Shoulder Impairments

Doug W. Martin; J. Mark Melhorn

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15.22 Shoulder Impairments

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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

15-22-26 Distal Clavicle Resection (Acromioplasty)221,222

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 15-22 Shoulder Impairment
- DBI Table 15-22 Shoulder Impairment
- Step-by-Step Process for Impairment Rating With Further Guidance in Section 15.13
- 15-22a Shoulder Diagnostic Row, Class, and Grade
- 15-22b Measurement of Range of Motion of the Shoulder: Specific Individual Elements (SIEs) Approach
- 15-22c Instructions for Shoulder
15-22-00 Confirmed Diagnosis Corroborated by the Clinical History (Presentation) With No Residual Symptoms
15-22-01 Incongruent Clinical Presentation With Residual Symptoms
15-22-02 Incongruent Clinical Presentation With Reported Nonspecific Pain (Primary Pain)
15-22-03 Soft Tissue Disease or Event Healed Minor (ie, abrasion, bite, bruise, burn, contusion, laceration, puncture wound)*
15-22-04 Soft Tissue Disease or Event Healed Nonsuperficial
15-22-05 Sprain, Strain, Specific Traumatic Event, Tendonitis, Tendinosis, Nonspecific Tendonitis of Shoulder
15-22-06 Shoulder Bursitis or Impingement Syndrome With No ROM Loss or Instability200,201
15-22-07 Heterotopic Ossification or Calcific Tendinitis
15-22-08 Posttraumatic Shoulder Arthritis Without ROM Loss
15-22-09 Partial Rotator Cuff Disease202,203
15-22-10 Full Rotator Cuff Disease204-212
15-22-11 Labral Lesions and Superior Labrum From Anterior to Posterior (SLAP) Lesions
15-22-12 Long Head Biceps (dislocation/subluxation/rupture)
15-22-13 AC Joint Separation213,214
15-22-14 Instability Unidirectional or Multidirectional, Dislocation, and Hill-Sachs Lesion (subluxation, see shoulder sprain, strain)
15-22-15 Instability Multidirectional Bilateral
15-22-16 Joint Stiffness Shoulder With ROM Loss (from arthritis [ie, posttraumatic, septic, gouty, rheumatoid], tendon adhesions, fracture [ie, proximal humerus], adhesive capsulitis, frozen shoulder)
15-22-17 Loose Bodies or Chondral Lesions (not bone spur)
15-22-18 Arthrodesis Shoulder
15-22-19 Arthroplasty Shoulder (total shoulder arthroplasty [TSA] or reverse total shoulder arthroplasty [RSA])215,216
15-22-20 Arthroplasty Shoulder (resection)217
15-22-21 Arthroplasty Shoulder (hemiCAP or resurfacing)218,219
15-22-22 Hemiarthroplasty Shoulder220
15-22-23 Fracture Humeral Shaft Without ROM Loss
15-22-24 Fracture Scapula (body, neck, coracoid process) Without ROM Loss
15-22-25 AVN Humeral Head Without ROM Loss
15-22-26 Distal Clavicle Resection (Acromioplasty)221,222

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15.22 Shoulder Impairments

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