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5314
§ 4.73 Schedule of ratings—muscle injuries.

Knee extension muscle injury

Injury to the front thigh muscles that straighten the knee and help stabilize the hip and knee.

What the rating means

VA rates knee extension muscle injuries under diagnostic code 5314, which covers the anterior thigh muscle group. These are the muscles responsible for extending the knee, flexing the hip and knee together, and supporting posture and movement. The possible ratings are 40% (severe), 30% (moderately severe), 10% (moderate), and 0% (slight). The specific criteria that separate one rating from the next are set out in 38 CFR § 4.56, which is the shared formula VA uses for all muscle injury ratings under diagnostic codes 5301 through 5323. If your injury results in loss of use of the leg, VA may also look at whether you qualify for special monthly compensation under 38 CFR § 3.350.

Evidence that helps

Because the rating levels for this condition are defined in § 4.56, the evidence that matters most is whatever shows how severely the anterior thigh muscles have been damaged and how that damage affects function. Medical records documenting the original injury, surgical reports, and imaging studies help establish what happened to the muscles. Examination findings that measure strength, range of motion, and any muscle wasting or scarring in the thigh are directly relevant to distinguishing slight from moderate or higher ratings. Records of pain, fatigue, or weakness during weight-bearing activities also bear on severity. Statements from you or people who know you describing difficulty walking, climbing stairs, or standing for extended periods can show how the loss of knee extension function affects your daily life and work.

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.