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5253
§ 4.71a Schedule of ratings—musculoskeletal system.

Thigh impairment

Reduced movement or function of the thigh at the hip joint, including rotation or side motion.

What the rating means

Thigh impairment under diagnostic code 5253 covers loss of motion in the thigh, specifically limitations of abduction, adduction, and rotation. VA rates each type of motion loss separately based on how much movement you have lost.

A 20% rating applies when abduction is limited and motion is lost beyond 10 degrees. A 10% rating applies when adduction is limited to the point that you cannot cross your legs. A separate 10% rating applies when rotation is limited so that you cannot toe out more than 15 degrees on the affected leg.

Because each of these motion losses covers a different plane of movement, more than one rating under this code may apply if you have more than one type of limitation. VA would then combine those separate ratings using its standard combined ratings formula rather than simply adding the percentages together.

Evidence that helps

To support a rating for thigh impairment, medical records that document range-of-motion measurements are the most direct form of evidence. For the 20% level, an examination would need to show that abduction is lost beyond 10 degrees. For either 10% level, records would need to show that adduction is restricted enough that you cannot cross your legs, or that rotation on the affected leg is restricted so you cannot toe out more than 15 degrees.

Findings from a VA or private orthopedic examination that include goniometric measurements of abduction, adduction, and rotation are particularly useful. Imaging such as X-rays may help explain why motion is restricted. Your own statements, or statements from people who observe you daily, describing difficulty with activities that require spreading or rotating the leg, such as walking, sitting, or stepping into vehicles, can help show how the limitations affect your function.

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.