TurboVets is fully live. For support, please submit tickets in app.
Sign In to TurboVets
Your Data is Protected. Never Sold. Never Used for Profit.
Read our FAQ
5222
§ 4.71a Schedule of ratings—musculoskeletal system.

Three fingers favorable stiffness

Three fingers on one hand are locked in a position that allows some hand function.

What the rating means

VA rates favorable ankylosis of three digits of one hand under diagnostic code 5222. Ankylosis means a joint is locked in place and cannot move. "Favorable" ankylosis means the affected finger or thumb joints are fixed in the position of function — the hand's natural resting position — and only one joint per digit (either the metacarpophalangeal or proximal interphalangeal joint) is ankylosed, with the fingertip coming within two inches of the proximal transverse crease of the palm when the finger is flexed as far as possible.

The rating depends on which three digits are involved and which hand is affected. If the thumb and any two fingers are ankylosed, the rating is 40% for the major hand and 30% for the minor hand. If the index, long, and ring fingers; the index, long, and little fingers; or the index, ring, and little fingers are ankylosed, the rating is 30% for the major hand and 20% for the minor hand. If the long, ring, and little fingers are ankylosed, the rating is 20% for either hand.

Evidence that helps

Medical records and examination findings are central to supporting a rating under this code. An examiner will need to document which three digits are affected and which hand is your major or minor hand. Range-of-motion testing showing that only one joint per affected digit — either the metacarpophalangeal or proximal interphalangeal joint — is locked, and that each locked joint is fixed in the position of function, supports a favorable rather than unfavorable finding.

A key measurement is the gap between each affected fingertip and the proximal transverse crease of the palm when the finger is flexed as far as possible. A gap of two inches or less supports favorable ankylosis. X-rays can help confirm the presence and position of ankylosis. Statements from you or people who see you regularly can document how the stiffness in those three fingers affects tasks at work or in daily life that require gripping, pinching, or fine hand control.

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.