MUSCULOSKELETAL SCHEDULE; AMPUTATIONS OF UPPER EXTREMITY
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Minnesota Administrative Rules › DEPARTMENT OF LABOR AND INDUSTRY › Chapter 5223 › Part 5223.0080
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Permanent partial disability due to amputation of upper extremities is a disability of the whole body as follows: A. forequarter amputation, 70 percent; B. disarticulation at shoulder joint, 60 percent; C. amputation of arm above deltoid insertion, 60 percent; D. amputation of arm between deltoid insertion and elbow joint, 57 percent; E. disarticulation at elbow joint, 57 percent; F. amputation of forearm below elbow joint proximal to insertion of biceps tendon, 57 percent; G. amputation of forearm below elbow joint distal to insertion of biceps tendon, 54 percent; H. disarticulation at wrist joint, 54 percent; I. midcarpal or midmetacarpal amputation of hand, 54 percent; J. amputation of all fingers except thumb at metacarpophalangeal joints, 32.5 percent; K. amputation of thumb: (1) at metacarpophalangeal joint or with resection of metacarpal bone, 21.5 percent; (2) at interphalangeal joint or through proximal phalanx, 16 percent; (3) from interphalangeal joint to midportion distal phalanx, 13 percent; (4) from middistal phalanx, distal, 6 percent; L. amputation of index finger: (1) at metacarpophalangeal joint or with resection of metacarpal bone or through proximal phalanx, 13.5 percent; (2) at proximal interphalangeal joint or through middle phalanx, 11 percent; (3) at distal interphalangeal joint to middistal phalanx, 5 percent; (4) from middistal phalanx, distal, 2.5 percent; M. amputation of middle finger: (1) at metacarpophalangeal joint or with resection of metacarpal bone or through proximal phalanx, 11 percent; (2) at proximal interphalangeal joint or through middle phalanx, 9 percent; (3) at distal interphalangeal joint to middistal phalanx, 5 percent; (4) from middistal phalanx, distal, 2.5 percent; N
, 5 percent; (4) from middistal phalanx, distal, 2.5 percent; M. amputation of middle finger: (1) at metacarpophalangeal joint or with resection of metacarpal bone or through proximal phalanx, 11 percent; (2) at proximal interphalangeal joint or through middle phalanx, 9 percent; (3) at distal interphalangeal joint to middistal phalanx, 5 percent; (4) from middistal phalanx, distal, 2.5 percent; N. amputation of ring finger: (1) at metacarpophalangeal joint or with resection of metacarpal bone or through proximal phalanx, 5.5 percent; (2) at proximal interphalangeal joint or through middle phalanx, 4 percent; (3) at distal interphalangeal joint to middistal phalanx, 3 percent; (4) from middistal phalanx, distal, 1.5 percent; O. amputation of little finger: (1) at metacarpophalangeal joint or with resection of metacarpal bone or through proximal phalanx, 3 percent; (2) at proximal interphalangeal joint or through middle phalanx, 2 percent; (3) at distal interphalangeal joint to middistal phalanx, 1 percent; (4) from middistal phalanx, distal, 0.5 percent.
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