Download PDF by Chris E. Wiggins MD: A A Concise Guide to Orthopaedic and Musculoskeletal

By Chris E. Wiggins MD

This easy-to-use handbook is a timesaving consultant to assigning musculoskeletal impairment rankings for workers repayment, own damage, and incapacity claims. It follows lots of the rules within the American clinical Association's publications to the overview of everlasting Impairment and provides those directions in quick-reference tabular layout for busy clinicians. part One summarizes the tactics and terminology of impairment score. part includes score tables for the higher extremity, reduce extremity, backbone, pelvis, epidermis, and soreness. Appendices contain tables for changing scores from one physique half to a different and mixing a number of accidents.

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Extra info for A A Concise Guide to Orthopaedic and Musculoskeletal Impairment Ratings

Sample text

Neurologic Injury The values in Figure = 6-2 reflect total loss of the digital nerve sensation for a particular digit, as determined by two-point discrimination: <7 mm, normal sensation; 7 to 15= mm, partial loss of sensation; >15 mm, total loss of sensation. For partial = loss of sensation, divide these values by 50%. As always, it is appropriate to extrapolate. For example, complete loss of radial digital nerve sensation in the thumb is 30% permanent partial impairment (<= span class=3DSpellE>ppi) thumb.

5 cm of full extension) 75 8= 7= 4= MP joint in functional position (30°) 45 5= 5= 3= PIP joint in functional position (40°) 50 5= 5= 3= DIP joint in functional position (20°) 25 3= 3= 2= Ankylo= sis/surgi= cal fusion UE, upper extremity; WP, whole pers= on; TAM, total active motion; MP, metacarpophalangeal<= /span>; PIP, proximal interphalangeal; DIP, distal = interphalangeal. <= /span> = TABLE 6-10 Loss of Motion: Elbow 32 Table of Contentso:p Table of Contentso:p 33 Flexio= n-Extension<= /o:p> % UE<= /o:p> Pronation-Supination<= /o:p> % UE<= /o:p> Mild (10–110° flexion) 5= Mild (60° = pron; 60° sup) 2= Moderate (30–90°) 11 Moderate (40° pron; 40° sup) 5= Severe (40–80°) 14 Severe (20° pron; 20° sup) 7= Ankylo= sis/surgi= cal fusion in functional position (80° flexion) 21 Ankylo= sis/surgi= cal fusion in functional position (20° pron= ) 8= UE, upper extremity; pron, pronation; sup,= supination.

Co= nversion Tables Conversion tables are found in Appendix A. These are essential for converting from one scheduled item Table of Contentso:p 35 36 Table of Contentso:p (injured body part) to another. Su= mmary of Guidelines for Multiple Impairments The following list summarizes the rating guidelines for multiple impairments of the upper extremity. 95pt'>Work from distal to proximal. , 30% = middle finger + 20% ring finger =3D 50% fingers). ♦ <= span class=3Demphi1>Add functional units (= planes of motion within a joint) to calculate loss of motion.

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