Ulceration with full thickness loss of the skin in the lower extremity may be associated with impairment if it affects, standing, walking or other functions.
Site of Ulceration |
Percent Impairment |
||
---|---|---|---|
|
Foot |
Lower Extremity |
Whole Person |
heel covering (limits standing and walking) |
35 |
25 |
10 |
chronic osteomyelitis of foot (with drainage and limits on wearing footwear) |
35 |
25 |
10 |
plantar surface over first metatarsal (limits standing and walking) |
17 |
12 |
5 |
plantar surface over fifth metatarsal (limits standing and walking) |
17 |
12 |
5 |
chronic osteomyelitis of tibia with active drainage |
10 |
7 |
3 |
chronic osteomyelitis of femur with active drainage |
10 |
7 |
3 |
ischial covering (limits sitting time) |
0 |
12 |
5 |
tibial tuberosity (limits kneeling) |
0 |
5 |
2 |
where:
• I am not sure why osteomyelitis of the femur or tibia would cause impairment of the foot.
• The impairment persists even if there is a skin graft that successfully covers the affected area.
Purpose: To evaluate a patient with ulceration of the lower extremity to determine the level of impairment.
Specialty: Sports Medicine & Rehabilitation, Dermatology
Objective: complications, disability and performance
ICD-10: L98.4,