Chapter 17 - Upper Extremities

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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".

Date modified:: 2019-02-12