Secondary Condition Claim · VASRD 5200

Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) Secondary to Middle Radicular Group (Nerve Damage)

A condition caused or aggravated by an already service-connected disability can be granted its own service connection as a secondary condition under 38 CFR § 3.310. Here's how that works for Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) when it develops after Middle Radicular Group (Nerve Damage).

Why Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) Is Linked to Middle Radicular Group (Nerve Damage)

Nerve misfiring

Primary condition · VASRD 8511

Middle Radicular Group (Nerve Damage)

Nerve damage in the neck causing arm weakness, tingling, or loss of function.

Secondary condition · VASRD 5200

Ankylosis of the Scapulohumeral Articulation (Shoulder Joint)

Shoulder ankylosis means your joint is stiff or frozen, severely limiting arm motion.

Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) VA Rating Tiers

The VA rates Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) the same way whether it's claimed directly or as secondary to Middle Radicular Group (Nerve Damage) — severity of Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) itself determines the percentage.

RatingCriteria
50%Your dominant shoulder is fused and the arm cannot be moved out more than 25 degrees from your side.
40%Either that same 25-degree fusion in your non-dominant shoulder, or an in-between fusion in your dominant shoulder.
30%Either an in-between fusion in your non-dominant shoulder, or a favorable fusion in your dominant shoulder that still lets you reach your mouth and head.
20%Your non-dominant shoulder is fused, but the arm still comes out to 60 degrees and you can reach your mouth and head.

Example combined rating

20% Middle Radicular Group (Nerve Damage) + 30% Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) = 44%

The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 20% and 30% combine to 44%, not 50%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.

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Evidence for a Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) Secondary Claim

  • X-rays or MRI confirming true joint fusion.
  • Range-of-motion tests from a VA C&P exam.
  • An orthopedic surgeon's report documenting the fusion's severity and angle.

Common questions about Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) secondary to Middle Radicular Group (Nerve Damage)

Can Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) be service-connected as secondary to Middle Radicular Group (Nerve Damage)?
Yes. Under 38 CFR § 3.310, a condition that is caused or aggravated by an already service-connected disability can be granted secondary service connection. Nerve misfiring You'll need a current Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) diagnosis and a medical nexus opinion linking it to your servic…
What VA rating can I get for Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) as a secondary condition?
Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) is rated under VASRD diagnostic code 5200 using the same criteria whether it's a direct or secondary claim: possible ratings are 50%, 40%, 30%, 20%. The rating depends on the severity of Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) itself,…
How does a secondary Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) claim affect my combined VA rating?
The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 20% rating for Middle Radicular Group (Nerve Damage) combined with a 30% rating for Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) (example figures) produces a combined rating of 44%, not 50%. Approving Ank…
What evidence do I need to service-connect Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) as secondary to Middle Radicular Group (Nerve Damage)?
Strong evidence for the underlying Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) diagnosis includes: X-rays or MRI confirming true joint fusion.; Range-of-motion tests from a VA C&P exam.; An orthopedic surgeon's report documenting the fusion's severity and angle.. For the secondary link itself, a nexu…

Primary condition

Full Middle Radicular Group (Nerve Damage) guide

Secondary condition

Full Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) guide

Estimate your combined rating

See how Middle Radicular Group (Nerve Damage) and Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) combine with the rest of your service-connected conditions using the official VA combined-ratings formula.

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