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5212
§ 4.71a Schedule of ratings—musculoskeletal system.

Radius bone impairment

Damage or impairment to the radius bone in the forearm.

What the rating means

VA rates impairment of the radius under diagnostic code 5212. The rating depends on where the bone failed to heal properly, what the bone looks like, and which arm is affected. The schedule distinguishes between your Major arm (your dominant arm) and your Minor arm (your nondominant arm).

If the lower half of the radius has a nonunion — meaning the broken ends never fused — and there is false movement at that site, the rating is higher. When that nonunion also involves loss of bone substance of one inch (2.5 centimeters) or more along with marked deformity, the rating is 40% for the Major arm and 30% for the Minor arm. A nonunion in the lower half without bone loss or deformity is rated at 30% for the Major arm and 20% for the Minor arm. A nonunion in the upper half of the radius is rated at 20% for both the Major and Minor arm. The lowest level covers malunion of the radius with bad alignment, rated at 10% for both the Major and Minor arm.

Evidence that helps

Medical records documenting the original radius fracture and its treatment are the foundation of the evidence. Imaging such as X-rays, CT scans, or MRI reports that show nonunion, false movement at the fracture site, malunion, bad alignment, or the presence and measurement of bone loss are directly tied to the rating criteria. A report noting the amount of bone substance lost — specifically whether it reaches one inch (2.5 centimeters) or more — and whether marked deformity is present would support the higher ratings for lower-half nonunion.

Records identifying which arm is your dominant arm help VA apply the correct Major or Minor percentage. Physician or orthopedic specialist notes describing the location of the nonunion — upper half versus lower half of the radius — are also relevant. Statements from you or people who know you describing how the arm functions in daily tasks or work activities can round out the picture of how the condition affects you.

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.