Odd C&P for my Knee

[lcurle]

So I went in for a C&P for my R Knee.  I laid down on a table, brought my knee as high up as I could to my chest, and then put it back down again.  Did that 3 times and I was done.  Seems like there was not a complete ROM evaluation done, your thoughts.

[Vync]

I'm not too familiar with the knee, but I would assume they would be looking at more than just that. Below I listed the knee/leg ratings. From what you described, it sounds like they were evaluating you under 5256. I assume he would have asked you to do other movements, check for balance/instability, etc... Also, the De Luca (pain on movement/functional loss) should also be considered, if applicable.

 

www.ecfr.gov/cgi-bin/text-idx?rgn=div5;node=38:1.0.1.1.5

	Rating
5256   Knee, ankylosis of:
Extremely unfavorable, in flexion at an angle of 45° or more	60
In flexion between 20° and 45°	50
In flexion between 10° and 20°	40
Favorable angle in full extension, or in slight flexion between 0° and 10°	30
5257   Knee, other impairment of:
Recurrent subluxation or lateral instability:
Severe	30
Moderate	20
Slight	10
5258   Cartilage, semilunar, dislocated, with frequent episodes of “locking,” pain, and effusion into the joint	20
5259   Cartilage, semilunar, removal of, symptomatic	10
5260   Leg, limitation of flexion of:
Flexion limited to 15°	30
Flexion limited to 30°	20
Flexion limited to 45°	10
Flexion limited to 60°	0
5261   Leg, limitation of extension of:
Extension limited to 45°	50
Extension limited to 30°	40
Extension limited to 20°	30
Extension limited to 15°	20
Extension limited to 10°	10
Extension limited to 5°	0
5262   Tibia and fibula, impairment of:
Nonunion of, with loose motion, requiring brace	40
Malunion of:
With marked knee or ankle disability	30
With moderate knee or ankle disability	20
With slight knee or ankle disability	10
5263   Genu recurvatum (acquired, traumatic, with weakness and insecurity in weight-bearing objectively demonstrated)	10

[Carl the Engineer]

Laying on your back would be test for hip.  Sitting would be test for knee.  Did the examiner use a goniometer? Or just eye ball it?

Hamslice

ec04no91.002.pdf

[Navy04]

I am SC for both knees, and those Exams were conducted the same way bud. No surprise there, what the Doc did was see that you were able to bend and extend knee fully. May or not be a good thing. Good luck and keep us posted

[lcurle]

Yeah it was odd.  She looked at my knees and put her hand on my knee cap and moved it back and forth slightly and that was it.

[lcurle]

And the results are in, looks like I will be denied based on her answer.

" MEDICAL OPINION REQUEST TYPE OF MEDICAL OPINION REQUESTED: Direct service connection OPINION: Direct service connection ------------------------------------------------------ RESTATEMENT OF REQUESTED OPINION: a. Opinion from general remarks: Does the Veteran have a diagnosis of (a)right knee condition that is at least as likely as not (50 percent or greater probability) incurred in or caused by (the) repated complaints of pain and subsequent treatment during service? b. Indicate type of exam for which opinion has been requested: Knee TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE CONNECTION ] b. The condition claimed was less likely than not (less than 50% probability) incurred in or caused by the claimed in-service injury, event or illness. c. Rationale: Current Exam findings significant for Old developmental Osgood Schlatter disease. There is no evidence of a chronic knee condition caused by AD Military service. Aggravation of the developmental Osgood Schlatter disease beyond Natural History is also not warrented."

[Vync]

Did you file for service aggravation of a pre-existing injury/condition? It sounds like the VA is trying to state that you have "Osgood Schlatter" and blame that for your problem. That's a teenage condition that kids usually outgrow, but some adults end up with bone fragments that bug them later in life.