Minn. R. Part 5223.0130

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

Minn. R. Part 5223.0130

10 SR 1124

Statutory Authority: MS s 176.105