436-035-0330 Shoulder Joint (1) The following ratings are for loss of forward elevation (flexion) in the shoulder joint: [Ratings not included. See ED. NOTE.] (2) The following ratings are for forward elevation (flexion) ankylosis in the shoulder joint: [Ratings not included. See ED. NOTE.] (3) The following ratings are for loss of backward elevation (extension) in the shoulder joint: [Ratings not included. See ED. NOTE.] (4) The following ratings are for backward elevation (extension) ankylosis in the shoulder joint: [Ratings not included. See ED. NOTE.] (5) The following ratings are for loss of abduction in the shoulder joint: [Ratings not included. See ED. NOTE.] (6) The following ratings are for abduction ankylosis in the shoulder joint: [Ratings not included. See ED. NOTE.] (7) The following ratings are for loss of adduction in the shoulder joint: [Ratings not included. See ED. NOTE.] (8) The following ratings are for adduction ankylosis in the shoulder joint: [Ratings not included. See ED. NOTE.] (9) The following ratings are for loss of internal rotation in the shoulder joint: [Ratings not included. See ED. NOTE.] (10) The following ratings are for internal rotation ankylosis in the shoulder joint: [Ratings not included. See ED. NOTE.] (11) The following ratings are for loss of external rotation in the shoulder joint: [Ratings not included. See ED. NOTE.] (12) The following ratings are for external rotation ankylosis in the shoulder joint: [Ratings not included. See ED. NOTE.] (13) Shoulder surgery is rated as follows: [Ratings not included. See ED. NOTE.] (14) Chronic dislocations of the shoulder joint or diastasis of a sternal joint, are valued at 15% impairment when a preponderance of medical opinion places permanent new restrictions on the worker which necessitate a reduction in the strength lifting category under OAR 436-035-0012. (15) When two or more ranges of motion are restricted, add the impairment values for decreased range of motion. (16) When two or more ankylosis positions are documented, select the one direction representing the largest impairment. That will be the impairment value for the shoulder represented by ankylosis. (17) Valid losses of strength in the shoulder or back, substantiated by clinical findings, are valued based on the peripheral nerve supplying (innervating) the muscle(s) demonstrating the decreased strength, as described in the following table and as modified under OAR 436-035-0011(7): [Ratings not included. See ED. NOTE.] (18) Multiple or bilateral decreased strength impairment findings are determined by combining the values in section (17) of this rule. [ED. NOTE: Examples & Ratings referenced are available from the agency.] Statutory/Other Authority: ORS 656.726 Statutes/Other Implemented: ORS 656.005, 656.214, 656.268 & 656.726 History: WCD 8-2005, f. 12-6-05, cert. ef. 1-1-06 WCD 9-2004, f. 10-26-04, cert. ef. 1-1-05 WCD 2-2003, f. 1-15-03, cert. ef. 2-1-03 WCD 6-1999, f. & cert. ef. 4-26-99 WCD 10-1998(Temp), f. & cert. ef. 10-28-98 thru 4-25-99 WCD 6-1998, f. 5-13-98, cert. ef. 7-1-98 WCD 1-1997, f. 1-9-97, cert. ef. 2-15-97 WCD 3-1996, f. 1-29-96, cert. ef. 2-17-96 WCD 6-1992, f. 2-14-92, cert. ef. 3-13-92 WCD 2-1991, f. 3-26-91, cert. ef. 4-1-91 WCD 7-1988, f. 12-21-88, cert. ef. 1-1-89, Renumbered from 436-030-0480 WCD 5-1988, f. 9-2-88, cert. ef. 8-19-88 WCD 2-1988, f. 6-3-88, cert. ef. 7-1-88 WCD 5-1981, f. 12-30-81, cert. ef. 1-1-82, Renumbered from 436-065-0610