So I recieved a copy of my paper work and wanted to get some ideas on ratings. my predictions (which are based off the bold below) are gonna be DOD 20% med sep. Note: This is only for my refered non dominant Left Shoulder:
Shoulder and Arm Conditions
Disability Benefits Questionnaire
Name of patient/Veteran: Joecool
Indicate method used to obtain medical information to complete this document:
[X] In-person examination
Evidence review
---------------
Was the Veteran's VA claims file reviewed?
[X] Yes [ ] No
If yes, list any records that were reviewed but were not included in the
Veteran's VA claims file:
NONE
1. Diagnosis
-------------
Does the Veteran now have or has he/she ever had a shoulder and/or arm
condition?
[X] Yes [ ] No
Diagnosis #1: TEAR OF GLENOID LABRUM
ICD code: 718.91
Date of diagnosis: 12 JUL 12
Side affected: [ ] Right [X] Left [ ] Both
Diagnosis #2: ADHESIVE CAPSULITIS OF SHOULDER
ICD code: 726.0
Date of diagnosis: 02 AUG 13
Side affected: [ ] Right [X] Left [ ] Both
Diagnosis #3: OSTEOARTHROSIS, GLENOHUMERAL SHOULDER JOINT
ICD code: 715.11
Date of diagnosis: 03 AUG 13
Side affected: [ ] Right [X] Left [ ] Both
b. Dominant hand:
[X] Right [ ] Left [ ] Ambidextrous
3. Flare-ups
------------
Not applicable
4. Initial range of motion (ROM) measurements
---------------------------------------------
a. Right shoulder flexion
No response provided.
b. Right shoulder abduction
No response provided.
c. Left shoulder flexion
Select where flexion ends (normal endpoint is 180 degrees):
[X] 45
Select where objective evidence of painful motion begins:
[X] 45
d. Left shoulder abduction
Select where abduction ends (normal endpoint is 180 degrees):
[X] 45
Select where objective evidence of painful motion begins:
[X] 45
5. ROM measurements after repetitive use testing
------------------------------------------------
a. Is the Veteran able to perform repetitive-use testing with 3 repetitions?
[X] Yes [ ] No
c. Left shoulder post-test ROM
Select where flexion ends:
[X] 45
Select where abduction ends:
[X] 45
6. Functional loss and additional limitation in ROM
---------------------------------------------------
a. Does the Veteran have additional limitation in ROM of the shoulder and arm
following repetitive-use testing?
[ ] Yes [X] No
b. Does the Veteran have any functional loss and/or functional impairment of
the shoulder and arm?
[X] Yes [ ] No
c. If the Veteran has functional loss, functional impairment and/or
additional limitation of ROM of the shoulder and arm after repetitive use,
indicate the contributing factors of disability below (check all that
apply and indicate side affected):
[X] Less movement than normal [ ] Right [X] Left [ ] Both
[X] Weakened movement [ ] Right [X] Left [ ] Both
[X] Excess fatigability [ ] Right [X] Left [ ] Both
[X] Pain on movement [ ] Right [X] Left [ ] Both
7. Pain (pain on palpation)
---------------------------
a. Does the Veteran have localized tenderness or pain on palpation of
joints/soft tissue/biceps tendon of either shoulder?
[X] Yes [ ] No
If yes, shoulder affected: [ ] Right [X] Left [ ] Both
b. Does the Veteran have guarding of either shoulder?
[X] Yes [ ] No
If yes, shoulder affected: [ ] Right [X] Left [ ] Both
8. Muscle strength testing
--------------------------
Rate strength according to the following scale:
0/5 No muscle movement
1/5 Palpable or visible muscle contraction, but no joint movement
2/5 Active movement with gravity eliminated
3/5 Active movement against gravity
4/5 Active movement against some resistance
5/5 Normal strength
Shoulder abduction:
Left: [ ] 5/5 [X] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5
Shoulder forward flexion:
Left: [ ] 5/5 [X] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5
9. Ankylosis
------------
Does the Veteran have ankylosis of the glenohumeral articulation (shoulder
joint)?
[ ] Yes [X] No
10. Specific tests for rotator cuff conditions
----------------------------------------------
a. Hawkins' Impingement Test (Forward flex the arm to 90 degrees with the
elbow bent to 90 degrees. Internally rotate arm. Pain on internal rotation
indicates a positive test; may signify rotator cuff tendinopathy or tear.)
[X] Positive [ ] Negative [ ] Unable to perform [ ] N/A
If positive, side affected: [ ] Right [X] Left [ ] Both
b. Empty-can test (Abduct arm to 90 degrees and forward flex 30 degrees.
Patient turns thumbs down and resists downward force applied by the
examiner. Weakness indicates a positive test; may indicate rotator cuff
pathology, including supraspinatus tendinopathy or tear.)
[X] Positive [ ] Negative [ ] Unable to perform [ ] N/A
If positive, side affected: [ ] Right [X] Left [ ] Both
c. External rotation/Infraspinatus strength test (Patient holds arm at side
with elbow flexed 90 degrees. Patient externally rotates against
resistance. Weakness indicates a positive test; may be associated with
infraspinatus tendinopathy or tear.)
[X] Positive [ ] Negative [ ] Unable to perform [ ] N/A
If positive, side affected: [ ] Right [X] Left [ ] Both
d. Lift-off subscapularis test (Patient internally rotates arm behind lower
back, pushes against examiner's hand. Weakness indicates a positive test;
may indicate subscapularis tendinopathy or tear.)
[X] Positive [ ] Negative [ ] Unable to perform [ ] N/A
If positive, side affected: [ ] Right [X] Left [ ] Both
11. History and specific tests for instability/dislocation/labral pathology
---------------------------------------------------------------------------
a. Is there a history of mechanical symptoms (clicking, catching, etc.)?
[X] Yes [ ] No
If yes, side affected: [ ] Right [X] Left [ ] Both
b. Is there a history of recurrent dislocation (subluxation) of the
glenohumeral (scapulohumeral) joint?
[X] Yes [ ] No
If yes, indicate frequency, severity and side affected (check all that
apply):
[X] Infrequent episodes [ ] Right [X] Left [ ] Both
c. Crank apprehension and relocation test (With patient supine, abduct
patient's arm to 90 degrees and flex elbow 90 degrees. Pain and sense of
instability with further external rotation may indicate shoulder
instability.)
[X] Positive [ ] Negative [ ] Unable to perform [ ] N/A
If positive, side affected: [ ] Right [X] Left [ ] Both
12. History and specific tests for clavicle, scapula, acromioclavicular (AC)
joint, and sternoclavicular joint conditions
----------------------------------------------------------------------------
a. Does the Veteran have an AC joint condition or any other impairment of the
clavicle or scapula?
[ ] Yes [X] No
b. Is there tenderness on palpation of the AC joint?
[X] Yes [ ] No
If yes, indicate side: [ ] Right [X] Left [ ] Both
c. Cross-body adduction test (Passively adduct arm across the patient's body
toward the contralateral shoulder. Pain may indicate acromioclavicular
joint pathology.)
[X] Positive [ ] Negative [ ] Unable to perform [ ] N/A
If positive, side affected: [ ] Right [X] Left [ ] Both
13. Joint replacement and/or other surgical procedures
------------------------------------------------------
a. Has the Veteran had a total shoulder joint replacement?
[ ] Yes [X] No
b. Has the Veteran had arthroscopic or other shoulder surgery?
[X] Yes [ ] No
If yes, indicate side affected: [ ] Right [X] Left [ ] Both
Date and type of surgery: 25 JUL 12: ARTHROSCOPIC LEFT SHOULDER SURGERY
FOR LABRAL REPAIR
c. Does the Veteran have any residual signs and/or symptoms due to
arthroscopic or other shoulder surgery?
[ ] Yes [X] No
16. Diagnostic Testing
----------------------
a. Have imaging studies of the shoulder been performed and are the results
available?
[X] Yes [ ] No
If yes, is degenerative or traumatic arthritis documented?
[X] Yes [ ] No
If yes, indicate shoulder: [ ] Right [X] Left [ ] Both
b. Are there any other significant diagnostic test findings and/or results?
[ ] Yes [X] No
17. Functional impact
---------------------
Does the Veteran's shoulder condition impact his or her ability to work?
[X] Yes [ ] No
If yes, describe the impact of each of the Veteran's shoulder conditions
providing one or more examples:
The patient is not fit for repetitive heavy lifting involving the
shoulder to include stocking shelves, overhead movements of arms, working
into elevated spaces accessible via ladders only, police work, military
work, off-loading from truck.