Minn. R. agency 151, ch. 5223, pt. 5223.0080

Current through Register Vol. 49, No. 24, December 9, 2024

Part 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.

Minn. R. agency 151, ch. 5223, pt. 5223.0080

10 SR 1124

Statutory Authority: MS s 176.105