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

By Chris E. Wiggins MD

This easy-to-use handbook is a timesaving advisor to assigning musculoskeletal impairment rankings for laborers repayment, own harm, 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 methods and terminology of impairment ranking. part comprises score tables for the higher extremity, decrease extremity, backbone, pelvis, dermis, and discomfort. Appendices comprise tables for changing scores from one physique half to a different and mixing a number of accidents.

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These impairments are a= dded. If the resting position of the hand is = in a position deviated from neutral such that the range of motion is in a less functional arc, the impairment ratings for radial-ulna= r deviation should be increased. ♦ = Example: The patient has dorsiflexion to 30 degrees and palmar flexion to 20 degrees, which is a mild impairment of flexion-extension= of 12%. If radial deviation is 10 degrees and ulnar<= /span> deviation is 15 degrees, then that constitutes a moderate impairment of radial-ulnar deviation of 5%.

28 radial-ulnar deviati= on impairments. For loss of motion impairment of the elbow, add the flexion-extension and pronation-supination impairments. For loss of motion impairment of the shoulder, add the flexion-extension, abduction-adduction, and internal-external rotation impairments. ♦ <= span class=3Demphi1>Add all like values th= at are less than or equal to 10% (the author's 10% rule). For example, 8% UE = plus 10% UE equals 18% UE. 95pt'>Use the Combined Va= lues Chart (Appendix B) for all values greater tha= n 10%.

Because hand injuries are common, often with multiple stiff digits, the calculations can quickly reach levels= of difficulty seemingly more appropriate for an accountant than a clinician. T= his is what has made the AMA Guides exact, but also= very complex. To streamline the rating process, the author of this manual has me= rged those functional units, requiring digital addition only among multiple inju= red digits. Ma= ximum Values In no case can the sum of impairments o= f a part exceed the percentage due to amputation.

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