Minnesota Administrative Rules

5223.0120 MUSCULOSKELETAL SCHEDULE; ELBOW.

Subpart 1.

General.

Permanent partial disability of the elbow is disability of the whole body as in subparts 2 and 3.

Subp. 2.

Range of motion.

Flexion and extension of forearm is 85 percent of the arm. Rotation of the forearm is 15 percent of the arm.

A.

Total ankylosis in optimum position approximating midway between 90 degrees flexion and 180 degrees extension, a 45-degree angle, 30 percent.

B.

Total ankylosis in malposition, 40 percent.

C.

Limitation of motion:

(1)

mild, motion limited from ten degrees flexion to 100 degrees of further flexion, 6 percent;

(2)

moderate, motion limited from 20 degrees flexion to 75 degrees of further flexion, 12 percent;

(3)

severe, motion limited from 45 degrees flexion to 90 degrees of further flexion, 21 percent.

D.

Flail elbow, pseudarthrosis above joint line, wide motion but very unstable, 39 percent.

E.

Resection head of radius, 9 percent.

Subp. 3.

Procedures or conditions.

A.

Radial or ulnar shaft fracture, full motion, 0 percent;

B.

Radial or ulnar fracture, open reduction, mild limitation of motion as defined in subpart 2, item C, 9 percent;

C.

Olecranon fracture, no loss of motion, 0 percent;

D.

Olecranon fracture, open reduction internal fixation, mild limitation of motion as defined in subpart 2, item C, 6 percent;

E.

Epicondylar fracture, no loss of motion, 0 percent;

F.

Epicondylar fracture, mild loss of motion as defined in subpart 2, item C, 6 percent;

G.

Release medial or lateral epicondyle, 2 percent;

H.

Ulnar nerve transposition, 2 percent.

Statutory Authority:

MS s 176.105

History:

10 SR 1124

Published Electronically:

August 7, 2013