VASRD 5226 · Musculoskeletal

Ankylosis of the Long (Middle) Finger VA Disability Rating

The long (middle) finger is fixed in one position and no longer bends. DC 5226 is a single 10 percent evaluation: favorable and unfavorable ankylosis are rated the same, and so are the dominant and non-dominant hands.

VA Rating Tiers

RatingCriteria
10%A fused middle finger is rated 10 percent either way, on either hand.

How the VA Evaluates Ankylosis of the Long (Middle) Finger

DC 5226 has one rating row - 'Unfavorable or favorable' - at 10 percent in both the major (dominant) and minor (non-dominant) columns, so neither the fixed position nor hand dominance moves the evaluation. There is no noncompensable tier under this code. The code's note adds: 'Also consider whether evaluation as amputation is warranted and whether an additional evaluation is warranted for resulting limitation of motion of other digits or interference with overall function of the hand.' A long finger that still moves but is restricted is rated under DC 5229 (index or long finger, limitation of motion), and a long finger ankylosed together with a second digit moves to the multiple-digit codes, DC 5216 through DC 5223.

Approval outlook

Moderate if the ankylosis is unfavorable or limits hand use.

Veterans service-connected

~5,300 veterans

Typical rating awarded

~10%

Vetrify editorial estimates informed by VA published claims data (VBA Annual Benefits Report) and the VA rating schedule — not official VA statistics.

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Best Evidence to Gather

  • Occupational therapy notes and grip test results
  • Medical imaging confirming fixed position
  • Orthopedic evaluation describing finger stiffness

Strategy Tips

  • Document impact on daily tasks like typing or driving
  • Include supporting imaging
  • Mention ongoing treatment or surgery if applicable

C&P Exam Pitfalls

  • Insufficient detail about range of motion loss
  • No clear evidence of how function is impacted
  • Failing to specify finger position category

Common Filing Mistakes

  • Claiming without proof of fixation
  • No functional limitation discussion
  • Omitting imaging or provider documentation

Onset Patterns

  • Repeated trauma or fracture
  • Post-operative fusion
  • Joint damage from arthritis or infection

Secondary Conditions

Conditions commonly linked to Ankylosis of the Long (Middle) Finger. Service-connecting a secondary condition can increase your combined rating.

Common questions about Ankylosis of the Long (Middle) Finger

Is Ankylosis of the Long (Middle) Finger a VA-rated disability?
Yes. The VA rates Ankylosis of the Long (Middle) Finger under VASRD diagnostic code 5226 (Musculoskeletal). The long (middle) finger is fixed in one position and no longer bends. DC 5226 is a single 10 percent evaluation: favorable and unfavorable ankylosis are rated the same, and so are the dominant and non-dominant…
What VA disability rating can I get for Ankylosis of the Long (Middle) Finger?
Possible VA ratings for Ankylosis of the Long (Middle) Finger are 10%. Examples: 10%: A fused middle finger is rated 10 percent either way, on either hand..
What's the typical VA rating awarded for Ankylosis of the Long (Middle) Finger?
Vetrify estimates the typical rating awarded for Ankylosis of the Long (Middle) Finger at around 10%, based on VA claims data and the rating schedule. An estimated 5,300 veterans are service-connected for Ankylosis of the Long (Middle) Finger. Estimated approval outlook: Moderate if the ankylosis is unfavorable or lim…
What evidence helps prove Ankylosis of the Long (Middle) Finger for VA disability?
Strong evidence for a Ankylosis of the Long (Middle) Finger claim includes: Occupational therapy notes and grip test results; Medical imaging confirming fixed position; Orthopedic evaluation describing finger stiffness.
What mistakes should veterans avoid when claiming Ankylosis of the Long (Middle) Finger?
Common pitfalls when filing for Ankylosis of the Long (Middle) Finger: Claiming without proof of fixation; No functional limitation discussion; Omitting imaging or provider documentation.
What conditions are commonly secondary to Ankylosis of the Long (Middle) Finger?
Conditions often service-connected as secondary to Ankylosis of the Long (Middle) Finger include: Hand Muscle Atrophy, Pain Syndrome, Wrist Strain. Filing for secondary conditions can increase a veteran's combined VA rating.

Official sources

  1. 38 CFR § 4.71a — Schedule of ratings — musculoskeletal system (Diagnostic Code 5226)

Rating criteria on this page are an educational summary of the cited regulation — the eCFR text is authoritative. See how Vetrify derives its numbers.

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