ratings, multiple finger amputations, subject to the amputation rule applied to the forearm.

(e) Combinations of finger amputations at various levels, or finger amputations with ankylosis or limitation of motion of the fingers will be rated on the basis of the grade of disability; i.e., amputation, unfavorable ankylosis, most representative of the levels or combinations. With an even number of fingers involved, and adjacent grades of disability, select the higher of the two grades.

(f) Loss of use of the hand will be held to exist when no effective function remains other than that which would be equally well served by an amputation stump with a suitable prosthetic applicance.

Arm, amputation of:

30

50

50

50

50

At

50

50

5151 Ring and little......

(a) The ratings for multiple finger ampu-
tations apply to amputations at the
proximal interphalangeal joints or
through proximal phalanges..
(b) Amputation through middle phalan-
ges will be rated as prescribed for
unfavorable ankylosis of the fingers.....
(c) Amputations at distal joints, or
through distal phalanges, other than
negligible losses, will be rated as
prescribed for favorable ankylosis of
the fingers.....

(d) Amputation or resection of metacar-
pal bones (more than one-half the
bone lost) in multiple fingers injuries
will require a rating of 10 percent
added to (not combined with) the

SINGLE FINGER AMPUTATIONS

5152 Thumb, amputation of: With metacarpal resection.

metacarpophalangeal

through proximal phalanx

40

joint or

888

30

20

20

30

At distal joint or through distal phalanx.... 5153 Index finger, amputation of

With metacarpal resection (more than one-half the bone lost).

Without metacarpal resection, at proximal interphalangeal joint or proximal thereto

Through middle phalanx or at distal joint......

5154 Middle finger, amputation of:

With metacarpal resection (more than one-half the bone lost)..

Without metacarpal resection, at proximal interphalangeal joint or proximal thereto

5155 Ring finger, amputation of: With metacarpal resection (more than one-half the bone lost).......

Without metacarpal resection, at proximal interphalangeal joint or proximal thereto

5156 Little finger, amputation of:

With metacarpal resection (more than one-half the bone lost)..

Without metacarpal resection, at proximal interphalangeal joint or proximal thereto

NOTE: The single finger amputation ratings are the only applicable ratings for amputations of whole or part of single fingers.

'Entitled to special monthly compensation.