Minn. R. agency 151, ch. 5223, pt. 5223.0130 - MUSCULOSKELETAL SCHEDULE; WRIST
Subpart
1.
General.
Permanent partial disability of wrist is disability of the whole body as set in subparts 2 and 3.
Subp. 2.
Range of motion.
A. Excision distal end of ulna, flexion and
extension credited with 75 percent of hand, and rotation 25 percent of hand, 5
percent;
B. Total ankylosis in
optimum position, 19 percent;
C.
Total ankylosis in malposition of extreme flexion or extension, 25
percent;
D. Limitation of motion:
(1) mild, rotation normal, loss of 15 degrees
palmar flexion and loss of 20 degrees dorsiflexion, 5 percent;
(2) moderate, rotation limited to 60 degrees
in pronation-supination, loss of 25 degrees palmar flexion, loss of 30 degrees
dorsiflexion, 10 percent; or
(3)
severe, rotation limited to 30 degrees in pronation-supination, palmer flexion
less than 25 degrees, dorsiflexion less than 30 degrees, 15 percent.
Subp. 3.
Procedure or conditions.
A.
Colles/Smith, extra-articular:
(1) no loss of
motion, 0 percent;
(2) mild loss of
motion as defined in subpart 2, item D, subitem (1), 3 percent.
B. Colles/Smith/Barton,
intra-articula:
(1) no loss of motion, 0
percent;
(2) mild loss of motion as
defined in subpart 2, item D, subitem (1), 6 percent;
(3) moderate loss of motion as defined in
subpart 2, item D, subitem (2), 10 percent.
C. Carpal bone fracture, no loss of motion, 3
percent.
D. Carpal dislocation,
mild loss of motion as defined in subpart 2, item D, subitem (1), 6
percent.
E. Carpal tunnel release,
0.5 percent.
F. Carpal tunnel
release with moderate paresthesias, 3 percent.
G. DeQuervain's release, 0 percent.
H. Ganglion excision, 0 percent.
I. Scaphoid graft, 3 percent.
Notes
Statutory Authority: MS s 176.105
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