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5263
§ 4.71a Schedule of ratings—musculoskeletal system.

Knee hyperextension

A knee problem in which the joint bends backward beyond its normal range, which may cause pain, weakness, or instability.

What the rating means

Genu recurvatum is the medical term for acquired, traumatic knee hyperextension — a condition where the knee bends backward beyond its normal straight position. VA rates this condition under diagnostic code 5263.

There is one rating level for this condition: 10%. To receive that rating, the hyperextension must be acquired and traumatic in origin, and weakness and insecurity in weight-bearing must be objectively demonstrated. This means the instability cannot simply be reported by you; an examiner or test result must show it.

Because there is only one rating level under this code, VA does not weigh degrees of severity against each other. The condition either meets the criteria — acquired, traumatic, with objectively demonstrated weakness and weight-bearing insecurity — or it does not.

Evidence that helps

To support a 10% rating under this code, evidence needs to show three things: that the condition was caused by a traumatic event, that the knee hyperextends, and that weakness and insecurity in weight-bearing are objectively demonstrated.

Medical records documenting a traumatic injury to the knee help establish the acquired, traumatic origin. Physician or physical therapy examination notes that observe the knee hyperextending during weight-bearing, gait analysis, or range-of-motion testing can show the deformity itself. Objective findings such as observed gait abnormalities, documented instability on physical exam, or functional testing results help satisfy the requirement that weakness and insecurity be demonstrated rather than only reported.

Statements from you or those who know you describing difficulty standing, walking, or bearing weight on the affected knee can add context, but the regulation specifically requires that weakness and insecurity be objectively demonstrated, so clinical findings carry particular weight here.

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.