2. Evaluating Musculoskeletal Disabilities of the Upper Extremities Introduction This topic contains information on evaluating musculoskeletal disabilities of the upper extremities, including considering separate evaluations for disabilities of the shoulder and arm example of separate evaluations for disabilities of the shoulder and arm assigning separate evaluations for disabilities of the elbow, forearm, and wrist example of separate evaluations for multiple disabilities of the elbow, forearm, and wrist considering impairment of supination and pronation of the forearm identifying digits of the hand, and rating Dupuytren’s contracture of the hand. Change Date January 11, 2016 a. Considering Separate evaluations may be given for disabilities of the shoulder and arm Separate under if the manifestations represent separate and distinct symptomatology Evaluations for that are neither duplicative nor overlapping. Disabilities of the Shoulder For additional information concerning separate and distinct Reference: and Arm symptomatology, refer to , and , 6 Vet.App. 259 (1994). b. Example of A Veteran was involved in an automobile accident that resulted in Situation: Separate multiple injuries to the upper extremities. The Veteran sustained the Evaluations for following injuries Disabilities of the Shoulder a humeral fracture resulting in restriction of arm motion at shoulder level, and Arm and a clavicular fracture resulting in malunion of the clavicle. Result: assign a 20-percent evaluation for the impairment of the humerus under , and assign a separate 10-percent evaluation for malunion of the clavicle under . Notes:
2. Evaluating Musculoskeletal Disabilities of the Upper Extremities Introduction This topic contains information on evaluating musculoskeletal disabilities of the upper extremities, including considering separate evaluations for disabilities of the shoulder and arm example of separate evaluations for disabilities of the shoulder and arm assigning separate evaluations for disabilities of the elbow, forearm, and wrist example of separate evaluations for multiple disabilities of the elbow, forearm, and wrist considering impairment of supination and pronation of the forearm identifying digits of the hand, and rating Dupuytren’s contracture of the hand. Change Date January 11, 2016 a. Considering Separate Evaluations for Disabilities of the Shoulder and Arm Separate evaluations may be given for disabilities of the shoulder and arm under if the manifestations represent separate and distinct symptomatology that are neither duplicative nor overlapping. Reference: For additional information concerning separate and distinct symptomatology, refer to , and , 6 Vet.App. 259 (1994). b. Example of Separate Evaluations for Disabilities of the Shoulder and Arm Situation: A Veteran was involved in an automobile accident that resulted in multiple injuries to the upper extremities. The Veteran sustained the following injuries a humeral fracture resulting in restriction of arm motion at shoulder level, and a clavicular fracture resulting in malunion of the clavicle. Result: assign a 20-percent evaluation for the impairment of the humerus under , and assign a separate 10-percent evaluation for malunion of the clavicle under . Notes:
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