Evidence Checklist: Total Elbow Replacement (Arthroplasty)
DC 5052
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Nexus opinion linking total elbow replacement to service-connected condition ("at least as likely as not")Critical
A medical opinion connecting the underlying condition requiring elbow replacement to military service. The replacement itself is rated at 100% for one year post-surgery, then on residual ROM and symptoms.
Post-operative elbow and forearm range of motion measurementsCritical
Current orthopedic examination documenting elbow flexion, extension, forearm supination, and pronation after the minimum 1-year 100% rating period expires, as the ongoing rating is based on residual motion limitation.
Treating Physician
Functional assessment (lifting capacity, reach, assistive devices)
Records documenting maximum lifting capacity (total elbow replacements have strict 1-5 lb lifting restrictions), ability to perform overhead activities, and any assistive device use.
Treatment Records
Surgical records from total elbow replacementCritical
Operative reports from total elbow arthroplasty documenting the reason for surgery (post-traumatic arthritis, rheumatoid arthritis, comminuted fracture), implant type (linked vs. unlinked), and intraoperative findings.
Documentation of dominant vs. non-dominant armCritical
Medical records specifying which elbow 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, periprosthetic fracture, infection, ulnar nerve irritation, triceps insufficiency, instability, revision surgery, or persistent functional limitations.
Lay Statements & Personal Documentation
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.
Disability Benefits Questionnaire (DBQ)
Completed DBQ Elbow and Forearm ConditionsCritical
Standardized form capturing elbow and forearm range of motion, post-surgical status, lifting restrictions, and functional limitations after total elbow replacement.
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.