The joint between the proximal and middle phalanges is called the proximal (PIP) joint. interphalangeal The joint between the middle and distal phalanges is called the distal (DIP) joint. interphalangeal The thumb has only two phalanges, the proximal phalanx and the distal phalanx. Therefore, each thumb has only a single joint, called the (IP) joint. interphalangeal The joints connecting the phalanges in the hands to the metacarpals are the (MCP) joints. metacarpophalangeal Designate either right or left for the digits of the hand. If the location of the injury is unclear, obtain x-rays to clarify the exact Note: point of injury. For more information on determining dominant handedness, refer Reference: to . The rating schedule for disabilities does not specifically list g. Rating Dupuytren’s contracture as a disease entity; therefore, assign an evaluation on the basis of Dupuytren’s Contracture of limitation of finger movement. the Hand 3. Evaluating Musculoskeletal Disabilities of the Spine and Lower Extremities Introduction This topic contains information on evaluating musculoskeletal disabilities of the spine and lower extremities, including evaluating manifestations of spine diseases and injuries definition of incapacitating episode of IVDS example of evaluating IVDS evaluating ankylosing spondylitis evaluating noncompensable knee conditions separate evaluations for knee instability and LOM separate evaluations LOM and meniscus disabilities – separate evaluations, knee instability and meniscus disabilities separate evaluations genu recurvatum – evaluating shin splint defining moderate and marked LOM of the ankle considering ankle instability evaluating plantar fasciitis, and identifying the digits of the foot.
The joint between the proximal and middle phalanges is called the proximal interphalangeal (PIP) joint. The joint between the middle and distal phalanges is called the distal interphalangeal (DIP) joint. The thumb has only two phalanges, the proximal phalanx and the distal phalanx. Therefore, each thumb has only a single joint, called the interphalangeal (IP) joint. The joints connecting the phalanges in the hands to the metacarpals are the metacarpophalangeal (MCP) joints. Designate either right or left for the digits of the hand. Note: If the location of the injury is unclear, obtain x-rays to clarify the exact point of injury. Reference: For more information on determining dominant handedness, refer to . g. Rating Dupuytren’s Contracture of the Hand The rating schedule for disabilities does not specifically list Dupuytren’s contracture as a disease entity; therefore, assign an evaluation on the basis of limitation of finger movement. 3. Evaluating Musculoskeletal Disabilities of the Spine and Lower Extremities Introduction This topic contains information on evaluating musculoskeletal disabilities of the spine and lower extremities, including evaluating manifestations of spine diseases and injuries definition of incapacitating episode of IVDS example of evaluating IVDS evaluating ankylosing spondylitis evaluating noncompensable knee conditions separate evaluations for knee instability and LOM separate evaluations – LOM and meniscus disabilities separate evaluations, knee instability and meniscus disabilities separate evaluations – genu recurvatum evaluating shin splint defining moderate and marked LOM of the ankle considering ankle instability evaluating plantar fasciitis, and identifying the digits of the foot.