VASRD 5224 · Musculoskeletal

Ankylosis of Thumb VA Disability Rating

The thumb is fixed in one position and no longer moves. DC 5224 pays 20 percent when the fixed position is unfavorable and 10 percent when it is favorable, and unlike most upper-extremity codes it pays the same whether the thumb is on the dominant or the non-dominant hand.

VA Rating Tiers

RatingCriteria
20%Your thumb is fused in an unfavorable position, on either hand.
10%Your thumb is fused in a favorable position, on either hand.

How the VA Evaluates Ankylosis of Thumb

DC 5224 has exactly two rating rows - 'Unfavorable' at 20 percent and 'Favorable' at 10 percent - and the major (dominant) and minor (non-dominant) columns carry identical values, so hand dominance does not change the evaluation here. What has to be established is that the thumb is ankylosed and what position it is fixed in. The code's note directs two further considerations: '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 thumb that still moves but cannot reach the fingers is not rated here - that is DC 5228, limitation of motion of the thumb.

Approval outlook

Moderate – especially if documented by orthopedic or hand specialist.

Veterans service-connected

~8,200 veterans

Typical rating awarded

~20%

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

  • Hand surgeon or orthopedist evaluation
  • Grip strength test results
  • Photos or documentation showing fixed thumb position

Strategy Tips

  • Get a Nexus letter if secondary to hand trauma
  • List how tasks like buttoning, writing, gripping are affected
  • Clarify if thumb affects job or hobbies (e.g., typing, tools)

C&P Exam Pitfalls

  • No demonstration of functional loss
  • Lack of position specificity (favorable vs unfavorable)
  • Failure to compare with unaffected hand

Common Filing Mistakes

  • Claiming without medical evidence of ankylosis
  • Not mentioning hand dominance or work impact
  • Failing to differentiate favorable vs unfavorable position

Onset Patterns

  • Result of untreated dislocation or fracture
  • Long-term arthritis or post-surgical fusion
  • Can develop after tendon rupture

Secondary Conditions

Conditions commonly linked to Ankylosis of Thumb. Service-connecting a secondary condition can increase your combined rating.

Common questions about Ankylosis of Thumb

Is Ankylosis of Thumb a VA-rated disability?
Yes. The VA rates Ankylosis of Thumb under VASRD diagnostic code 5224 (Musculoskeletal). The thumb is fixed in one position and no longer moves. DC 5224 pays 20 percent when the fixed position is unfavorable and 10 percent when it is favorable, and unlike most upper-extremity codes it pays the same whether the thumb i…
What VA disability rating can I get for Ankylosis of Thumb?
Possible VA ratings for Ankylosis of Thumb are 20%, 10%. Examples: 20%: Your thumb is fused in an unfavorable position, on either hand.; 10%: Your thumb is fused in a favorable position, on either hand..
What's the typical VA rating awarded for Ankylosis of Thumb?
Vetrify estimates the typical rating awarded for Ankylosis of Thumb at around 20%, based on VA claims data and the rating schedule. An estimated 8,200 veterans are service-connected for Ankylosis of Thumb. Estimated approval outlook: Moderate – especially if documented by orthopedic or hand specialist.
What evidence helps prove Ankylosis of Thumb for VA disability?
Strong evidence for a Ankylosis of Thumb claim includes: Hand surgeon or orthopedist evaluation; Grip strength test results; Photos or documentation showing fixed thumb position.
What mistakes should veterans avoid when claiming Ankylosis of Thumb?
Common pitfalls when filing for Ankylosis of Thumb: Claiming without medical evidence of ankylosis; Not mentioning hand dominance or work impact; Failing to differentiate favorable vs unfavorable position.
What conditions are commonly secondary to Ankylosis of Thumb?
Conditions often service-connected as secondary to Ankylosis of Thumb include: Arthritis in Wrist, Tendonitis, Depression. 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 5224)

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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