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Elbow Fracture Residuals
DC 5207 | 38 CFR § 4.71a, DC 5207 |
Elbow Fracture Residuals is rated by the U.S. Department of Veterans Affairs under DC 5207 of 38 CFR § 4.71a, DC 5207 across 7 severity tiers (60% / 50% / 40% / 30% / 20%…). Service connection requires (1) a current diagnosis, (2) an in-service event, injury, or exposure, and (3) a medical nexus opinion linking the two under 38 C.F.R. § 3.303.
OVERVIEW
Residual limitation of motion and pain from a healed elbow fracture affecting forearm extension and flexion
RATING CRITERIA (7 LEVELS)
60%
DC 5210 "Radius and ulna, nonunion of, with flail false joint" = 60% Major / 50% Minor (verbatim § 4.71a DC 5210); DC 5211 Major "Ulna, impairment of: Nonunion in upper half, with false movement; With loss of bone substance (1 inch (2.5 cms.) or more) and marked deformity" = 60% Major; DC 5212 Major "Radius, impairment of: Nonunion in lower half, with false movement; With loss of bone substance (1 inch / 2.5 cm or more) and marked deformity" = 60% Major. (Verbatim § 4.71a DC 5210-5212.)
50%
DC 5206 Major "Flexion limited to 45°" = 50%; DC 5207 Major "Extension limited to 90° or 100°" = 50%; DC 5205 Major "Elbow ankylosis, unfavorable at angle less than 50°" = 60%; DC 5210 Minor "Radius/ulna nonunion with flail false joint" = 50%; DC 5211 Minor "Ulna, upper-half nonunion with bone loss" = 50%. (Verbatim § 4.71a.)
40%
DC 5206 Major "Flexion limited to 55°" = 40%; DC 5206 Minor "Flexion limited to 45°" = 40%; DC 5207 Major "Extension limited to 75°" = 40%; DC 5211 "Ulna, lower-half nonunion" = 40% Major; DC 5211 "Ulna, upper-half nonunion without bone loss" = 50% Major / 40% Minor. (Verbatim § 4.71a.)
30%
DC 5206 Major "Flexion limited to 70°" = 30%; DC 5207 Major "Extension limited to 60°" = 30%; DC 5209 "Joint fracture, with marked cubitus varus or cubitus valgus deformity or with ununited fracture of head of radius" = 30% Major / 20% Minor; DC 5212 "Radius, upper-half nonunion" = 30% Major. (Verbatim § 4.71a DC 5206-5212.)
20%
DC 5206 "Flexion limited to 90°" = 20% (Major or Minor); DC 5207 "Extension limited to 45°" = 20%; DC 5208 "Forearm flexion limited to 100° and extension to 45°" = 20%; DC 5209 "Elbow, other impairment of Flail joint" = 20% (Major or Minor); DC 5213 Major "Hand fixed in supination or hyperpronation" = 30%, "Hand fixed in full pronation" = 20%, "Limitation of pronation, motion lost beyond middle of arc" = 20%. (Verbatim § 4.71a.) ⚠ DC 5003 X-ray-only 20% can apply for DC 5207 (DC 5207 is NOT in the 5013-5024 exclusion range).
10%
DC 5206 "Flexion limited to 100°" or "110°" = 10% (Major or Minor — verbatim 10/10); DC 5207 "Extension limited to 45°" = 10% / "Extension limited to 60°" = 10%; DC 5213 "Hand fixed near middle of arc or moderate pronation" = 10%; OR — DC 5003 single-joint fallback with painful-motion / swelling / muscle-spasm objectively confirmed = 10%; OR — DC 5003 X-ray-only "2+ major joints" = 10%. (Verbatim § 4.71a DC 5003 / DC 5206-5213.)
0%
Fracture residuals with normal ROM, no nonunion / malunion findings on imaging, no objectively-confirmed painful-motion / swelling / muscle-spasm.
KEY EVIDENCE TO GATHER
-Service treatment records showing injury or complaints
-Imaging (X-ray, MRI, CT)
-Range of motion measurements
-Flare-up documentation per Sharp v. Shulkin
-Buddy statements describing limitations
-Prescription history
-Physical therapy records
-Employment impact documentation
C&P EXAM TIPS (6)
1.Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation.
2.Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.
3.Tell the examiner about flare-ups: frequency, duration, estimated ROM loss. Sharp v. Shulkin (2017) requires estimates.
4.Request active, passive, weight-bearing, and non-weight-bearing ROM testing per Correia v. McDonald (2016).
5.If you use assistive devices (brace, cane), bring them.
6.Describe daily activity impact: work, sleep, household tasks.
SOURCES & EDITORIAL
Rating criteria reference 38 C.F.R. Part 4 (Schedule for Rating Disabilities). This entry has not yet undergone editorial review against the live regulation text — consult the authoritative source directly before relying on the criteria shown.
EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026