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17.01 - Assessment for Upper Extremities
1. Assessments for loss, loss of the use of, or impairment of upper extremities are shown is the Table to Article 17.01.
| Table to Article 17.01 | ||
|---|---|---|
| 1. | Little Finger | |
| Loss of one phalanx | 1% | |
| Loss of two phalanges | 2% | |
| Loss of three phalanges | 3% | |
| 2. | Ring Finger | |
| Loss of one phalanx | 1% | |
| Loss of two phalanges | 3% | |
| Loss of three phalanges | 5% | |
| 3. | Middle Finger | |
| Loss of one phalanx | 2% | |
| Loss of two phalanges | 3% | |
| Loss of three phalanges | 5% | |
| 4. | Index Finger | |
| Loss of one phalanx | 4% | |
| Loss of two phalanges | 7% | |
| Loss of three phalanges | 10% | |
| 5. | Thumb | |
| Loss of one phalanx | 10% | |
| Loss of two phalanges | 15% | |
| Above plus metacarpal | 20% | |
| 6. | Loss of part of one hand (suggested examples with estimate of incapacity) | |
| (a) Thumb and index | 10% | |
| (b) Thumb, index and middle | 45% | |
| (c) Index and middle | 15% | |
| (d) Index, middle and ring | 25% | |
| (e) Index, middle, ring and little | 45% | |
| (f) Middle, ring and little | 25% | |
| (g) Ring and little | 10% | |
| (h) Thumb, index, middle and ring | 50% | |
| 7. | Loss of one hand | 60% |
| 8. | Loss of two thumbs (two phalanges only) | 40% |
| 9. | Loss of two thumbs (with metacarpal bones) | 45% |
| 10. | Loss of all fingers, or all but one on both hands | 100% |
| 11. | Loss of pronation and supination forearm | 15% |
| 12. | Loss of forearm from above disarticulation at wrist to 3 inches below the tip of the olecranon process. | 70% |
| 13. | Loss of forearm 3 inches below the tip of the olecranon to loss of arm below the level of the insertion of the deltoid muscle. | 80% |
| 14. | Loss of arm above the insertion of the deltoid muscle. | 85% |
| 15. | Bony fusion wrist optimum position. Pronation and supination satisfactory. | 20% |
| 16. | Bony fusion of elbow, optimum position. Pronation and supination free. | 20% |
| 17. | Bony fusion of shoulder joint, optimum position. | 20% |
| 18. | Injuries of nerves of upper extremity. Complete loss of function. | |
| (a) Brachial plexus | 80% | |
| (b) Radial | 50% | |
| (c) Median | 40% | |
| (d) Ulnar | 30% | |
| N. B. The assessment when the fusion is not in optimum functional position, will exceed that for "optimum position". | ||