Without other injury to the muscle - 10, 5327 Muscle, neoplasm of, malignant (excluding soft tissue sarcoma) - 100. Evaluate under the General Rating Formula. 7101 Hypertensive vascular disease(hypertension and isolated systolic hypertension). Record of consistent complaint of cardinal signs and symptoms of muscle disability as defined in paragraph (c) of this section, worse than those shown for moderately severe muscle injuries, and, if present, evidence of inability to keep up with work requirements. How to File a Claim on VA.gov (step-by-step)! 8711 Neuralgia, middle radicular group. Severe; associated with nausea, sweating, circulatory disturbance after meals, diarrhea, hypoglycemic symptoms, and weight loss with malnutrition and anemia, Moderate; less frequent episodes of epigastric disorders with characteristic mild circulatory symptoms after meals but with diarrhea and weight loss, Mild; infrequent episodes of epigastric distress with characteristic mild circulatory symptoms or continuous mild manifestations. 5203 Clavicle or scapula, impairment. The examiner must identify the disease, injury, or other pathologic process responsible for any visual impairment found. Tenosynovitis, tendinitis, tendinosis or tendinopathy. With remaining field of 16 to 30 degrees: Or evaluate each affected eye as 20/100 (6/30). 8724 Neuralgia, internal popliteal nerve (tibial). The functional loss may be due to absence of part, or all, of the necessary bones, joints and muscles, or associated structures, or to deformity, adhesions, defective innervation, or other pathology, or it may be due to pain, supported by adequate pathology and evidenced by the visible behavior of the claimant undertaking the motion. 6204 Peripheral vestibular disorders (Vertigo). The schedule for rating for mental disorders is set forth as follows: 9210 Other specified and unspecified schizophrenia spectrum and other psychotic disorders, 9301 Major or mild neurocognitive disorder due to HIV or other infections, 9304 Major or mild neurocognitive disorder due to traumatic brain injury, 9305 Major or mild vascular neurocognitive disorder, 9312 Major or mild neurocognitive disorder due to Alzheimer's disease, 9326 Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder, 9403 Specific phobia; social anxiety disorder (social phobia), 9416 Dissociative amnesia; dissociative identity disorder, 9417 Depersonalization/Derealization disorder, 9422 Other specified somatic symptom and related disorder, 9423 Unspecified somatic symptom and related disorder, 9424 Conversion disorder (functional neurological symptom disorder), 9433 Persistent depressive disorder (dysthymia), General Rating Formula for Mental Disorders. Evaluation September 9, 1975; evaluation September 22, 1978; evaluation January 12, 1998; criterion November 14, 2021. 4. You can 5221 Four digits of one hand, favorable ankylosis of: 5222 Three digits of one hand, favorable ankylosis of: 5223 Two digits of one hand, favorable ankylosis of: 5227 Ring or little finger, ankylosis of: With a gap of more than two inches (5.1 cm.) Examinations of visual fields or muscle function will be conducted only when there is a medical indication of disease or injury that may be associated with visual field defect or impaired muscle function. Tests of strength, endurance, or coordinated movements compared with the corresponding muscles of the uninjured side indicate severe impairment of function. There are diseases of the digestive system, particularly within the abdomen, which, while differing in the site of pathology, produce a common disability picture characterized in the main by varying degrees of abdominal distress or pain, anemia and disturbances in nutrition. It is also available for inspection at the National Archives and Records Administration (NARA). If accepted into our ELITE membership program, youll get free up-front access and permission to use $13,119 worth of proprietary VA claim resources, including access to our network of independent medical professionals for medical examinations, disability evaluations, and credible Medical Nexus Letters, which could help you get a HIGHER VA rating in LESS time. Brian isalso the CEOofMilitary Disability Made Easy, which is the worlds largest free searchable database for all things related to DoD disability and VA disability claims and has served more than 4,600,000 military members and veterans since its founding in 2013. Rate on impairment of function, 5329 Sarcoma, soft tissue (of muscle, fat, or fibrous connective tissue) - 100, Rate each affected muscle group separately and combine in accordance with. Criterion August 23, 1948; criterion February 1, 1962. Burn scar(s) of the head, face, or neck; scar(s) of the head, face, or neck due to other causes; or other disfigurement of the head, face, or neck. An evaluation of 20 percent is assigned for recurrent subluxation The VA disability rating for shoulder rotator cuff tear is typically around 10%-20%. Note. Department of Veterans Affairs examination is not required prior to assignment of prestabilization ratings; however, the fact that examination was accomplished will not preclude assignment of these benefits. 6023 Loss of eyebrows, complete, unilateral or bilateral, 6024 Loss of eyelashes, complete, unilateral or bilateral. Thus, with a 50 percent disability and a 30 percent disability, the combined value will be found to be 65 percent, but the 65 percent must be converted to 70 percent to represent the final degree of disability. 6831 Hypersensitivity pneumonitis (extrinsic allergic alveolitis). Group XIX Function: Abdominal wall and lower thorax. Title 38 was last amended 3/02/2023. 7110 Aortic aneurysm: ascending, thoracic, abdominal. The personality disorder will be rated as a dementia (e.g., diagnostic code 9304 or 9326). 8524 Internal popliteal nerve (tibial), paralysis. 6025 Disorders of the lacrimal apparatus (epiphora, dacrocystitis, etc.). Note (2): For the purposes of this diagnostic code, a treatment intervention occurs whenever a symptomatic patient requires intravenous pharmacologic adjustment, cardioversion, and/or ablation for symptom relief. As a Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy). 6305 Lymphatic filariasis, to include elephantiasis. The nephrosclerotic type, originating in hypertension or arteriosclerosis, develops slowly, with minimum laboratory findings, and is associated with natural progress. 6325 Hyperinfection syndrome or disseminated strongyloidiasis. Social interaction is frequently inappropriate. The basis of disability evaluations is the ability of the body as a whole, or of the psyche, or of a system or organ of the body to function under the ordinary conditions of daily life including employment. 5328 Muscle, neoplasm of, benign, postoperative. WebA total disability rating (100 percent) will be assigned without regard to other provisions of the rating schedule when it is established that a service-connected disability has required Persistent depressive disorder (dysthymia). What are disabilities of the Skin for VA rating purposes? Exercise with undeveloped or unbalanced musculature, producing chronic irritation, can be an aggravating factor. Added June 9, 1952; evaluation January 12, 1998; title, note November 14, 2021. Able to communicate by spoken and written language (expressive communication), and to comprehend spoken and written language. For purposes of evaluating conditions in 4.114, the term substantial weight loss means a loss of greater than 20 percent of the individual's baseline weight, sustained for three months or longer; and the term minor weight loss means a weight loss of 10 to 20 percent of the individual's baseline weight, sustained for three months or longer. Thereafter, the residual effects of hypothyroidism shall be rated under the appropriate diagnostic code(s) within the appropriate body system(s) (, Note (2): This evaluation shall continue for six months after initial diagnosis. As to frequency, competent, consistent lay testimony emphasizing convulsive and immediate post-convulsive characteristics may be accepted. 9900 Maxilla or mandible, chronic osteomyelitis, osteonecrosis, or osteoradionecrosis of. Ratings for inactive nonpulmonary tuberculosis initially entitled after August 19, 1968. The circulatory disturbances, especially of the lower extremity following injury in the popliteal space, must not be overlooked, and require rating generally as phlebitis. The first option for obtaining a VA disability rating for knee pain is to establish a direct service connection. Hypercalcemia (indicated by at least one of the following: Total Ca greater than 12 mg/dL (3-3.5 mmol/L), Ionized Ca greater than 5.6 mg/dL (2-2.5 mmol/L), creatinine clearance less than 60 mL/min, bone mineral density T-score less than 2.5 SD (below mean) at any site or previous fragility fracture). Group VII Function: Flexion of wrist and fingers. 6062 Blindness, both eyes, only light perception. No cardinal signs or symptoms of muscle disability as defined in paragraph (c) of this section. 9901 Mandible, loss of, complete, between angles. Total disability ratings for pension based on unemployability and age of the individual. Service department record or other evidence showing hospitalization for a prolonged period for treatment of wound. Neuralgia, internal popliteal nerve (tibial). 7822 Papulosquamous disorders not listed elsewhere. Musculocutaneous nerve (superficial peroneal), paralysis. Criterion September 9, 1975; removed October 7, 1996. 7101 Hypertensive vascular disease (hypertension and isolated systolic hypertension): Diastolic pressure predominantly 130 or more, Diastolic pressure predominantly 120 or more, Diastolic pressure predominantly 110 or more, or; systolic pressure predominantly 200 or more, Diastolic pressure predominantly 100 or more, or; systolic pressure predominantly 160 or more, or; minimum evaluation for an individual with a history of diastolic pressure predominantly 100 or more who requires continuous medication for control. 1 Review for entitlement to special monthly compensation under 3.350 of this chapter. Added June 9, 1996; evaluation June 9, 1996; criterion December 10, 2017; note. 9913 Teeth, loss of, due to loss of substance of body of maxilla or mandible without loss of continuity: Where the lost masticatory surface cannot be restored by suitable prosthesis: All upper and lower posterior teeth missing, All upper and lower anterior teeth missing, All upper and lower teeth on one side missing, Where the loss of masticatory surface can be restored by suitable prosthesis, With displacement, causing severe anterior or posterior open bite, With displacement, causing moderate anterior or posterior open bite, With displacement, causing mild anterior or posterior open bite. In the acquired condition, it is to be remembered that depression of the longitudinal arch, or the degree of depression, is not the essential feature. Note (2): Trophic changes include, but are not limited to, skin changes (thinning, atrophy, fissuring, ulceration, scarring, absence of hair) as well as nail changes (clubbing, deformities). When a partial disability results from disease or injury of both arms, or of both legs, or of paired skeletal muscles, the ratings for the disabilities of the right and left sides will be combined as usual, and 10 percent of this value will be added (i.e., not combined) before proceeding with further combinations, or converting to degree of disability. contact the publishing agency. 5016 Osteitis deformans (Pagets disease). With dietary restrictions to all mechanically altered foods, Without dietary restrictions to mechanically altered foods. After the excitement of finally having the rating you deserve wears off, you start asking questions. (d) Amputation or resection of metacarpal bones (more than one-half the bone lost) in multiple fingers injuries will require a rating of 10 percent added to (not combined with) the ratings, multiple finger amputations, subject to the amputation rule applied to the forearm. Criterion March 10, 1976; removed October 7, 1996. 5003 Degenerative arthritis, other than post-traumatic: Degenerative arthritis established by X-ray findings will be rated on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved (DC 5200 etc.). All Diagnostic Codes under Mental Disorders October 1, 1961; except as to evaluation for Diagnostic Codes 9500 through 9511 September 9, 1975. (e) For compensable muscle group injuries which are in the same anatomical region but do not act on the same joint, the evaluation for the most severely injured muscle group will be increased by one level and used as the combined evaluation for the affected muscle groups. Rate as for irritable colon syndrome, peritoneal adhesions, or colitis, ulcerative, depending upon the predominant disability picture. 5319 Group XIX Function: Abdominal wall and lower thorax. Choosing an item from Blindness, both eyes, only light perception. 6014 Malignant neoplasms of the eye, orbit, and adnexa (excluding skin): Malignant neoplasms of the eye, orbit, and adnexa (excluding skin) that require therapy that is comparable to those used for systemic malignancies, i.e., systemic chemotherapy, X-ray therapy more extensive than to the area of the eye, or surgery more extensive than enucleation, Note: Continue the 100 percent rating beyond the cessation of any surgical, X-ray, antineoplastic chemotherapy, or other therapeutic procedure. [29 FR 6718, May 22, 1964, as amended at 43 FR 45349, Oct. 2, 1978; 67 FR 48785, July 26, 2002]. The anatomical position is considered as 0, with two major exceptions: (a) Shoulder rotation - arm abducted to 90, elbow flexed to 90 with the position of the forearm reflecting the midpoint 0 between internal and external rotation of the shoulder; and (b) supination and pronation - the arm next to the body, elbow flexed to 90, and the forearm in midposition 0 between supination and pronation. The individual is thus 72 percent disabled, as shown in table I opposite 60 percent and under 30 percent. Note (2): An Addisonian episode, for VA purposes, is a less acute and less severe event than an Addisonian crisis and may consist of anorexia, nausea, vomiting, diarrhea, dehydration, weakness, malaise, orthostatic hypotension, or hypoglycemia, but no peripheral vascular collapse. This is an automated process for 7821 Cutaneous manifestations of collagen-vascular diseases not listed elsewhere (including scleroderma, calcinosis cutis, subacute cutaneous lupus erythematosus, and dermatomyositis). (3) Moderately severe disability of muscles -. Note (1): Bradycardia (bradyarrhythmia) refers to conduction abnormalities that produce a heart rate less than 60 beats/min. Subject to the provisions of 38 CFR 3.383(a), if visual impairment of only one eye is service-connected, the visual acuity of the other eye will be considered to be 20/40 for purposes of evaluating the service-connected visual impairment. The bilateral factor will be applied to such bilateral disabilities before other combinations are carried out and the rating for such disabilities including the bilateral factor in this section will be treated as 1 disability for the purpose of arranging in order of severity and for all further combinations. Most of the time, youll receive a musculoskeletal rating based on your shoulder range of motion if you were to lift your arm away from the side of your body. 9902 Mandible, loss of, including ramus, unilaterally or bilaterally: Not involving temporomandibular articulation. 4.42 Complete medical examination of injury cases. 8627 Neuritis, internal saphenous nerve. L. 90-493 apply the former evaluations pertaining to pulmonary tuberculosis are retained in 4.97. You still have options. Answer a few questions to check your eligibility. 8617 Neuritis, musculocutaneous nerve. (G) Induration or atrophy of an entire muscle following simple piercing by a projectile. 7916 Hyperpituitarism (prolactin secreting pituitary dysfunction): Note: Evaluate as malignant or benign neoplasm, as appropriate. For even routine and familiar decisions, occasionally unable to identify, understand, and weigh the alternatives, understand the consequences of choices, and make a reasonable decision. With very frequent completely prostrating and prolonged attacks productive of severe economic inadaptability, With characteristic prostrating attacks occurring on an average once a month over last several months, With characteristic prostrating attacks averaging one in 2 months over last several months. - Pensions, Bonuses, and Veterans' Relief, https://www.ecfr.gov/current/title-38/chapter-I/part-4. The variability of residuals following these fractures necessitates rating on specific residuals, faulty posture, limitation of motion, muscle injury, painful motion of the lumbar spine, manifest by muscle spasm, mild to moderate sciatic neuritis, peripheral nerve injury, or limitation of hip motion. 7631 Benign neoplasms of the breast and other injuries of the breast. 5312 Group XII Function: Dorsiflexion. Where diagnostic codes refer the decision maker to these specific areas of dysfunction, only the predominant area of dysfunction shall be considered for rating purposes. 8527 Internal saphenous nerve, paralysis. 6504 Nose, loss of part of, or scars(or evaluate as DC 7800, scars, disfiguring, head, face, or neck). Usually gets lost in unfamiliar surroundings, has difficulty reading maps, following directions, and judging distance. 7324 Distomiasis, intestinal or hepatic. The injured hand, or the most severely injured hand, of an ambidextrous individual will be considered the dominant hand for rating purposes. Malignant neoplasms of the eye, orbit, and adnexa (excluding skin). Note (1): After six months, rate on residuals under the appropriate diagnostic code(s) within the appropriate body system(s) based on a VA examination. 4.89 Ratings for inactive nonpulmonary tuberculosis in effect on August 19, 1968. section 356 of title 38, United States Code. 2. 6832 Pneumoconiosis (silicosis, anthracosis, etc.). I was granted 40% loss of extension on the knee and 10% for bursitis of the shoulder. This 20 percent rating or the 10 percent rating, when applicable, will be assigned once only to cover disability at all sites of previously active infection with a future ending date in the case of the 20 percent rating. Doctors treat less severe shoulder injuries with conservative measures such as physical therapy, rest, and ice. 6840 Diaphragm paralysis or paresis. Youve just been rated 100% disabled by the Veterans Affairs. Motor activity normal most of the time, but mildly slowed at times due to apraxia (inability to perform previously learned motor activities, despite normal motor function). Group XXII Function: Rotary and forward movements, head. (a) Associated with active tuberculosis involving other than the respiratory system. Enhanced content is provided to the user to provide additional context. Muscle atrophy must also be accurately measured and reported. Evaluation August 30, 2002; title, criterion, note August 13, 2018. 1 Also entitled to special monthly compensation. ): Note: Cystic diseases of the kidneys include, but are not limited to, polycystic disease, uremic medullary cystic disease, medullary sponge kidney, and similar conditions such as Alport's syndrome, cystinosis, primary oxalosis, and Fabry's disease. The psychotic or psychroneurotic disorder will be rated under the appropriate diagnostic code. Paraplegia with loss of use of both lower extremities and loss of anal and bladder sphincter control qualifies for subpar. Retinopathy or maculopathy not otherwise specified. Web5257 VA disability rating for knee instability: Excessive side to side motion or frequent dislocation of the knee. (1) Pulmonary function tests (PFT's) are required to evaluate these conditions except: (i) When the results of a maximum exercise capacity test are of record and are 20 ml/kg/min or less. Application of the general rating formula for diseases of the heart. Department of Veterans Affairs: medical research in relation to the Statement of Principles concerning Chronic Achilles Tendonitis or Achilles Bursitis, which cites the following as references: Plattner P and Mann R (1993) Disorders of Tendons. Evaluation September 22, 1978; criterion October 7, 1996. Learn what youve been missing so you can FINALLY get the disability rating and compensation youve earned for your service. If you file a Fully Developed Claim for your shoulder condition, you can expect to wait about 110 days for the VA to decide on your VA disability rating for shoulder pain (as of August 2022). Evaluation March 10, 1976; revised and moved to 5235-5243 September 26, 2003. or less between the fingertip(s) and the proximal transverse crease of the palm, with the finger(s) flexed to the extent possible, evaluate as favorable ankylosis. Once the signal reaches the visual cortex, it is interpreted by the brain so you can make sense of the environment. 4.129 Mental disorders due to traumatic stress. Added March 10, 1976; criterion February 3, 1988; removed November 7, 1996. If you are the surviving spouse of a disabled veteran who has passed away, youre eligible 1. Loss of use of both buttocks shall be deemed to exist when there is severe damage to muscle Group XVII, bilateral (diagnostic code number 5317) and additional disability rendering it impossible for the disabled person, without assistance, to rise from a seated position and from a stooped position (fingers to toes position) and to maintain postural stability (the pelvis upon head of femur). Criterion September 22, 1978; criterion August 26, 2002. Criterion March 10, 1976; criterion February 17, 1994; criterion November 14, 2021. 5011 Decompression illness: Rate manifestations under the appropriate diagnostic code within the affected body system, such as arthritis for musculoskeletal residuals; auditory system for vestibular residuals; respiratory system for pulmonary barotrauma residuals; and neurologic system for cerebrovascular accident residuals. 6042 Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy), 6062 No more than light perception in both eyes. Prestabilization rating from date of discharge from service. 8721 Neuralgia, external popliteal nerve (common peroneal). Renal disease caused by viral infection such as HIV, Hepatitis B, and Hepatitis C. Vulva or clitoris, disease or injury of (including vulvovaginitis). 7330 Intestine, fistula of, persistent, or after attempt at operative closure: 7331 Peritonitis, tuberculous, active or inactive: 7332 Rectum and anus, impairment of sphincter control: Extensive leakage and fairly frequent involuntary bowel movements, Occasional involuntary bowel movements, necessitating wearing of pad, Constant slight, or occasional moderate leakage, Great reduction of lumen, or extensive leakage, Moderate reduction of lumen, or moderate constant leakage, Moderate, persistent or frequently recurring, Mild with constant slight or occasional moderate leakage. 7005 Arteriosclerotic heart disease(coronary artery disease, Atherosclerotic heart disease, Ischemic heart disease). 6018 Chronic conjunctivitis (nontrachomatous): Evaluate based on visual impairment or, in the absence of visual impairment, on disfigurement (diagnostic code 7800). My hip and thigh conditions have worsened. 8311 Neuritis, eleventh cranial nerve. Evaluation March 10, 1976; criterion October 23, 1995; title December 9, 2018; criterion December 9, 2018. Involving temporomandibular articulation. [With the exceptions noted, disability from the following diseases and their residuals may be rated from 10 percent to 100 percent in proportion to the impairment of motor, sensory, or mental function. A veteran may be considered as unemployable upon termination of employment which was provided on account of disability, or in which special consideration was given on account of the same, when it is satisfactorily shown that he or she is unable to secure further employment. 7541 Renal involvement in diabetes mellitus type I or II. 7615 Ovary, disease, injury, or adhesions of. Permitting passage of liquids only, with marked impairment of general health. VA Rating Criteria for GERD: 10 percent a veteran is rated at 10% if they have two or more of the common signs of GERD from the 30% schedule but not severe enough to justify the full 30% rating. Great care will be exercised in the selection of the applicable code number and in its citation on the rating sheet. 7627 Malignant neoplasms of gynecological system. 7802 Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck, that are not associated with underlying soft tissue damage: Five or more scars that are unstable or painful, Three or four scars that are unstable or painful, One or two scars that are unstable or painful. Neuritis, anterior crural (femoral) nerve. Group III Function: Elevation and abduction of arm. [40 FR 42535, Sept. 15, 1975, as amended at 54 FR 4281, Jan. 30, 1989; 55 FR 31580, Aug. 3, 1990; 58 FR 39664, July 26, 1993; 61 FR 52700, Oct. 8, 1996; 79 FR 2100, Jan. 13, 2014]. Group IV Function: Stabilization of shoulder. Binge eating followed by self-induced vomiting or other measures to prevent weight gain, or resistance to weight gain even when below expected minimum weight, with diagnosis of an eating disorder but without incapacitating episodes. Estimate your 2023 VA Rating & Compensation for FREE! 7121 Post-phlebitic syndrome of any etiology: With the following findings attributed to venous disease: Massive board-like edema with constant pain at rest, Persistent edema or subcutaneous induration, stasis pigmentation or eczema, and persistent ulceration, Persistent edema and stasis pigmentation or eczema, with or without intermittent ulceration, Persistent edema, incompletely relieved by elevation of extremity, with or without beginning stasis pigmentation or eczema, Intermittent edema of extremity or aching and fatigue in leg after prolonged standing or walking, with symptoms relieved by elevation of extremity or compression hosiery, Asymptomatic palpable or visible varicose veins, Arthralgia or other pain, numbness, or cold sensitivity plus two or more of the following: Tissue loss, nail abnormalities, color changes, locally impaired sensation, hyperhidrosis, anhydrosis, X-ray abnormalities (osteoporosis, subarticular punched-out lesions, or osteoarthritis), atrophy or fibrosis of the affected musculature, flexion or extension deformity of distal joints, volar fat pad loss in fingers or toes, avascular necrosis of bone, chronic ulceration, carpal or tarsal tunnel syndrome, Arthralgia or other pain, numbness, or cold sensitivity plus one of the following: Tissue loss, nail abnormalities, color changes, locally impaired sensation, hyperhidrosis, anhydrosis, X-ray abnormalities (osteoporosis, subarticular punched-out lesions, or osteoarthritis), atrophy or fibrosis of the affected musculature, flexion or extension deformity of distal joints, volar fat pad loss in fingers or toes, avascular necrosis of bone, chronic ulceration, carpal or tarsal tunnel syndrome, Arthralgia or other pain, numbness, or cold sensitivity. Following the total rating for the 2-year period after date of inactivity, the schedular evaluation for residuals of nonpulmonary tuberculosis. Subscribe to: Changes in Title 38 :: Chapter I :: Part 4. By Lorraine Netter, Contributing Author Free evaluation for disability benefits. Following surgery: Evaluate under DC 7114 (peripheral arterial disease). Disability from injuries to the muscles, nerves, and joints of an extremity may overlap to a great extent, so that special rules are included in the appropriate bodily system for their evaluation. Complete; all shoulder and elbow movements lost or severely affected, hand and wrist movements not affected, Complete; adduction, abduction and rotation of arm, flexion of elbow, and extension of wrist lost or severely affected, Complete; all intrinsic muscles of hand, and some or all of flexors of wrist and fingers, paralyzed (substantial loss of use of hand), Complete; drop of hand and fingers, wrist and fingers perpetually flexed, the thumb adducted falling within the line of the outer border of the index finger; can not extend hand at wrist, extend proximal phalanges of fingers, extend thumb, or make lateral movement of wrist; supination of hand, extension and flexion of elbow weakened, the loss of synergic motion of extensors impairs the hand grip seriously; total paralysis of the triceps occurs only as the greatest rarity, Complete; the hand inclined to the ulnar side, the index and middle fingers more extended than normally, considerable atrophy of the muscles of the thenar eminence, the thumb in the plane of the hand (ape hand); pronation incomplete and defective, absence of flexion of index finger and feeble flexion of middle finger, cannot make a fist, index and middle fingers remain extended; cannot flex distal phalanx of thumb, defective opposition and abduction of the thumb, at right angles to palm; flexion of wrist weakened; pain with trophic disturbances, Complete; the griffin claw deformity, due to flexor contraction of ring and little fingers, atrophy very marked in dorsal interspace and thenar and hypothenar eminences; loss of extension of ring and little fingers cannot spread the fingers (or reverse), cannot adduct the thumb; flexion of wrist weakened, Complete; weakness but not loss of flexion of elbow and supination of forearm, Complete; abduction of arm is impossible, outward rotation is weakened; muscles supplied are deltoid and teres minor, Complete; inability to raise arm above shoulder level, winged scapula deformity, Complete; the foot dangles and drops, no active movement possible of muscles below the knee, flexion of knee weakened or (very rarely) lost, Complete; foot drop and slight droop of first phalanges of all toes, cannot dorsiflex the foot, extension (dorsal flexion) of proximal phalanges of toes lost; abduction of foot lost, adduction weakened; anesthesia covers entire dorsum of foot and toes, Complete; plantar flexion lost, frank adduction of foot impossible, flexion and separation of toes abolished; no muscle in sole can move; in lesions of the nerve high in popliteal fossa, plantar flexion of foot is lost, Complete; paralysis of all muscles of sole of foot, frequently with painful paralysis of a causalgic nature; toes cannot be flexed; adduction is weakened; plantar flexion is impaired, Complete; paralysis of quadriceps extensor muscles, 8540 Soft-tissue sarcoma (of neurogenic origin).