Upper Extremities / Routine Measurements Chart

 

NAME:

Exam Date:

 

Injured Extremity:

Dominant Hand:

 

Musculature/Measurements (Comments on Report)

Circumferences

(In Inches)Æ

Upper Arms/Shoulders/Biceps

/

Forearms

/

Wrists

/

Hands /Fingers: Thenar / Hypothenar/Intrinsic:

Motions: Report As Fraction (Injured/Uninjured) In Degrees Of Active Motion.

All Joints Of An Injured Extremity Must Be Examined.  1

Shoulder: 7.3

 Rating based on Average of Abduction & Forward Flexion.

Abduction:

________________

Forearm Rotation: Disability 7.6

Determine the % loss of normal range.

(Schedule Pg 2-8)

Extension:

_____________

Forward Flexion:

________________

Pronation:

/

Supination:

/_

Internal Rotation:

_____________

Adduction:

________________

WRIST: Disability 7.7

Rating is Based on all motions, with Dorsal and Palmar Flexion given twice the value of radial and ulnar deviation. (Note 21 on Page 2-8 of The Schedule.)

External Rotation:

________________

Dorsal Flexion

Palmar Flexion

/

/

ELBOW: Disability 7.5

Determine loss of motion by dividing the number of degrees lost for one or both flexion/extension.

Radial Deviation

Ulnar Deviation

/

/

 

Flexion: _____/____Extension: ____/____

Head Of Radius:  Intact: _____ Partial Amputation: ______ Removed_____ (Schedule Page 2-8.)

Report Motions As A Fraction:  Injured/Uninjured

Note Amputation Level By A Vertical Line Through The Joint/Phalanx Involved.

If amputation is between joints, enter the location between phalanx: i.e., proximal 1/2, proximal 1/3, distal 1/2.

Written Examples: “Amputation distal 1/3 of the middle joint of the ring finger” / “At proximal joint” /  “Proximal to the middle joint.”

Thumb: Abduction:  ________/________ / (ADD. Tip misses head of 5th MC. (Inches) ______________

Digit

Proximal Joint

Middle Joint

Distal

Joint

Fingertip Misses

Mid-Palm (In Inches)

Amputation Level

Thumb

Extension

Flexion

 

/

/

 

 

/

/

 

 

Index

Extension

/

/

/

/

 

Middle

Extension

/

/

/

/

 

Ring

Extension

/

/

/

/

 

Little

Extension

/

/

/

/

 

Grip Dynamometer Readings:  Maximum Effort: ___YES/____NO * Comments on Report.

Injured / Uninjured     

______/______

______/______

______/______

If Bilateral Injury- Estimated Percentages Of Loss Are: _______% / _______%

Measurements Not Shown Will Be Considered Normal

Evaluation of Industrial Disability (Packard Thurber, MD)- 8 CCR 46/9725:  Physician must report measurable physical elements of disability in accordance with the standard method as described in the book.

In the case of a bilateral disability, state estimated normal as ABD, 140/160 (EN 180). Pages 11, 62, 63 of "Evaluation of Industrial Disability.”

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