Minnesota Administrative Rules

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.

Statutory Authority:

MS s 176.105

History:

10 SR 1124

Published Electronically:

August 7, 2013