Minn. R. agency 151, ch. 5223, pt. 5223.0110
Current through Register Vol. 49, No. 24, December 9, 2024
Part 5223.0110 - MUSCULOSKELETAL SCHEDULE; SHOULDERSubpart 1.General.For permanent partial disability to the shoulder, disability of the whole body is as in subparts 2 and 3.
Subp. 2.Range of motion.A. Total ankylosis in optimum position, abduction 60 degrees, flexion ten degrees, rotation, neutral position, 30 percent;B. Total ankylosis in mal-position, grade upward to 50 percent;C. Mild limitation of motion: no abduction beyond 90 degrees, rotation no more than 40 degrees with full flexion and extension, 3 percent;D. Moderate limitation of motion: no abduction beyond 60 degrees, rotation no more than 20 degrees, with flexion and extension limited to 30 degrees, 12 percent;E. Severe limitation of motion: no abduction beyond 25 degrees, rotation no more than ten degrees, flexion and extension limited to 20 degrees, 30 percent.Subp. 3.Procedures or conditions.A. Acromio clavicular separation of the following severity: B. Anterior or posterior shoulder dislocation, no surgery, single episode, 3 percent.C. Recurrent dislocation, at least three times in six months, 10 percent.D. Repair recurrent shoulder dislocation: (1) no loss of motion, 6 percent;(2) if mild limitation of motion, 9 percent;(3) if moderate or severe limitation of motion, rate as in subpart 2, items D and E.E. Resection distal end of clavicle, 3 percent.F. Humeral shaft fracture, normal range of motion both joints, 0 percent.G. Humeral shaft fracture, open reduction, mild restriction of shoulder and elbow motion, 6 percent. For moderate or severe limitation of motion, rate as in subpart 2, items D and E.H. Surgical neck fracture, healed, no loss of motion, 0 percent; if loss of motion, rate as in subpart 2.I. Greater tuberosity fracture, normal range of motion, 0 percent. If loss of motion, rate as in subpart 2.Minn. R. agency 151, ch. 5223, pt. 5223.0110
Statutory Authority: MS s 176.105