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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.

Statutory Authority:

MS s 176.105

History:

10 SR 1124

Published Electronically:

August 16, 2010

Official Publication of the State of Minnesota
Revisor of Statutes