Minn. R. 5223.0540
MUSCULOSKELETAL SCHEDULE; AMPUTATIONS OF UPPER EXTREMITY
Subpart 1. Amputations. Permanent partial impairment due to amputation of upper extremities is a disability of the whole body as follows: A. amputation of the upper extremity at the shoulder, including removal of the ipsilateral scapula, clavicle, and muscles of the upper extremity attaching to the chest, 70 percent; B. disarticulation, as defined in part 5223.0310 , subpart 21, at shoulder joint, 60 percent; C. amputation of arm above deltoid insertion, 60 percent; D. amputation of arm between deltoid insertion and elbow joint, 57 percent; E. disarticulation at elbow joint, 57 percent; F. amputation of forearm below elbow but proximal to insertion of biceps tendon, 57 percent; G. amputation of forearm below elbow joint distal to insertion of biceps tendon, 54 percent; H. disarticulation at wrist joint, 54 percent; I. midcarpal or midmetacarpal amputation of hand, 54 percent; J. amputation of multiple digits, add as described in part 5223.0300 , subpart 3, item F, the ratings obtained for the specific abnormalities in items K to O; K. amputation of thumb: (1) at metacarpophalangeal joint or with resection of metacarpal bone, 22 percent; (2) through proximal phalanx, 16 percent; (3) at interphalangeal joint to middle of distal phalanx, 11 percent; (4) distal to middle of distal phalanx, 6.5 percent; (5) isolated soft tissue loss of the end of the digit greater than one centimeter, five percent; L. amputation of index finger: (1) at metacarpophalangeal joint or with resection of metacarpal bone or through proximal phalanx, 11 percent; (2) at proximal interphalangeal joint or through middle phalanx, nine percent; (3) at distal interphalangeal joint to middle of distal phalanx, five percent; (4) distal to middle of distal phalanx, 2.5 percent; (5) isolated soft tissue loss of the end of the digit greater than one centimeter, 2.5 percent; M. amputation of middle finger: (1) at metacarpophalangeal joint or with resection of metacarpal bone or through proximal phalanx, 11 percent; (2) at proximal interphalangeal joint or through middle phalanx, nine percent; (3) at distal interphalangeal joint to middle of distal phalanx, five percent; (4) distal to middle of distal phalanx, 2.5 percent; (5) isolated soft tissue loss of the end of the digit greater than one centimeter, 2.5 percent; N. amputation of ring finger: (1) at metacarpophalangeal joint or with resection of metacarpal bone or through proximal phalanx, 5.5 percent; for dates of injury on or after August 9, 2010, at metacarpophalangeal joint or with resection of metacarpal bone or through proximal phalanx, five percent; (2) at proximal interphalangeal joint or through middle phalanx, four percent; (3) at distal interphalangeal joint to middle of distal phalanx, 2.5 percent; (4) distal to middle of distal phalanx, one percent; (5) isolated soft tissue loss of the end of the digit greater than one centimeter, one percent; O. amputation of little finger: (1) at metacarpophalangeal joint or with resection of metacarpal bone or through proximal phalanx, 5.5 percent; for dates of injury on or after August 9, 2010, at metacarpophalangeal joint or with resection of metacarpal bone or through proximal phalanx, five percent; (2) at proximal interphalangeal joint or through middle phalanx, four percent; (3) at distal interphalangeal joint to middle of distal phalanx, 2.5 percent; (4) distal to middle of distal phalanx, one percent; (5) isolated soft tissue loss of the end of the digit greater than one centimeter, one percent.