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Military Medical Standards for Enlistment & Appointment

Upper extremities


Updated May 15, 2014
The disqualifying medical conditions are listed below. The International Classification of Disease (ICD) codes are listed in parentheses following each standard.

The causes for rejection for appointment, enlistment, and induction (without an approved waiver) are an authenticated history of:

Limitation of motion.

Current joint ranges of motion less than the measurements listed below are disqualifying.

Shoulder (726.1):

(a) Forward elevation to 90 degrees.

(b) Abduction to 90 degrees.

Elbow (726.3):

(a) Flexion to 100 degrees.

(b) Extension to 15 degrees.

Wrist (726.4):

A total range of 60 degrees (extension plus flexion) or radial and ulnar deviation combined arc 30 degrees.

Hand (726.4):

(a) Pronation to 45 degrees.

(b) Supination to 45 degrees.

Fingers and thumb (726.4):

Inability to clench fist, pick up a pin, grasp an object, or touch tips of at least three fingers with thumb.

Hand and fingers.

Current absence of the distal phalanx of either thumb (885) is disqualifying.

Current absence of distal and middle phalanx of an index, middle, or ring finger of either hand, irrespective of the absence of the little finger (886), is disqualifying.

Current absence of more than the distal phalanx of any two of the following fingers: index, middle finger, or ring finger of either hand (886) is disqualifying.

Current absence of hand or any portion thereof (887) is disqualifying except for specific absences of fingers as noted above.

Current polydactyly (755) is disqualifying.

Scars and deformities of the fingers or hand (905.2) that are symptomatic or that impair normal function to such a degree as to interfere with the satisfactory performance of military duty are disqualifying.

Current intrinsic paralysis or weakness of upper limbs, including nerve paralysis, carpal tunnel and cubital syndromes, lesion of ulnar and radial nerve (354) sufficient to produce physical findings in the hand, such as muscle atrophy and weakness is disqualifying.

Current disease, injury, or congenital condition with residual weakness or symptoms such as to prevent satisfactory performance of duty, including, but not limited to chronic joint pain: shoulder (719.41), upper arm (719.42), forearm (719.43), and hand (719.44), late effect of fracture of the upper extremities (905.2), late effect of sprains without mention of injury (905.7), and late effects of tendon injury (905.8) are disqualifying.

See also section on Miscellaneous Conditions of the Extremities.

Derived from Department of Defense (DOD) Directive 6130.3, "Physical Standards for Appointment, Enlistment, and Induction," and DOD Instruction 6130.4, "Criteria and Procedure Requirements for Physical Standards for Appointment, Enlistment, or Induction in the Armed Forces."

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