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5007
§ 4.71a Schedule of ratings—musculoskeletal system.

Syphilitic arthritis

Joint inflammation caused by syphilis infection spreading to the joints.

What the rating means

Syphilitic arthritis is listed in the VA rating schedule under diagnostic code 5007, but it carries no rating percentages of its own. Instead, VA rates it by analogy to whichever other condition in the musculoskeletal schedule most closely matches your actual joint impairment. The section of the schedule that governs how joints are rated covers a wide range of outcomes, from limited motion of individual joints and digits to prosthetic joint replacement. If your affected joint has been replaced with a prosthetic implant, specific rules apply: a 100 percent rating runs for one year after implantation of a prosthesis (following an initial one-month total rating after hospital discharge), and special monthly compensation may be assignable during that period if permanent use of crutches is established. The percentage that ultimately applies to you depends entirely on which analogous code VA selects and how severely your joint or joints are affected under that code's criteria.

Evidence that helps

Because syphilitic arthritis is rated by analogy to another musculoskeletal code, the evidence that helps most is evidence that precisely describes the condition of each affected joint. Imaging such as X-rays or MRI reports, range-of-motion measurements from a physical examination, and orthopedic or rheumatology records documenting joint damage, ankylosis, or instability all speak directly to the rating criteria. If a joint has been surgically replaced, operative reports, hospital discharge records, and follow-up notes confirming the date of implantation and whether all original components were replaced are relevant to how and when prosthetic replacement ratings apply. If you use crutches permanently as a result of the joint condition, medical records or statements establishing that permanent use are relevant to special monthly compensation. Statements from you or people who know you describing how joint problems affect your ability to work, walk, grip, or carry out daily tasks can also help show the full extent of your functional loss.

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.