Secondary Condition Claim · VASRD 5024
Tenosynovitis Secondary to Os Calcis or Astragalus (Calcaneus or Talus), Malunion of
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 Tenosynovitis when it develops after Os Calcis or Astragalus (Calcaneus or Talus), Malunion of.
Why Tenosynovitis Is Linked to Os Calcis or Astragalus (Calcaneus or Talus), Malunion of
Altered heel alignment places stress on tendon
Primary condition · VASRD 5273
Os Calcis or Astragalus (Calcaneus or Talus), Malunion of
The heel bone (os calcis, now called the calcaneus) or the ankle bone (astragalus, now called the talus) healed out of position after a fracture, and the rating turns on whether the resulting deformity is moderate or marked.
Secondary condition · VASRD 5024
Tenosynovitis
Tenosynovitis is inflammation of the sheath that surrounds a tendon, causing pain, swelling and catching on movement. Since February 7, 2021 DC 5024 has covered a wider family — the schedule titles it "Tenosynovitis, tendinitis, tendinosis or tendinopathy", so rotator cuff tendinitis, De Quervain's tenosynovitis, lateral epicondylitis, Achilles tendinopathy and trigger finger are all rated here. The code has no percentages of its own: it is rated as degenerative arthritis, on limitation of motion of the affected part.
Tenosynovitis VA Rating Tiers
The VA rates Tenosynovitis the same way whether it's claimed directly or as secondary to Os Calcis or Astragalus (Calcaneus or Talus), Malunion of — severity of Tenosynovitis itself determines the percentage.
| Rating | Criteria |
|---|---|
| 10% | Per joint, when motion is limited but not enough to rate on its own |
| 0% | Service-connected, but no compensable joint limitation |
Example combined rating
20% Os Calcis or Astragalus (Calcaneus or Talus), Malunion of + 10% Tenosynovitis = 28%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 20% and 10% combine to 28%, not 30%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
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Evidence for a Tenosynovitis Secondary Claim
- •Goniometer range-of-motion measurements, in degrees, for the joint the affected tendon crosses — this is the only thing DC 5024 rates.
- •Examination findings recording objective painful motion, localized swelling along the tendon, or crepitus, which is the confirmation DC 5003 requires before the per-joint 10 percent can be assigned.
- •Ultrasound or MRI showing tendon sheath thickening, tendinosis or a partial tear, plus injection, splinting, physical therapy or release-surgery records.
- •Documentation of functional loss on repeated use over time, which 38 CFR 4.40 treats as "as important as limitation of motion".
- •A separate measurement for every tendon site involved, since each major joint or minor joint group with noncompensable limitation of motion carries its own 10 percent, combined rather than added.
Common questions about Tenosynovitis secondary to Os Calcis or Astragalus (Calcaneus or Talus), Malunion of
- Can Tenosynovitis be service-connected as secondary to Os Calcis or Astragalus (Calcaneus or Talus), Malunion of?
- 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. Altered heel alignment places stress on tendon You'll need a current Tenosynovitis diagnosis and a medical nexus opinion linking it to your service-connected Os Ca…
- What VA rating can I get for Tenosynovitis as a secondary condition?
- Tenosynovitis is rated under VASRD diagnostic code 5024 using the same criteria whether it's a direct or secondary claim: possible ratings are 10%, 0%. The rating depends on the severity of Tenosynovitis itself, not on the severity of Os Calcis or Astragalus (Calcaneus or Talus), Malunion of.
- How does a secondary Tenosynovitis 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 Os Calcis or Astragalus (Calcaneus or Talus), Malunion of combined with a 10% rating for Tenosynovitis (example figures) produces a combined rating of 28%, not 30%. Approving Tenosynovitis as secondary stil…
- What evidence do I need to service-connect Tenosynovitis as secondary to Os Calcis or Astragalus (Calcaneus or Talus), Malunion of?
- Strong evidence for the underlying Tenosynovitis diagnosis includes: Goniometer range-of-motion measurements, in degrees, for the joint the affected tendon crosses — this is the only thing DC 5024 rates.; Examination findings recording objective painful motion, localized swelling along the tendon, or crepitus, which i…
Primary condition
Full Os Calcis or Astragalus (Calcaneus or Talus), Malunion of guide
Secondary condition
Full Tenosynovitis guide
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