Digit/Hand Impairment

Doug W. Martin; J. Mark Melhorn

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15.19 Digit/Hand Impairment

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Publication Date:: 12 Sep 2024

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Table 15-19: DBI Table Digit/Hand Impairment

Table 15-20: DBI Table Wrist Impairment

Table 15-21: DBI Table Elbow Impairment

Table 15-22: DBI Table Shoulder Impairment

Table 15-23f: DBI Table Digital Nerve Sensory Impairment

Table 15-23h: DBI Table Sensory-Only Peripheral Nerve Impairment

Table 15-23i: DBI Table Peripheral Nerve Impairment

Table 15-23j: DBI Table Brachial Plexus Impairment

Table 15-23k: DBI Table Entrapment Neuropathy Impairment

Table 15-23r: DBI Table Thoracic Outlet Syndrome Impairment

Table 15-25: DBI Table Amputation Impairment Upper Limb

Table 15-26: DBI Table Vascular Impairment Upper Limb

Table 15-27: DBI Table Complex Regional Pain Syndrome (CRPS) Impairment

Copyright:: © 2024 American Medical Association 2024

AMA Guides^® to the Evaluation of Permanent Impairment, Sixth Edition, 2024

Publisher:: American Medical Association

DOI:: https://doi.org/10.1001/978-1-64016-320-1

ISBN:: 9781640163201

Publication Date:: 12 Sep 2024

DBI Table 15-19 Digit/Hand Impairment
- DBI Table 15-19 Digit/Hand Impairment
- Step-by-Step Process for Impairment Rating With Further Guidance in Section 15.13
- 15-19a Digit (Thumb and Fingers)/Hand Diagnostic Row, Class, and Grade
- 15-19b Measurement of Range of Motion of the Digit (Thumbs and Fingers)/Hand: Specific Individual Elements (SIEs) Approach
- 15-19c Instructions for Digit/Hand
15-19-00 Confirmed Diagnosis Corroborated by the Clinical History (Presentation) With No Residual Symptoms
15-19-01 Incongruent Clinical Presentation With Residual Symptoms
15-19-02 Incongruent Clinical Presentation With Reported Nonspecific Pain (Primary Pain)
15-19-03 Soft Tissue Disease or Event Healed Superficial or Minor (ie, abrasion, bite, bruise, burn, contusion, laceration, puncture wound)*
15-19-04 Soft Tissue Disease or Event Healed Nonsuperficial
15-19-05 Sprain, Strain, Specific Traumatic Event, Tendonitis, Tendinosis, Nonspecific Tendonitis of Digit/Hand
15-19-06 Digital Stenosing Tenosynovitis, Trigger Digit
15-19-07 Dupuytren's Contracture*
15-19-08 Arthritis Posttraumatic Without ROM Loss, Reported by Joint (IP, DIP, PIP, MCP)
15-19-09 Instability Thumb IP Joint or Finger DIP Joint (eg, dislocation with residual)
15-19-10 Instability Finger PIP Joint (eg, dislocation with residual)
15-19-11 Instability Finger MCP Joint (eg, dislocation with residual)
15-19-12 Instability Thumb MCP Joint (eg, dislocation with residual)
15-19-13 Instability Thumb CMC Joint (eg, dislocation with residual)
15-19-14 Flexor Thumb IP Joint With ROM Loss (flexor tendon rupture/laceration)
15-19-15 Flexor Thumb MCP Joint With ROM Loss (flexor tendon rupture/laceration)
15-19-16 Flexor Finger DIP Joint With ROM Loss (flexor tendon rupture/laceration)
15-19-17 Flexor Finger PIP With ROM Loss (flexor tendon rupture/laceration)
15-19-18 Flexor Finger MCP With ROM Loss (flexor tendon rupture/laceration)
15-19-19 Extensor Thumb IP Joint With ROM Loss (flexor tendon rupture/laceration, posttraumatic tendon adhesions)
15-19-20 Extensor Thumb MCP Joint With ROM Loss (extensor tendon rupture/laceration)
15-19-21 Extensor Finger DIP Joint With ROM Loss (extensor tendon rupture/laceration)
15-19-22 Extensor Finger PIP With ROM Loss (extensor tendon rupture/laceration)
15-19-23 Extensor Finger MCP With ROM Loss (extensor tendon rupture/laceration)
15-19-24 Joint Stiffness Thumb IP ROM Loss (from posttraumatic tendon adhesions and/or arthritis; arthritis from septic, gouty, rheumatoid, etc; and/or fracture)
15-19-25 Joint Stiffness Thumb MCP ROM Loss (from posttraumatic tendon adhesions and/or arthritis; arthritis from septic, gouty, rheumatoid, etc; and/or fracture)
15-19-26 Joint Stiffness Thumb CMC ROM Loss (from posttraumatic tendon adhesions and/or arthritis; arthritis from septic, gouty, rheumatoid, etc; and/or fracture)
15-19-27 Joint Stiffness Finger DIP ROM Loss (from posttraumatic tendon adhesions and/or arthritis; arthritis from septic, gouty, rheumatoid, etc; and/or fracture)
15-19-28 Joint Stiffness Finger PIP ROM Loss (from posttraumatic tendon adhesions and/or arthritis; arthritis from septic, gouty, rheumatoid, etc; and/or fracture)
15-19-29 Joint Stiffness Finger MCP ROM Loss (from posttraumatic tendon adhesions and/or arthritis; arthritis from septic, gouty, rheumatoid, etc; and/or fracture)
15-19-30 Arthrodesis Thumb IP Joint171,172
15-19-31 Arthrodesis Thumb MCP Joint
15-19-32 Arthrodesis Thumb CMC Joint
15-19-33 Arthrodesis Finger DIP Joint
15-19-34 Arthrodesis Finger PIP Joint
15-19-35 Arthrodesis Finger MCP Joint
15-19-36 Arthroplasty Thumb IP Joint
15-19-37 Arthroplasty Thumb MCP Joint
15-19-38 Arthroplasty Thumb CMC Joint
15-19-39 Arthroplasty Finger DIP Joint*
15-19-40 Arthroplasty Finger PIP Joint*
15-19-41 Arthroplasty Finger MCP Joint*
15-19-42 Fracture Thumb Distal Phalanx*
15-19-43 Fracture Thumb Proximal Phalanx*
15-19-44 Fracture Thumb Metacarpal*
15-19-45 Fracture Thumb Metacarpal Base173 (intraarticular CMC joint)*
15-19-46 Fracture Finger Distal Phalanx*174
15-19-47 Fracture Finger Middle Phalanx*
15-19-48 Fracture Finger Proximal Phalanx*
15-19-49 Fracture Finger Metacarpal*175,176

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15.19 Digit/Hand Impairment

Table 15-19: DBI Table Digit/Hand Impairment

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