Carpal tunnel syndrome - Injury to the wrist or hand Factor
Definition
This factor is limited to an injury which does not involve a fracture or a dislocation but which does:
· alter the normal contour of the carpal tunnel; or
· damage the median nerve or flexor tendons within the carpal tunnel.
The wrist is the part of the arm between the forearm and the hand, in the region of the wrist joint. It is also called the carpus.
The carpal tunnel lies between the carpal bones and the flexor retinaculum (an overlying tough band of connective tissue). Because of the strength of the surrounding structures it would take a significant injury to directly alter the normal contour of the carpal tunnel or to damage the median nerve or flexor tendons within the carpal tunnel eg a severe crushing injury or a deep laceration requiring stitches.
If such an injury occurred, medical attention would be needed. However, less significant wrist or hand injuries (ie not necessarily requiring medical attention) may indirectly alter the normal contour of the carpal tunnel or damage the median nerve or flexor tendons through swelling of the surrounding tissues. If the evidence does not clearly establish whether or not an injury to the wrist or hand altered the normal contour of the carpal tunnel or damaged the median nerve or flexor tendons within the carpal tunnel, seek medical advice.
LAST REVIEWED FOR CCPS 21 FEBRUARY 2014.
INVESTIGATIVE DOCUMENTS
|
Type |
Title |
PDF Format |
Word Format |
|---|---|---|---|
| Claimant Report | Injury to the Wrist or Hand | CR9097.pdf | CR9097.docx |
| Medical Report | Injury to the Wrist or Hand | MR9120.pdf | MR9120.docx |
PRELIMINARY QUESTIONS [17095]
17180 the veteran has suffered an injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome at some time.
17181 the veteran has established the causal connection between the injury as defined in the Statements of Principles for carpal tunnel syndrome and VEA service for carpal tunnel syndrome.
17182 the veteran has established the causal connection between the injury as defined in the Statements of Principles for carpal tunnel syndrome and VEA service for the clinical onset of carpal tunnel syndrome.
17184 the veteran has established the causal connection between the injury as defined in the Statements of Principles for carpal tunnel syndrome and operational service for the clinical onset of carpal tunnel syndrome.
or
17185 the veteran has established the causal connection between the injury as defined in the Statements of Principles for carpal tunnel syndrome and eligible service for the clinical onset of carpal tunnel syndrome.
or
7334 the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.
7335 the condition under consideration permanently worsened.
17183 the veteran has established the causal connection between the injury as defined in the Statements of Principles for carpal tunnel syndrome and VEA service for the clinical worsening of carpal tunnel syndrome.
17186 the veteran has established the causal connection between the injury as defined in the Statements of Principles for carpal tunnel syndrome and operational service for the clinical worsening of carpal tunnel syndrome.
or
17187 the veteran has established the causal connection between the injury as defined in the Statements of Principles for carpal tunnel syndrome and eligible service for the clinical worsening of carpal tunnel syndrome.
CLINICAL ONSET AND OPERATIONAL SERVICE [17184]
17190 the veteran has suffered an injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome on operational service.
17188 the veteran has suffered an injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome on operational service, within the year before the clinical onset of the condition under consideration.
17273 the injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome on operational service, within the year immediately before the clinical onset of the condition under consideration, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
17239 the injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome was due to an illness or injury which is identifiable.
20269 the injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome, caused by the identified illness or injury, occurred within the year before the clinical onset of the condition under consideration.
17240 the identified illness or injury, which caused the injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome, is causally related to operational service.
CLINICAL ONSET AND ELIGIBLE SERVICE [17185]
17191 the veteran has suffered an injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome on eligible service.
17193 the veteran has suffered an injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome on eligible service, as a causal result of eligible service duties.
25464 the veteran has suffered an injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome in the course of eligible service duties, within the year before the clinical onset of the condition under consideration.
20277 the injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome within the year before the clinical onset of the condition under consideration on eligible service was due to the veteran's serious default, wilful act or serious breach of discipline.
or
17239 the injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome was due to an illness or injury which is identifiable.
20269 the injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome, caused by the identified illness or injury, occurred within the year before the clinical onset of the condition under consideration.
17241 the identified illness or injury, which caused the injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome, is causally related to eligible service.
CLINICAL WORSENING AND OPERATIONAL SERVICE [17186]
17190 the veteran has suffered an injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome on operational service.
20272 the veteran has suffered an injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome on operational service, as a causal result of operational service duties.
17189 the veteran has suffered an injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome as a causal result of operational service duties, within the year before the clinical worsening of the condition under consideration.
20273 the injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome within the year before the clinical worsening of the condition under consideration on operational service was due to the veteran's serious default, wilful act or serious breach of discipline.
or
17239 the injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome was due to an illness or injury which is identifiable.
20270 the injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome, caused by the identified illness or injury, occurred within the year before the clinical worsening of the condition under consideration.
17240 the identified illness or injury, which caused the injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome, is causally related to operational service.
17242 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury, which caused the injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome, is causally related.
CLINICAL WORSENING AND ELIGIBLE SERVICE [17187]
17191 the veteran has suffered an injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome on eligible service.
17193 the veteran has suffered an injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome on eligible service, as a causal result of eligible service duties.
25465 the veteran has suffered an injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome as a causal result of eligible service duties within the year before the clinical worsening of the condition under consideration.
20276 the injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome within the year before the clinical worsening of the condition under consideration on eligible service was due to the veteran's serious default, wilful act or serious breach of discipline.
or
17239 the injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome was due to an illness or injury which is identifiable.
20270 the injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome, caused by the identified illness or injury, occurred within the year before the clinical worsening of the condition under consideration.
17241 the identified illness or injury, which caused the injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome, is causally related to eligible service.
17243 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, which caused the injury affecting side and site of the body as defined in the Statements of Principles for carpal tunnel syndrome, is causally related.