Minn. R. Part 5223.0540

Current through Register Vol. 48, No. 51, June 17, 2024

Part 5223.0540 - MUSCULOSKELETAL SCHEDULE; AMPUTATIONS OF UPPER EXTREMITY

Subpart 1.Amputations.

Permanent partial impairment due to amputation of upper extremities is a disability of the whole body as follows:

A. amputation of the upper extremity at the shoulder, including removal of the ipsilateral scapula, clavicle, and muscles of the upper extremity attaching to the chest, 70 percent;

B. disarticulation, as defined in part 5223.0310, subpart 21, at shoulder joint, 60 percent;

C. amputation of arm above deltoid insertion, 60 percent;

D. amputation of arm between deltoid insertion and elbow joint, 57 percent;

E. disarticulation at elbow joint, 57 percent;

F. amputation of forearm below elbow but proximal to insertion of biceps tendon, 57 percent;

G. amputation of forearm below elbow joint distal to insertion of biceps tendon, 54 percent;

H. disarticulation at wrist joint, 54 percent;

I. midcarpal or midmetacarpal amputation of hand, 54 percent;

J. amputation of multiple digits, add as described in part 5223.0300, subpart 3, item F, the ratings obtained for the specific abnormalities in items K to O;

K. amputation of thumb:

(1) at metacarpophalangeal joint or with resection of metacarpal bone, 22 percent;

(2) through proximal phalanx, 16 percent;

(3) at interphalangeal joint to middle of distal phalanx, 11 percent;

(4) distal to middle of distal phalanx, 6.5 percent;

(5) isolated soft tissue loss of the end of the digit greater than one centimeter, five percent;

L. amputation of index finger:

(1) at metacarpophalangeal joint or with resection of metacarpal bone or through proximal phalanx, 11 percent;

(2) at proximal interphalangeal joint or through middle phalanx, nine percent;

(3) at distal interphalangeal joint to middle of distal phalanx, five percent;

(4) distal to middle of distal phalanx, 2.5 percent;

(5) isolated soft tissue loss of the end of the digit greater than one centimeter, 2.5 percent;

M. amputation of middle finger:

(1) at metacarpophalangeal joint or with resection of metacarpal bone or through proximal phalanx, 11 percent;

(2) at proximal interphalangeal joint or through middle phalanx, nine percent;

(3) at distal interphalangeal joint to middle of distal phalanx, five percent;

(4) distal to middle of distal phalanx, 2.5 percent;

(5) isolated soft tissue loss of the end of the digit greater than one centimeter, 2.5 percent;

N. amputation of ring finger:

(1) at metacarpophalangeal joint or with resection of metacarpal bone or through proximal phalanx, 5.5 percent; for dates of injury on or after August 9, 2010, at metacarpophalangeal joint or with resection of metacarpal bone or through proximal phalanx, five percent;

(2) at proximal interphalangeal joint or through middle phalanx, four percent;

(3) at distal interphalangeal joint to middle of distal phalanx, 2.5 percent;

(4) distal to middle of distal phalanx, one percent;

(5) isolated soft tissue loss of the end of the digit greater than one centimeter, one percent;

O. amputation of little finger:

(1) at metacarpophalangeal joint or with resection of metacarpal bone or through proximal phalanx, 5.5 percent; for dates of injury on or after August 9, 2010, at metacarpophalangeal joint or with resection of metacarpal bone or through proximal phalanx, five percent;

(2) at proximal interphalangeal joint or through middle phalanx, four percent;

(3) at distal interphalangeal joint to middle of distal phalanx, 2.5 percent;

(4) distal to middle of distal phalanx, one percent;

(5) isolated soft tissue loss of the end of the digit greater than one centimeter, one percent.

Minn. R. Part 5223.0540

17 SR 3364; 35 SR 138

Statutory Authority: MS s 176.105