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5210
§ 4.71a Schedule of ratings—musculoskeletal system.

Forearm bones nonunion with flail joint

Failure of the forearm bones to heal properly, creating abnormal joint movement.

What the rating means

VA rates nonunion of the radius and ulna with a flail false joint under diagnostic code 5210. A flail false joint means the two forearm bones have failed to heal together and the resulting false joint moves in an unstable, uncontrolled way. There are two possible ratings: 50% for the major arm and 40% for the minor arm. Your major arm is generally your dominant arm — the one you write or perform fine tasks with — and your minor arm is the other one. There is no lower rating level under this code; the only question VA must answer is which arm is affected.

Evidence that helps

To support a rating under this code, medical evidence needs to show that the radius and ulna in your forearm did not heal properly after a fracture and that a flail false joint — an unstable, abnormally mobile segment — formed as a result. Imaging such as X-rays or CT scans that confirm nonunion of the bones is central to this determination. A VA or private examination that documents the abnormal mobility, instability, or lack of bony continuity at the fracture site directly supports the diagnosis. Records identifying which arm is affected — and whether that arm is your dominant or nondominant one — matter because the rating differs by side. Statements from you or people who know you describing how the unstable forearm affects your ability to lift, carry, grip, or perform work and daily tasks can also help show the full impact of the condition.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.