Evidence Checklist: Wrist Limitation of Motion

Orthopedic evaluation with wrist range of motion measurementsCritical

Examination documenting wrist flexion, extension, radial deviation, and ulnar deviation in degrees, along with grip strength. VA rates under DC 5214-5215. Pain on motion and after repetitive use must be documented.

Nexus opinion linking wrist limitation to service ("at least as likely as not")Critical

A medical opinion connecting your wrist motion restriction to in-service injury, repetitive duties, or a service-related event.

Grip strength measurement

Dynamometer grip strength measurements comparing the affected and unaffected wrists, documenting functional impact of wrist limitation on grip and daily tasks.

Imaging studies (X-ray or MRI of wrist)

Radiographs showing arthritis, carpal alignment, post-fracture changes, or TFCC injury; MRI documenting ligament integrity, TFCC, and carpal bones.

Documentation of dominant vs. non-dominant handCritical

Medical records specifying which wrist is affected and which hand is dominant. The major (dominant) extremity receives a higher rating.

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 Wrist ConditionsCritical

Standardized form capturing wrist range of motion, grip strength, pain, and functional limitations.

Service treatment records (STRs)Critical

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