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PDFWAC 415-104-588

Miscellaneous extremities.

See also WAC 415-104-580 and 415-104-584. The following conditions of the miscellaneous extremities are causes for rejection of membership:
(1) Arthritis:
(a) Active or subacute arthritis, including Marie-Strumpell type;
(b) Chronic osteoarthritis or traumatic arthritis of isolated joints of more than minimal degree, which has interfered with the following of a physically active vocation in civilian life or which precludes the satisfactory performance of duty;
(c) Documented clinical history of rheumatoid arthritis;
(d) Traumatic arthritis of a major joint of more than minimal degree;
(2) Disease of any bone or joint, healed, with such resulting deformity or rigidity that function is impaired to such a degree that it will interfere with service;
(3) Dislocation, old unreduced; substantiated history of recurrent dislocations of major joints; instability of a major joint, symptomatic and more than mild; or if, subsequent to surgery, there is evidence of more than mild instability in comparison with the normal joint, weakness or atrophy in comparison with the normal side, or if the individual requires medical treatment of sufficient frequency to interfere with the performance of duty;
(4) Fractures:
(a) Malunited fractures that interfere significantly with function;
(b) Ununited fractures;
(c) Any old or recent fracture in which a plate, pin, or screws were used for fixation and left in place and which may be subject to easy trauma, i.e., as a plate tibia, etc;
(5) Injury of a bone or joint within the preceding six weeks, without fracture or dislocation, of more than a minor nature;
(6) Muscular paralysis, contracture, or atrophy, if progressive or of sufficient degree to interfere with service;
(7) Myotonia congenita, confirmed;
(8) Osteomyelitis, active or recurrent, of any bone or substantiated history of osteomyelitis of any of the long bones unless successfully treated two or more years previously without subsequent recurrence or disqualifying sequelae as demonstrated by both clinical and X-ray evidence;
(9) Osteoporosis;
(10) Scars, extensive, deep or adherent, of the skin and soft issues or neuromas of an extremity which are painful, which interfere with muscular movements, which preclude the wearing of equipment, or that show a tendency to break down;
(11) Chondromalacia, manifested by verified history of joint effusion, interference with function, or residuals from surgery.
[Statutory Authority: RCW 41.50.050(6) and 41.50.090. WSR 78-03-023 (Order IV), ยง 415-104-588, filed 2/15/78. Formerly WAC 297-50-090.]
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