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The
following medical conditions could result in initiation of a Medical
Evaluation Board (MEB), and could result in medical discharge:
Upper
extremities
Amputation of part or parts of an upper extremity which results in
impairment equivalent to the loss of use of a hand.
Joint ranges of motion which do not equal or exceed the following:
For shoulder:
Forward elevation to 90 degrees.
Abduction to 90 degrees.
For elbow:
Flexion to 100 degrees.
Extension to 45 degrees of flexion.
Chronic dislocation, when not reparable or when surgery is contraindicated.
Lower
Extremities
Hip dislocation.
Amputation of a toe or toes which precludes the ability to run or walk
without a perceptible limp or to perform duty in a satisfactory manner.
Any loss greater than specified above to include foot, leg, or thigh.
Feet:
Hallux valgus when moderately severe, with exostosis or rigidity and
pronounced symptoms, or severe with arthritic changes.
Pes planus, symptomatic, more than moderate with pronation on weight
bearing which prevents the wearing of a military shoe, or when associated
with trophic changes.
Talipes cavus when severe, with moderate discomfort on prolonged standing
and walking, metatarsalgia, or which prevents the wearing of a military
shoe.
Internal derangement of the knee.
Residual instability following remedial measures if more than moderate
in degree or with recurring episodes of effusion or locking, resulting
in frequent incapacitation.
If complicated by arthritis.
Joint Ranges of Motion. Motion which does not equal or exceed the measurements
listed below:
Hip. Flexion to 90 degrees. Extension to 0 degrees.
Knee. Flexion to 90 degrees. Extension to 15 degrees.
Shortening of an extremity which exceeds 5 centimeters (2 inches).
Miscellaneous
Arthritis.
Arthritis due to infection associated with persistent pain and marked
loss of function, with Xray evidence, and documented history of recurrent
incapacitation.
Arthritis due to trauma, when surgical treatment fails or is contraindicated
and there is functional impairment of the involved joint so as to preclude
satisfactory performance of duty.
Osteoarthritis, with severe symptoms associated with impairment of
function, supported by Xray evidence and documented history of recurrent
incapacity for prolonged periods.
Rheumatoid arthritis or rheumatoid myositis, with substantiated history
of frequent incapacitating episodes supported by objective and subjective
findings.
Chondromalacia
or Osteochondritis dessicans. Severe, manifested by frequent joint
effusion, more than moderate interference with function,
or with severe residuals from surgery.
Fractures
Malunion when, after appropriate treatment, there is severe malunion
with marked deformity or more than moderate loss of function.
Nonunion when, after an appropriate healing period, the nonunion persists
with severe loss of function.
Bone fusion defect when manifested by severe pain or loss of function.
Callus, excessive, following fracture, when functional impairment precludes
satisfactory performance of duty and the callus does not respond to
adequate treatment.
Joints
Arthroplasty, with severe pain, limitation of motion, and limitation
of function, joint prosthesis or total joint replacement.
Bony or fibrous ankylosis, with severe pain involving major joints
or spinal segments, or ankylosis in unfavorable positions or ankylosis
with marked loss of function.
Contracture with marked loss of function and the condition is not remediable
by surgery.
Loose bodies within a joint with marked functional impairment complicated
by arthritis to such a degree as to preclude favorable results of treatment.
Muscles. Flaccid or spastic paralysis or loss of substance of one or
more muscles, producing loss of function which precludes satisfactory
performance of military duty.
Myotonia congenita, significantly symptomatic.
Osteitis
deformans. Involvement of single or multiple bones with resultant
deformities, or symptoms severely interfering with function.
Osteoarthropathy. Hypertrophic, secondary, with severe pain in one or multiple joints
and with moderate loss of function.
Osteomyelitis,
chronic. Recurrent episodes not responsive to treatment or involving
the bone to a degree which interferes with stability and
function.
Tendon
transplant. Unsatisfactory restoration of function.
Above Information Derived
from Air Force Instruction 148-23
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