By Chris E. Wiggins MD
This easy-to-use handbook is a timesaving consultant to assigning musculoskeletal impairment rankings for workers reimbursement, own damage, and incapacity claims. It follows many of the rules within the American clinical Association's publications to the review of everlasting Impairment and provides those directions in quick-reference tabular structure for busy clinicians. part One summarizes the techniques and terminology of impairment score. part comprises ranking tables for the higher extremity, reduce extremity, backbone, pelvis, pores and skin, and discomfort. Appendices contain tables for changing scores from one physique half to a different and mixing a number of accidents.
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Additional resources for A A Concise Guide to Orthopaedic and Musculoskeletal Impairment Ratings
Any drop below that figure for the domina= nt hand is the grip strength deficit. For calculation, use T= able 6-12. 95pt'> Streng= th Deficit Additi= onal % UE Impairment <1/= 3 10 1/3 to= 2/3 20 >2/= 3 30 UE, upper extremity. = Va= scular Compromise Vascular impairments such as the Raynaud phenomenon or uncorrected arterial insufficie= ncy are uncommon in the general population of individuals undergoing orthopaedic impairment ratings. For these situations, consult the AMA Guides. Pa= in A reasonable amount of pain is included= in the impairment rating under consideration.
Manual for Orthopedic Surgeons = in Evaluating Permanent Physical Impairment. Chicago: American Academy of Orthopaedic Surgeons; 1960. 3. Burton R. The Hand, Examination and Diagnosis. 3rd ed. New York: Church= ill Livingstone; 1990.
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.
A A Concise Guide to Orthopaedic and Musculoskeletal Impairment Ratings by Chris E. Wiggins MD