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5211
§ 4.71a Schedule of ratings—musculoskeletal system.

Ulna bone impairment

Damage or impairment to the ulna bone in the forearm.

What the rating means

VA rates ulna bone impairment under diagnostic code 5211. The rating depends on where the fracture healed poorly, how severely it healed, and which arm is affected. Throughout, "Major" means your dominant arm and "Minor" means your nondominant arm.

The highest ratings apply when the ulna has nonunion in the upper half with false movement, meaning the bone did not fuse and moves abnormally at the fracture site. If that nonunion also involves loss of bone substance of one inch or more and marked deformity, the rating is 40% for the Major arm and 30% for the Minor arm. If there is nonunion with false movement in the upper half but without loss of bone substance or deformity, the rating is 30% for the Major arm and 20% for the Minor arm. Nonunion in the lower half of the ulna is rated at 20% for both arms. The lowest level covers malunion with bad alignment, rated at 10% for both arms.

Evidence that helps

To support a rating at any level, medical records showing how your ulna fracture healed are central. Imaging such as X-rays or CT scans can document whether the bone fused, where along the ulna the nonunion or malunion occurred, and whether there is bone loss of one inch or more or visible deformity or bad alignment.

For the higher ratings involving nonunion with false movement in the upper half, an examining provider's notes describing abnormal mobility at the fracture site, measurements of any bone gap, and observations of deformity are especially relevant. For a 40% or 30% rating, records that confirm bone loss of at least one inch and marked deformity carry particular weight.

For any rating level, statements from you or people who know you describing how the arm's weakness, instability, or deformity affects tasks at work or in daily life can help show the functional impact that corresponds to the clinical findings.

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.