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8616
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Ulnar nerve inflammation (neuritis)

Inflammation of the ulnar nerve, which may cause pain, tingling, or numbness in the ring and little fingers.

What the rating means

VA rates ulnar nerve neuritis under diagnostic code 8616, using the same rating formula as ulnar nerve paralysis under code 8516. The rating reflects how much function you have lost, ranging from mild to complete loss. Which arm is affected matters: the regulation distinguishes between the major (dominant) and minor (nondominant) extremity at every level above mild.

Complete paralysis — marked by the "griffin claw" deformity with flexor contraction of the ring and little fingers, very marked muscle wasting, and inability to extend or spread those fingers, adduct the thumb, or fully flex the wrist — is rated at 60% for the major arm and 50% for the minor arm. Severe incomplete paralysis is 40% major, 30% minor. Moderate incomplete paralysis is 30% major, 20% minor. Mild incomplete paralysis is 10% for either arm. Because this is a neuritis rating, the condition involves inflammation rather than full paralysis, so the regulation's rules for incomplete paralysis apply: when the involvement is wholly sensory, the rating should be for the mild or, at most, the moderate degree.

Evidence that helps

Medical records documenting the diagnosis of ulnar nerve neuritis and describing the specific functional losses present are central to any rating evaluation. Nerve conduction studies and electromyography can provide objective evidence of the degree of nerve involvement. Physical examination findings are especially important: a VA or private examiner should describe whether you have any degree of "griffin claw" deformity, muscle wasting in the dorsal interspace or thenar and hypothenar areas, and how well you can extend your ring and little fingers, spread your fingers, adduct your thumb, and flex your wrist.

Because the rating turns on which arm is affected, records should clearly identify whether the involved arm is your dominant or nondominant side. Statements from you or people who know you describing how weakness, numbness, or loss of hand function affects your work tasks or daily activities can help show the practical impact of your symptoms. If your symptoms are entirely sensory — pain, numbness, or tingling without motor loss — the regulation limits the rating to mild or, at most, moderate, so records that distinguish sensory from motor involvement are relevant.

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.