss of earnings capacity in concrete terms.

Upper limb surgeon assessing a patient's shoulder movement in clinic
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Surgeons who treat the whole upper limb

Reports come from GMC-registered consultant orthopaedic surgeons whose practice covers the shoulder, elbow, wrist and hand. That matters when a fall injures more than one joint, because a single expert can address the whole limb rather than the claim needing separate reports for each level of injury.

Upper limb consultant testing a patient's grip strength with a dynamometer
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Function assessed, not just anatomy

An upper limb report explains what the injury means in practice: grip strength, reach, fine dexterity, lifting tolerance and the ability to keep doing a manual or keyboard-based job. Where a work-related upper limb disorder is alleged, the surgeon examines the work history and gives a reasoned view on causation.

Upper limb consultant reviewing a wrist X-ray and case notes at a desk
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Prepared to CPR Part 35

Each report is addressed to the court, complies with CPR Part 35 and Practice Direction 35, and carries the expert's statement of truth and declaration of duty. The overriding duty is to the court whoever instructs, and the surgeon answers Part 35 questions from the other side where they arise.

Instruct an upper limb consultant

From a torn rotator cuff to a crushed hand, the value of the claim turns on function. Send us the papers and the issues in dispute, and we will match the case to a consultant upper limb surgeon and manage the report through to delivery.

  • Rotator cuff tears and shoulder impingement after trauma
  • Shoulder dislocation and instability following accidents
  • Elbow fractures, dislocations and stiffness
  • Distal radius and scaphoid fractures of the wrist
  • Hand injuries, including tendon, nerve and crush injuries
  • Work-related upper limb disorders and repetitive strain claims
  • Hand-arm vibration syndrome examined alongside occupational history
  • Opinion on grip, dexterity and capacity for manual work
  • Apportionment against pre-existing degenerative change
  • Part 35 question responses and joint expert statements
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