Rating Schedule

SECTION 4: MUSCULOSKELETAL — LOWER EXTREMITIES

GREAT TOE

Table 1. Impairment due to amputation, abnormal motion and ankylosis of the Interphalangeal Joint of the Great Toe

Table 2. Impairment due to amputation, abnormal motion and ankylosis of the Metatarsophalangeal Joint of the Great Toe – Plantar-flexion

Table 3. Impairment due to amputation, abnormal motion and ankylosis of the Metatarsophalangeal Joint of the Great Toe – Dorsi-flexion

Patient’s position for evaluation of toes

2ND THROUGH 5TH TOES

Table 4. Impairment due to amputation, abnormal motion and ankylosis of the Distal Interphalangeal Joint of the 2nd through 5th toe – Dorsi-Plantar flexion

Table 5. Impairment due to amputation, abnormal motion and ankylosis of the Metatarsophalangeal Joint of the Second Toe – Dorsi-Plantar-flexion

Table 6. Impairment due to amputation, abnormal motion and ankylosis of the Proximal Interphalangeal Joint of the 2nd through 5th toe – Dorsi-Plantar flexion

Table 7. Impairment due to amputation, abnormal motion and ankylosis of the Metatarsophalangeal Joint of the Third Toe – Dorsi-Plantar-flexion

METATARSOPHALANGEAL JOINT OF 4TH AND 5TH TOES

Table 8. Impairment due to amputation, abnormal motion and ankylosis of the Metatarsophalangeal Joint of the Fourth Toe – Dorsi-Plantar-flexion

Table 9. Impairment due to amputation, abnormal motion and ankylosis of the Metatarsophalangeal Joint of the Fifth Toe – Dorsi-Plantar-flexion

Neutral Position of DIP Joint of Small Toe

Hammer Toe Ankylosis of Little Toe

Neutral Position of PIP Joint of Small Toes

Plantar-flexion Ankylosis of Small Toes

ANKLE (HIND FOOT)

Dorsi-Plantar Flexion

Table 10. Impairment due to amputation, abnormal motion and ankylosis of the Hind Foot (Ankle Joint Primarily) – Dorsi-Plantar-flexion

Dorsi- and Plantar-flexion of Hind Foot

Inversion/Eversion

Table 11. Impairment due to amputation, abnormal motion and ankylosis of the Hind Foot (Subtalar Joint Primarily) – Inversion/Eversion

Inversion of Hind Foot

Eversion of Hind Foot

OTHER DISORDERS OF THE ANKLE AND FOOT

Ankle

Disorders: ... Rating

Arthritis not to be rated less than 1 year after onset ... 5%—20% L.E.

Ligamentous instability ... 5%— 15% L.E.

Arthroplasty ... 5%—20% L.E.

Foot

Disorders: .. Rating

Arthritis, not to be rated less than 1 year after onset ... 5%—20% L.E.

Ligamentous instability ... 5%—15% L.E.

Arthroplasty ... 5%—20% L.E.

KNEE JOINT

Flexion/Extension

Table 12. Impairment due to amputation, abnormal motion and ankylosis of the Knee Joint

Other Disorders of the Knee

Table 13. Impairment ratings of the Lower Extremity for other disorders of the Knee

Neutral position of Knee

Flexion of Knee

HIP JOINT

Flexion

Table 14. Impairment due to amputation, abnormal motion and ankylosis of the Hip Joint – forward flexion

Extension

Table 15. Impairment due to amputation, abnormal motion and ankylosis of the Hip Joint – backward extension

Other Disorders of the Hip Joint

Disorder ... % Impairment of Lower Extremity

1. Anthroplasty ... 10-30

2. Non-union of hip fracture ... 30

3. Avascular necrosis of the hip ... 10-30

4. Loose hip prosthesis ... 40

5. Arthritis, not rated at less than 1 year after onset ... 5-20

Neutral position for extension of hip

Extension of hip

Neutral position for right hip

Placement of goniometer at right hip

Abduction/Adduction

Table 16. Impairment due to amputation, abnormal motion and ankylosis of the Hip Joint – abductionadduction

Abduction and Adduction of Right Hip

Rotation

Table 17. Impairment due to amputation, abnormal motion and ankylosis of the Hip Joint – rotation

Movement of foot as measure of internal and external rotation of Hip

LOWER EXTREMITY CONVERSION TABLES

Table 18. Relationship of Impairment of the Great Toe to impairment of the Foot

Table 19. Relationship of Impairment of the Foot to impairment of the Lower Extremity

Table 20. Relationship of Impairment of Second through Fifth Toes to impairment of the Foot

Table 21. Relationship of Impairment of the Lower Extremity to impairment of the Whole Person

AMPUTATION—TOE, FOOT, LOWER EXTREMITY

Table 22. Impairment of the Foot due to amputation and ankylosis of Multiple Digits

Table 23. Impairment of the Digits, Foot, Lower Extremity and Whole Person due to amputations

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