Missouri Workers' Comp Chart

175 WEEK LEVEL Common Injuries & Terms Wrist

Broken Wrist, Fractured Wrist, Wrist Dislocation, Comminuted Wrist Fracture, Wrist Surgery, Displaced Wrist Fracture Requiring Open Fixation with Hardware, Wrist Fusion TFCC Tear, Boxer’s Fracture, Amputation at Wrist. Note: If you injure both of your wrists, each has its own starting value of 175 weeks in the analysis considered by the chart.

200 WEEK LEVEL Common Injuries & Terms Forearm

Radius Fracture, Ulna Fracture, Forearm Fractures (both bones), Distal Radioulnar Joint Injury, Interosseous Membrane Injury, Essex-Lopresti Injury, Galeazzi Fracture, Monteggia Fracture, Distal Radioulnar Joint Injury, Triangular Fibrocartilage Complex Tear, Interosseous Membrane Tear, Radial Shaft Fracture, Ulnar Shaft Fracture, Greenstick Fracture, Colles' Fracture, Smith's Fracture, Nightstick Fracture, Radial Head Subluxation Note: If you injure both of your forearms, each has its own starting value of 200 weeks in the analysis considered by the chart.

400 WEEK LEVEL Common Injuries & Terms Mid-Back & Thoracic Spine:

C-1, C-2, C-3, C-4, C-5, C-6, and C-7 Vertebrae and/or Cervical Disc Segments, Herniated Disc, Disc Protrusion, Disc Extrusion, Cervical Instability, Spinal Cord Injury, Thecal Sac Compression, Spinal Cord Impingement, Spinal Cord Bruising, Neuroforaminal Narrowing, Foraminal Stenosis / Narrowing, Cervical Nerve Root Impingement, Radiculopathy, Pain Radiating into Upper Extremities, Numbness and Tingling into Upper Extremities (traveling down into arms, hands, and/or fingers), Weakness of the Hands and/or Arms, Cervical Spine Fracture, Fractured Vertebrae, Compression Fracture, Spondylolisthesis, Whiplash, Cervical Strain/Sprain, Annular Tear, Annular Fissure, Height-Loss, Arthroscopic Disc Surgical Repair, Non-Invasive Cervical Spine Surgery, Decompression Surgery, Cervical Disc Replacement / Arthroplasty Surgery, ACDF, Kyphoplasty, Ablation, Laminectomy, Laminotomy, Microdiscectomy, Discectomy, Hemilaminectomy, Cervical Fusion, and Multi-Level Cervical Fusion, Paralyzed by Cervical Spine Injury, Paraplegic Due to Work Injury.

210 WEEK LEVEL Common Injuries & Terms Elbow

Lateral Epicondylitis, Medial Epicondylitis, Bursitis, Elbow Sprains and Strains, Radial Head Fracture, Ulnar Head Fracture, Comminutied Elbow Fracture, Displaced Elbow Fracture, Olecranon Fractures, Distal Biceps Tendon Rupture, Posterolateral Rotatory Instability, Ulnar Collateral Ligament ("UCL") Injury, Forearm Fractures, Pronator Syndrome, Distal Humerus Fracture, Forearm Fractures, Triceps Tendon Rupture, Annular Ligament Dislocation, Coronoid Process Fracture, Common Extensor Tendon Tear Note: If you injure both of your elbows, each has its own starting value of 210 weeks in the analysis considered by the chart.

175 Week Level Common Injuries & Terms Hand

Fractured Hand, Broken Hand, Stress Fracture, Displaced or Comminuted Hand Fracture, Metacarpal Fracture(s) or Dislocation, Hand Surgery, Hand Fracture Requiring Open Fixation with Hardware. Note: If you injure both of your hands, each has its own starting value of 175 weeks in the analysis considered by the chart.

150 WEEK LEVELCommon Injuries & Terms Ankle

Talus Injury, Talar Dome Injury, Calcaneus Injury, Lateral Malleolus Injury, Medial Malleolus Injury, Comminuted or Displaced Fracture, Tri-Malleolar Fracture, Torn Ankle Ligaments, Arthroscopic Repair of Talar Injury, Arthroscopic Repair of Calcaneal Injury, Arthroscopic Repair of Malleolar Injury, Broken Bones in Ankle, Ankle Surgery, Post-Traumatic Ankle Arthritis, Ankle Fracture, Ankle Fusion Surgery, Ankle Replacement Surgery, Amputation at the Ankle. Note: If you injure both of your ankles, each has its own starting value of 150 weeks in the analysis considered by the chart.

155 WEEK LEVELCommon Injuries & TermsShin

Tibia, Fibula, Calf Muscle, Tibia Fracture, Displaced Tibia Fracture, Comminuted Tibia Fracture, Dislocated Tibia with Fracture, Open Tibia Fracture (Through the Skin), Tibia Fracture Required Surgery Repair with Hardware, Non-Union of Tibia Fracture, Surgical Placement of Nail / Rod in Tibia, Fibula Fracture, Displaced / Comminuted Fibula Fracture, Open Fibula Fracture, Fibula Fracture Required Surgery, Closed Fibular Fracture, Fibula Fracture They Do Not Surgically Repair, Torn Calf Muscle, Torn Achilles Tendon, Peroneal Nerve Crush Injury, Calf Surgery, Gastrocnemius Tear, Gastrocnemius Surgery, Torn Soleus, Soleus Surgery, Torn Achilles Tendon, Achilles Tendon Surgery. Note: If you injure both of your shins, each has its own starting value of 155 weeks in the analysis considered by the chart.

400 WEEK LEVEL Common Injuries & Terms Head & Brain

Skull Fracture(s), Brain Bleed, Brain Bruise, Subdural Hematoma, Midline Shift, Craniotomy, Traumatic Brain Injury (“TBI”), TBI Resulting in Coma, Concussion, Concussion with Loss of Consciousness (“LOC”), Post-Concussion Syndrome, Headaches, Intractable Migraines, Cognitive Deficits and Dysfunction, Memory Loss, Difficulty with Focus and Attention, Difficulty Finding Words, Speech Deficits, Stuttering, Amnesia, Photophobia (light sensitivity), Phonophobia (sound sensitivity), Nausea, Dizziness, Disorientation, Psychiatric or Psychological Trauma, Depression, Anxiety, Post-Truamatic Stress Disorder, Unexplained Crying, Suicidal Thoughts, Invasive Thoughts, Nightmares, Loss of Control over Emotions like Anger and/or Sadness.

400 WEEK LEVEL Common Injuries & Terms Low Back & Lumbar Spine

L1, L2, L3, L4, L5, S1, and S2 Vertebrae and/or Lumbar Disc Segments, Herniated Disc, Disc Protrusion, Disc Extrusion, Lumbar Instability, Spinal Cord Injury, Fractured Sacrum, Sacroiliac ("SI") Joint, Sacroiliitis, Thecal Sac Compression, Sciatic Nerve Impingement or Damage, Sciatica, Spinal Cord Impingement, Neuroforaminal Narrowing, Foraminal Narrowing, Positive Straight Leg Raise Test, Nerve Impingement, Cord Bruising, Spinal Cord Injury, Radiculopathy, Radiating Pain into Buttocks, Radiating Pain into Thigh, Radiating Pain into Leg, Radiating Pain into Foot and/or Toes, Radiating Numbness or Tingling into Lower Extremities, Spine Fracture, Fractured Lumbar Vertebrae, Lumbar Compression Fracture, Spondylolisthesis, Hypertrophy, Lumbar Strain/Sprain, Annular Tear, Annular Fissure, Height-Loss, Arthroscopic Surgical Repair, Decompression Surgery, Lumbar Disc Replacement or Arthroplasty, Kyphoplasty, Ablation, Laminectomy, Laminotomy, Microdiscectomy, Discectomy, Hemilaminectomy, Lumbar Fusion, and Multi-Level Lumbar Fusion, Paralyzed from Waist Down by Lumbar Spine Injury.

400 WEEK LEVEL Common Injuries & Terms Neck & Cervical Spine

C-1, C-2, C-3, C-4, C-5, C-6, and C-7 Vertebrae and/or Cervical Disc Segments, Herniated Disc, Disc Protrusion, Disc Extrusion, Cervical Instability, Spinal Cord Injury, Thecal Sac Compression, Spinal Cord Impingement, Spinal Cord Bruising, Neuroforaminal Narrowing, Foraminal Stenosis / Narrowing, Cervical Nerve Root Impingement, Radiculopathy, Pain Radiating into Upper Extremities, Numbness and Tingling into Upper Extremities (traveling down into arms, hands, and/or fingers), Weakness of the Hands and/or Arms, Cervical Spine Fracture, Fractured Vertebrae, Compression Fracture, Spondylolisthesis, Whiplash, Cervical Strain/Sprain, Annular Tear, Annular Fissure, Height-Loss, Arthroscopic Disc Surgical Repair, Non-Invasive Cervical Spine Surgery, Decompression Surgery, Cervical Disc Replacement / Arthroplasty Surgery, ACDF, Kyphoplasty, Ablation, Laminectomy, Laminotomy, Microdiscectomy, Discectomy, Hemilaminectomy, Cervical Fusion, and Multi-Level Cervical Fusion, Paralyzed by Cervical Spine Injury, Paraplegic Due to Work Injury. .

232 WEEK LEVEL Common Injuries & Terms Shoulder

Rotator Cuff Injury, Rotator Cuff Rupture or Complete Tear, Partial Rotator Cuff Tear, Torn Subscapularis, Torn Supraspinatus, Torn Infraspinatus, Torn Teres Minor, Torn Labrum, Partially Torn Labrum, Biceps Tendon, Acromioclavicular "AC" Joint Impingement, Humerus Fracture(s), Humeral Head Fracture, Separated Shoulder, Broken and/or Dislocated Collar Bone / Clavicle, Scapula, Arthroscopic Surgery, Frozen Shoulder, Adhesive Capsulitis, Reverse-Total Shoulder Replacement or Arthroplasty, and Shoulder Replacement Surgery (Arthroplasty). Note: If you injure both of your shoulders, each has its own starting value of 232 weeks in the analysis considered by the chart.

110 WEEK LEVEL Common Injuries & Terms Foot

Injury to Navicular Bone, Injury to Cuboid Bone, Injury to Cuneiform Bones, Injury to Metatarsal Bones, Broken Foot, Non-Union of Foot Fracture, Foot Surgery, Foot Surgery with Hardware, Fusion of Foot Bone, Foot Amputation. Note: If you injure both of your knees, each has its own starting value of 160 weeks in the analysis considered by the chart.

207 WEEK LEVEL Common Injuries & Terms Hip

Femoral Head Fracture, Broken Hip, Head of the Femur, Hip Joint Injury, Hip Socket Injury, Torn Labrum in Hip, Broken Pelvis, Crushed Pelvis, Hip Flexor Tear, Hip Impingement, Hip Bursitis, Comminuted Femoral Head Fracture, Displaced Femoral Head Fracture, Femoral Neck Fracture, Intraarticular Hip Fracture, Acute Injury to Articular Cartilage of the Hip, Avascular Necrosis of the Hip, Dislocated Femoral Head, Torn Hip Ligaments, Torn Iliofemoral Ligament, Torn Ischiofemoiral Ligament, Torn Gluteus Medius, Torn Gluteus Maximus, Arthroscopic Hip Surgery, Hip Fracture requiring Open Repair with Fixation of Hardware, Total Hip Replacement Surgery (Arthroplasty). Note: If you injure both of your hips, has its own starting value of 207 weeks in the analysis considered by the chart.

160 WEEK LEVEL Common Injuries & Terms Knee

Torn Anterior Cruciate Ligament (“ACL”), Torn Lateral Collateral Ligament (“LCL”), Torn Posterior Cruciate Ligament (“PCL”), Torn Medial Collateral Ligament (“MCL”), Torn Menisci / Meniscus, Damaged Cartilage, Damage Chondral Surface, Acutely Aggravated Chondromalacia, Arthroscopic Meniscus Repair, ACL Reconstruction Surgery, Arthroscopic ACL Repair, Arthroscopic MCL Repair, Arthroscopic LCL Repair, Arthroscopic PCL repair, Viscous Supplementation Injections, Single Compartment (Uni-Compartmental) Knee Replacement Surgery, Total Knee Replacement, Tibial Plateau Fracture, Tibial Plateau Micro-Fractures, Torn Patella, Fractured Patella, Fractured Articular Surface, Displaced Patella Fractured, Displaced and Retracted Patella Fracture, Knee Surgery with Hardware, External Fixator, Knee Instability, Amputation at the Knee. Note: If you injure both of your knees, each has its own starting value of 160 weeks in the analysis considered by the chart..