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5308
§ 4.73 Schedule of ratings—muscle injuries.

Wrist, finger, and thumb extension muscles

Injury to muscles that straighten the wrist, fingers, and thumb.

What the rating means

This condition covers injuries to the muscles that extend the wrist, fingers, and thumb, and that rotate the forearm palm-upward. VA rates it under diagnostic code 5308 as part of Group VIII in the muscle injury schedule, using the shared criteria in § 4.56 of the regulations.

Four rating levels are possible. A slight rating is 0% for both the dominant and nondominant arm. A moderate rating is 10% for both arms. A moderately severe rating is 20% for both arms. A severe rating is 30% for the dominant arm and 20% for the nondominant arm. The only level where the dominant and nondominant arm produce a different rating is the severe level.

If your muscle injury results in loss of use of the entire arm, VA must also look at § 3.350 to decide whether you may qualify for special monthly compensation.

Evidence that helps

Because the rating levels are defined by the criteria in § 4.56, your evidence should reflect what that section measures for muscle injuries: things such as whether the injury is a simple wound or a more complex one, the amount of muscle tissue lost or damaged, how much strength and motion remain in the wrist, fingers, and thumb, and whether the forearm can rotate normally.

Medical records documenting the original wound, surgical reports, imaging, and physical examination findings showing grip strength, range of motion of the wrist and fingers, and supination strength are all relevant. Electromyography or nerve conduction studies, if performed, may show functional loss.

Statements from you or people who know you describing how weakness or limited movement of your wrist, fingers, or thumb affects work tasks, carrying objects, writing, or other daily activities can help show the practical impact of the injury and support a higher severity level.

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.