Knee Disability Rating?
- Thread starter GimpTight
- Start date
you can find them in VASRD long form, or in searchable format on the EFCR link:
http://www.ecfr.gov/cgi-bin/text-id...&rgn=div5&view=text&node=38:1.0.1.1.5&idno=38
Knee will be based on range of motion, with a minimum of 10% for evidence of pain, damage on X-ray/MRI etc.
5256 Knee, ankylosis of:
Extremely unfavorable, in flexion at an angle of 45° or more60
In flexion between 20° and 45°50
In flexion between 10° and 20°40
Favorable angle in full extension, or in slight flexion between 0° and 10°30
5257 Knee, other impairment of:
Recurrent subluxation or lateral instability:
Severe30
Moderate20
Slight10
5258 Cartilage, semilunar, dislocated, with frequent episodes of “locking,” pain, and effusion into the joint20
5259 Cartilage, semilunar, removal of, symptomatic10
5260 Leg, limitation of flexion of:
Flexion limited to 15°30
Flexion limited to 30°20
Flexion limited to 45°10
Flexion limited to 60°0
5261 Leg, limitation of extension of:
Extension limited to 45°50
Extension limited to 30°40
Extension limited to 20°30
Extension limited to 15°20
Extension limited to 10°10
http://www.ecfr.gov/cgi-bin/text-id...&rgn=div5&view=text&node=38:1.0.1.1.5&idno=38
Knee will be based on range of motion, with a minimum of 10% for evidence of pain, damage on X-ray/MRI etc.
5256 Knee, ankylosis of:
Extremely unfavorable, in flexion at an angle of 45° or more60
In flexion between 20° and 45°50
In flexion between 10° and 20°40
Favorable angle in full extension, or in slight flexion between 0° and 10°30
5257 Knee, other impairment of:
Recurrent subluxation or lateral instability:
Severe30
Moderate20
Slight10
5258 Cartilage, semilunar, dislocated, with frequent episodes of “locking,” pain, and effusion into the joint20
5259 Cartilage, semilunar, removal of, symptomatic10
5260 Leg, limitation of flexion of:
Flexion limited to 15°30
Flexion limited to 30°20
Flexion limited to 45°10
Flexion limited to 60°0
5261 Leg, limitation of extension of:
Extension limited to 45°50
Extension limited to 30°40
Extension limited to 20°30
Extension limited to 15°20
Extension limited to 10°10
I went in to have a meniscus tear repaired and they found arthritis in addition to the tear... make sure to check for any abnormality outside of the surgery you go in for.
they found a meniscus tear after the first patellar tendon rupture. the second surgery was a cadaver tendon with some screws and etc..I'm sure that there is more injury inside because i'm feeling that burning/stinging sensation inside my knee again...
It all sounds too familiar. I just had my 2 month check since surgery. I told the doc that there are still a bunch of "popping" sounds in my knee and that it is very tender when I take a knee. He checked ROM and basically said "you are all set". I asked him when I could start running again and he replied "oh no, you shouldn't run again, you are too young to have a knee replacement". WTF??? SO I guess I am stuck with VA 10% and a doc that says no running for life... which all rolls up into my on-going MEB for both the knees and other items.
I wont' fault the military doctors, but i will fault the military medical system. It's simply made to care for as many people as possible regardless of quality. I talked to my pcm about my knee and he said that they would only perform another MRI if another surgery was likely. This knee has been cut wide open twice and i don't think i can take another one. Maybe a scope, but being sliced open again i'm highly against. i already have about a 14-16 inch scar from the last damn surgeries..I'm 38 so i know knee replacement is on the horizon...
I have a question about your knee. So did you have pain still after they grafted the cadaver tissue? I ask because that is a possible treatment for my knee after my PEB is over (that or a scope, whichever the doc thinks would help more). If it wasn't for the meniscus tear, does it feel like your knee could handle a moderate level of physical activity?
I tell you what, the first time I had a ruptured patellar tendon the injury itself was worse than the surgery and recovery. This time it's the exact opposite. I had the surgery almost a year ago to date and bro it's not right..i have daily pain, swelling with too much walking or standing or sitting. Sucks.. my knee can't handle anything close to being intense..low levels of slow elliptical I try..but only with pain meds..
I hate to say it - thanks for making me feel so much better. I'm 44 and see knee replacement on the horizon. I got another opinion and the second Doc said that I can slowly work back into running but it would probably hurt for the next 3 to 6 months.
Dec 9- MEB INITIATED/VA CLAIM STARTED
Dec 19- QTC-Audio
Dec 23- QTC Psychological
Jan 03- QTC -General Medicine
Jan 7- QTC- Optometry (FINAL QTC APPT)
Jan 22- Per Ebenefits claim accepted from C&P Exams
Mar 13- FINALLY RECEIVED NARSUM!!!!
Mar 15- Received results from C&P exams from peblo via fed-ex
PERTINENT PHYSICAL EXAMNATION: The patient has a postoperative right knee with multiple scars, some mild anterior swelling, some limited range of motion due to pain from 0-20 with knee flexion.
PERTINENT DIAGNOSTIC TESTING/IMAGING AND RESULTS: Mri of both the wrist and the right knee, right knee showing patella tendon rupture, right wrist showing scapholunate dissociation.
Narsum is pretty brief but the last page stated this:
I have been informed that it is the recommendation of the Medical Board of Naval Hopsital Charleston that:
THE MEDICAL EVALUATION BOARD IS BEING FORWARDED TO THE PHYSICAL EVALUATION BOARD FOR ADJUDICATION.
LIMITATIONS ARE:
STATION IN CONUS NEAR MTF WITH SPECIALTY CARE CAPABILITIES. NO PRT, NO OVERSEAS, NO SHIPBOARD DUTY, AND NO DEPLOYMENTS.
Dec 19- QTC-Audio
Dec 23- QTC Psychological
Jan 03- QTC -General Medicine
Jan 7- QTC- Optometry (FINAL QTC APPT)
Jan 22- Per Ebenefits claim accepted from C&P Exams
Mar 13- FINALLY RECEIVED NARSUM!!!!
Mar 15- Received results from C&P exams from peblo via fed-ex
PERTINENT PHYSICAL EXAMNATION: The patient has a postoperative right knee with multiple scars, some mild anterior swelling, some limited range of motion due to pain from 0-20 with knee flexion.
PERTINENT DIAGNOSTIC TESTING/IMAGING AND RESULTS: Mri of both the wrist and the right knee, right knee showing patella tendon rupture, right wrist showing scapholunate dissociation.
Narsum is pretty brief but the last page stated this:
I have been informed that it is the recommendation of the Medical Board of Naval Hopsital Charleston that:
THE MEDICAL EVALUATION BOARD IS BEING FORWARDED TO THE PHYSICAL EVALUATION BOARD FOR ADJUDICATION.
LIMITATIONS ARE:
STATION IN CONUS NEAR MTF WITH SPECIALTY CARE CAPABILITIES. NO PRT, NO OVERSEAS, NO SHIPBOARD DUTY, AND NO DEPLOYMENTS.
Are you planning on going through the VA for this?
Possibly. The surgeon I was talking to is at Ft. Belvoir, however there is a good chance that I would be unable to use him as he is active duty at an MTF. I would want a very good doc to do the scope though, as it would be the third surgery on the same knee and there must be no mistakes; it would be too devastating if one was made.
This is what I was getting at. I wanted to make sure you did not have the expectation of the military doing the surgery after the PEB is done. If it needs to be done, you would have to do it now to get that Dr to do it. That will also depend on whether it is needed, or something you want done.
Joe