Reduced ability to bend the forearm at the elbow joint.
The most direct evidence for this condition is a measurement of how far you can flex your forearm, taken during a physical examination or a VA Compensation and Pension exam. Records showing the specific degree of flexion at the time of each exam are what move a rating from one level to the next, so consistent and precise range-of-motion measurements matter.
Medical records from your treating providers, orthopedic specialists, or physical therapists that document repeated measurements over time can show whether your limitation is stable or changing. Imaging such as X-rays may support an underlying cause but does not replace motion measurements.
Statements from you or people who know you can help show how restricted flexion affects tasks that require bending the forearm, such as lifting, carrying, or personal care. Because the rating differs between the major and minor arm, records or statements that clearly identify which arm is affected, and whether it is the arm you rely on most, are relevant to the correct rating level.
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.