Minn. R. Part 5223.0080

Current through Register Vol. 48, No. 48, May 28, 2024
Part 5223.0080 - MUSCULOSKELETAL SCHEDULE; AMPUTATIONS OF UPPER EXTREMITY

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

A. forequarter amputation, 70 percent;
B. disarticulation 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 joint 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 all fingers except thumb at metacarpophalangeal joints, 32.5 percent;
K. amputation of thumb:
(1) at metacarpophalangeal joint or with resection of metacarpal bone, 21.5 percent;
(2) at interphalangeal joint or through proximal phalanx, 16 percent;
(3) from interphalangeal joint to midportion distal phalanx, 13 percent;
(4) from middistal phalanx, distal, 6 percent;
L. amputation of index finger:
(1) at metacarpophalangeal joint or with resection of metacarpal bone or through proximal phalanx, 13.5 percent;
(2) at proximal interphalangeal joint or through middle phalanx, 11 percent;
(3) at distal interphalangeal joint to middistal phalanx, 5 percent;
(4) from middistal phalanx, distal, 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, 9 percent;
(3) at distal interphalangeal joint to middistal phalanx, 5 percent;
(4) from middistal phalanx, distal, 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;
(2) at proximal interphalangeal joint or through middle phalanx, 4 percent;
(3) at distal interphalangeal joint to middistal phalanx, 3 percent;
(4) from middistal phalanx, distal, 1.5 percent;
O. amputation of little finger:
(1) at metacarpophalangeal joint or with resection of metacarpal bone or through proximal phalanx, 3 percent;
(2) at proximal interphalangeal joint or through middle phalanx, 2 percent;
(3) at distal interphalangeal joint to middistal phalanx, 1 percent;
(4) from middistal phalanx, distal, 0.5 percent.

Minn. R. Part 5223.0080

10 SR 1124

Statutory Authority: MS s 176.105