Complete loss of hand function without anatomical loss.
To support a rating for loss of use of a hand, medical evidence needs to show that the affected hand is essentially without practical function. Records from treating physicians, surgeons, or specialists documenting the extent of impairment are central to this. Physical examination findings that show a complete or near-complete inability to grip, pinch, or otherwise use the hand are directly relevant.
Imaging such as X-rays or MRIs can document underlying structural damage. Nerve conduction studies or other diagnostic tests may help show the degree of functional loss when nerve damage is involved.
Your own statements, and statements from people who observe you regularly, describing how the hand's condition prevents tasks at work or in daily life — such as lifting, grasping, writing, or self-care — help VA understand the real-world impact. Vocational records showing how the impairment has limited your work can also be relevant. All of this evidence helps VA determine whether the hand meets the standard for loss of use and which hand — major or minor — is affected.
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.
