Minnesota Administrative Rules
Agency 151 - Labor and Industry Department
Chapter 5223 - DISABILITY SCHEDULES
Part 5223.0130 - MUSCULOSKELETAL SCHEDULE; WRIST

Universal Citation: MN Rules 5223.0130

Current through Register Vol. 49, No. 13, September 23, 2024

Subpart 1. General.

Permanent partial disability of wrist is disability of the whole body as set in subparts 2 and 3.

Subp. 2. Range of motion.

A. Excision distal end of ulna, flexion and extension credited with 75 percent of hand, and rotation 25 percent of hand, 5 percent;

B. Total ankylosis in optimum position, 19 percent;

C. Total ankylosis in malposition of extreme flexion or extension, 25 percent;

D. Limitation of motion:
(1) mild, rotation normal, loss of 15 degrees palmar flexion and loss of 20 degrees dorsiflexion, 5 percent;

(2) moderate, rotation limited to 60 degrees in pronation-supination, loss of 25 degrees palmar flexion, loss of 30 degrees dorsiflexion, 10 percent; or

(3) severe, rotation limited to 30 degrees in pronation-supination, palmer flexion less than 25 degrees, dorsiflexion less than 30 degrees, 15 percent.

Subp. 3. Procedure or conditions.

A. Colles/Smith, extra-articular:
(1) no loss of motion, 0 percent;

(2) mild loss of motion as defined in subpart 2, item D, subitem (1), 3 percent.

B. Colles/Smith/Barton, intra-articula:
(1) no loss of motion, 0 percent;

(2) mild loss of motion as defined in subpart 2, item D, subitem (1), 6 percent;

(3) moderate loss of motion as defined in subpart 2, item D, subitem (2), 10 percent.

C. Carpal bone fracture, no loss of motion, 3 percent.

D. Carpal dislocation, mild loss of motion as defined in subpart 2, item D, subitem (1), 6 percent.

E. Carpal tunnel release, 0.5 percent.

F. Carpal tunnel release with moderate paresthesias, 3 percent.

G. DeQuervain's release, 0 percent.

H. Ganglion excision, 0 percent.

I. Scaphoid graft, 3 percent.

Statutory Authority: MS s 176.105

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