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5313
§ 4.73 Schedule of ratings—muscle injuries.

Hip extension and knee flexion muscle injury

Injury to muscles that straighten the hip and bend the knee.

What the rating means

VA rates injuries to the posterior thigh muscle group — the hamstring complex, made up of the biceps femoris, semimembranosus, and semitendinosus — under diagnostic code 5313. These muscles extend the hip, flex the knee, and help rotate the flexed knee. They also work with other muscles to coordinate simultaneous hip and knee movement.

The four possible ratings are 0%, 10%, 30%, and 40%. The regulation labels these as Slight (0%), Moderate (10%), Moderately Severe (30%), and Severe (40%). What separates one level from the next is determined by the criteria in 38 CFR § 4.56, which covers all muscle injury ratings under codes 5301 through 5323. VA applies those shared criteria to figure out which level fits your specific injury. If your injury results in loss of use of an extremity, VA must also look at 38 CFR § 3.350 to see whether you may qualify for special monthly compensation.

Evidence that helps

Because the rating levels for this condition are defined by the shared muscle injury criteria in 38 CFR § 4.56, the evidence that matters most is whatever shows how severely the hamstring muscles are damaged and how that affects function. Medical records documenting the original wound or injury, surgical reports, and imaging results can show the extent of tissue damage. Physical examination findings — such as measured weakness in hip extension or knee flexion, reduced range of motion, atrophy, or scarring — help place the injury at a specific level of severity.

Statements from you or people who know you that describe difficulty with activities requiring these muscles — walking, climbing stairs, rising from a seated position, or sustained standing — can support the medical picture. If your injury has affected your ability to work or carry out daily tasks, records or statements describing those limitations are also relevant. Any evidence of loss of use of the affected leg would be especially significant, as it may open the door to a separate special monthly compensation review.

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.