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Patella Femoral Syndrome

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I received a decison in dated January 21, 2010 granting service connection for Bilateral Patella Femoral Syndrome of the Knees with a 0 percent evaluation effective March 5, 2003, which is the date my claim was reopened. It is rated analagous under 5261(Leg, Limitation of Extension of). The last C&P Exam radiology report included:

Report:

(Right Knee)Mild spur formation of the patella noted. No joint fluid noted. Narrowing of the patellofemoral joint also not.

(Left Knee)Mild spur formation of patella noted. no joint fluid noted. Narrowing of patellofemoral joint noted along the lateral segment.

Impression:

Mild spur formation of bilateral pafellofemoral joints noted. No significant arthritis.

Primary Diagnostic Code: NO SIGNIFICANT ABNORMALITY

PHYSICAL EXAMINATION

RANGE OF MOTION for Bilateral knees are:

ACTIVE MOTION AGAINST GRAVITY: 0 to 120 Degrees

Pain Begins At: 120 Degrees

Pain Ends At: 100 Degrees

PASSIVE ROM: 0 to 120 Degrees

Pain Begins At: 120 Degrees

Pain Ends At: 100 Degrees

ROM AGAINST STRONG RESISTANCE: 0 to 120 Degrees

Pain Begins At: 120 Degrees

Pain Ends At: 100

ADDITIONAL LOM ON REPETITIVE USE: Yes

LOM ON REPETITIVE USE: 0 to 100 Degrees

FACTOR MOST RESPONSIBLE FOR ADDITIONAL LOM: Pain

SUMMARY OF GENERAL JOINT CONDITIONS

CONDITION: (Bilateral) - Crepitus, Edema, Painful Movement, Guarding of Movement

CLICKS OR SNAPS: (Bilateral) - Yes

Should I be entitled to compensation for x-ray evidence of arthritis, even though not signifcant, with limitation of motion even though the limitation of motion is noncompensable. Also, with functional loss, when you apply 38 C.F.R sections 4.40, 4.45, and 4.59(Painful Motion), should I be entitled to the least minimum compensable rating for the joint with limitation of motion. PLEASE HELP ME?

My bilateral knee condtion has been diagnosed as:

Bilateral Medial Collateral & SubPatella Strain - (Army Physician Jan. 1998)

Popping Bilateral Knees - (Army Physician May 1998)

Patella Femoral Sydrome with Enthesopathy - (Private Physician May and Nov. 2002)

Right Knee Degeneration in Medial Meniscus/Bone Island in femur - (Private Physician Jan. 2003)

Patella Tendonitis - (VA Exam. Dec. 2003)

Degenerative Joint Disease - (Private Physician Jul. 2004)

Patella Femoral Syndrome(Chondromalacia) by Private PhysicianPatella Tendonitis by VA in 2003

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I suggest you go to the BVA web site for similiar cases like this one:

http://www4.va.gov/vetapp10/files1/1004236.txt

to see how your evidence could possibly involve a higher rating.I am not sure if arthitis would affect the rating- was the arthritis claimed as secondary or an aggravating NSC factor that aggravated a SC condition?

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