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PDFWAC 415-104-580

Upper extremities.

The following conditions of the upper extremities are causes for rejection of membership:
(1) Limitation of motion: An individual will be considered unacceptable if the joint ranges of motion are less than the measurements listed below;
(a) Shoulder:
(i) Forward elevation to 90°;
(ii) Abduction to 90°;
(b) Elbow:
(i) Flexion to 100°;
(ii) Extension to 15°;
(c) Wrist: A total range of 15° (extension plus flexion);
(d) Hand: Pronation to the first quarter of the normal arc;
(e) Fingers: Inability to clench fist, pick up a pin or needle, and grasp an object;
(2) Hand and fingers:
(a) Absence (or loss) of more than 1/3 of the distal phalanx of either thumb;
(b) Absence or loss of distal and middle phalanx of an index, middle, or ring finger of either hand irrespective of the absence (or loss) of little finger;
(c) Absence of more than the distal phalanx of any two of the following fingers: Index, middle, or ring finger, of either hand;
(d) Absence of hand or any portion thereof except for fingers as noted above;
(e) Hyperdactylia;
(f) Scars and deformities of the fingers and/or hand which impair circulation, are symptomatic, are so disfiguring as to make the individual objectionable in ordinary social relationships, or which impair normal function to such a degree as to interfere with the satisfactory performance of duty;
(3) Wrist, forearm, elbow, arm, and shoulder: Healed disease or injury of wrist, elbow, or shoulder with residual weakness or symptoms of such a degree as to preclude satisfactory performance of duty.
[Statutory Authority: RCW 41.50.050(6) and 41.50.090. WSR 78-03-023 (Order IV), § 415-104-580, filed 2/15/78. Formerly WAC 297-50-090.]
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