Amputations and/or Total Loss of Function

(Percentage Whole Person Impairment)

________________________________________________________________

%DESCRIPTION OF LEVEL OF IMPAIRMENT

5 — ANY ONE of the following:

.amputation of little finger

.amputation of ring finger

.total loss of movement of joint of thumb

.amputation of terminal segment of thumb involving one third its flexor surface without loss of distal phalanx or joint

.amputation of two phalanges or joints of forefinger

.amputation of two phalanges or joints of middle, ring or little fingers

.amputation of distal phalanx or joint of forefinger

.amputation of distal phalanx or joint of great toe

10 — ANY ONE of the following:

.amputation of all toes

.amputation of great toe

.amputation of middle finger

.amputation of distal phalanx or joint of thumb

15 — ANY ONE of the following:

.mid-metatarsal amputation

.amputation of index finger

20 — ANY ONE of the following:

.partial amputation of the foot (Chopart)

.amputation of the thumb

30 — ANY ONE of the following:

.amputation below knee with functional stump

.amputation of ankle

.amputation of all fingers except thumb

40 — ANY ONE of the following:

.amputation above knee with functional stump

.disarticulation at knee

.Gritti Stokes amputation

.amputation below knee with short stump (7.5 cm or less below intercondylar notch)

.disarticulation at hip joint

.amputation above knee with short stump (7.5 cm or less below tuber ischii)

50 — ANY ONE of the following:

.hemipelvectomy

.amputation of forearm distal to biceps tendon insertion

.disarticulation at wrist joint

.mid-carpal or mid-metacarpal amputation of hand

60 — ANY ONE of the following:

.amputation between deltoid insertion and elbow

.disarticulation at elbow

.amputation at of forearm proximal to biceps tendon insertion

.disarticulation at shoulder

.amputation above deltoid insertion

70 — Forequarter (upper)

NOTE:Impairment relating to the loss of or injury to a finger or toe refers not only to amputation or total loss of efficient use of the whole digit, but also to partial loss of efficient use of a digit.

TABLE 9.4