Evidence Checklist: Total Shoulder Replacement (Arthroplasty)

Nexus opinion linking total shoulder replacement to service-connected condition ("at least as likely as not")Critical

A medical opinion connecting the underlying condition requiring shoulder replacement to military service. The replacement is rated at 100% for one year post-surgery, then on residual ROM.

Post-operative shoulder range of motion measurementsCritical

Current orthopedic examination documenting forward flexion, abduction, internal and external rotation after the 1-year minimum rating period, as the ongoing rating will be based on residual motion limitation.

Surgical records from total shoulder replacementCritical

Operative reports from total shoulder arthroplasty (anatomic or reverse), documenting the reason for surgery, implant type, and any intraoperative findings.

Documentation of dominant vs. non-dominant armCritical

Medical records specifying which shoulder was replaced and which arm is dominant. The major extremity receives a higher rating.

Documentation of post-operative complications or chronic symptoms

Records of component loosening, instability, chronic pain, periprosthetic fracture, revision surgery, or persistent functional limitations.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Completed DBQ Shoulder and Arm ConditionsCritical

Standardized form capturing shoulder range of motion, post-surgical status, and functional limitations after total shoulder replacement.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.