Hello, Alexander! The mere fact of missing toes cannot be the cause of your disability. The main document on the basis of which the MSE Bureau (medical and social examination) makes a decision on establishing disability at present is: Order of the Ministry of Health and Social Development of Russia dated December 23, 2009 No. 1013n. You can read this document in more detail and clarify disability issues for yourself at the following link: http://www.invalidnost.com/forum/3-25-1
According to this document, the basis for establishing disability is persistent disability (life activity limitations) in the categories established by law.
There are seven categories in total:
The main categories of human life include:
1.ability for self-service;
2.ability to move independently;
3.ability to orientation;
4.ability to communicate;
5.ability to control one’s behavior;
6.ability to learn;
7.ability to work.
A patient is recognized as a disabled person if he or she has a general ability to work, or a general disability in several (at least 2) other categories. If the patient does not have disabilities in the specified categories, then there are no grounds for establishing disability. The link given above has a more detailed breakdown of the accidents in each of these 7 categories according to severity.
Therefore, despite the loss of your fingers and the fact that they, of course, will not grow back, you may be denied disability if you can take care of yourself, work as before, and generally cope with all everyday and work difficulties and problems.
I think you should consult on this issue with the doctor observing you - an orthopedist-traumatologist. You may need special orthopedic shoes or aids (a cane, for example). A specialist, seeing your feet with his own eyes, and knowing your general condition and well-being, will be able to more adequately answer your question and quite possibly recommend something useful. If, in addition to lost fingers, you have other serious illnesses that would limit your life activities, then this could serve as an additional factor in favor of determining your disability. If this is not the case, then, in my opinion, it is not worth wasting time and energy on this, and it is better to focus on how to live further without the help of the state.
Login via uID
MSE and disability in amputations
The stump is actually a new “organ” of the musculoskeletal system, providing prosthetics necessary for work and self-care.
Errors during amputation, insufficient care of the stump and irrational primary prosthetics lead to the development of diseases and defects of the amputation stumps.
The criterion for extending the period of temporary disability for the purpose of rehabilitation treatment is the mastery of a permanent prosthesis and the successful compensation of the missing function of support and movement with the help of a prosthesis in the next 4 months after amputation of the limb.
If it is difficult to use crutches (moving a distance of no more than 5-10 m), complex and atypical prosthetics, the time required to master the prosthesis is extended, which provides grounds for determining disability group II.
In the event of complications developing after amputation of a limb and the impossibility of prosthetics in connection with this in the next 6-8 months, patients are also assigned disability group II.
The good condition of the stump and rational prosthetics allow many disabled people to continue working in their previous profession.
40% of disabled people use prostheses constantly, more than 12 hours a day, 9-12 hours - 18%, 5-8 hours - 15%, less than 4 hours - 22% of disabled people; 5% of disabled people do not use prostheses. About 75-95% of disabled people work in industrial conditions and at home, using a prosthesis.
The condition after disarticulation of the lower limb, a femoral stump 8 cm long or less, are the basis for establishing disability group II without specifying the period for re-examination; Prosthetics for this defect are always difficult.
— with prosthetic stumps of both legs;
- with the stumps of the hand or forearm in combination with the stump of the lower leg;
- with a stump of the shoulder or forearm and damage to the other arm, significantly reducing its functions;
- with a femoral stump and severe irreversible damage to the other lower limb.
Under these conditions, using the prosthesis is significantly difficult.
- loss of all or three limbs;
- with stumps of both upper extremities, including stumps after removal of all fingers on both hands;
- with short stumps of both thighs;
- when the femoral stump is combined with the stump of the upper limb - provided that the SDF is significantly impaired.
However, if the time frame for prosthetics and prosthesis development is extended, which usually occurs with defects and diseases of the stump, dysfunction of the other lower limb and in old age, during the initial examination the patient is shown the determination of disability group II with subsequent re-examination.
The consequences of amputation of the foot and individual fingers of the hand cause less significant disability than truncation of a limb at a high level.
In rare cases, persons working in professions of heavy physical labor, during an initial examination at the ITU, are recognized as disabled group III due to the need to transfer to work in another profession of lower qualifications or retraining for a new, non-contraindicated profession.
If it is impossible to work in the previous profession, disability group III is established for the rational employment of patients with re-examination at the ITU in a year.
Constant medical observation, prevention of diseases of the stump, timely replacement of the prosthesis are a necessary condition for long-term preservation of working capacity.
On the upper limb, reconstructive operations are aimed at increasing the functionality of the stump itself (splitting the forearm according to the Krukenberg method; phalangealization, etc.) or creating conditions for more effective prosthetics (formation of musculoskeletal canals, angular osteotomy).
I repeat:
As follows from the provisions of Order N 1024n: in order to establish a disability for a patient, it is necessary to SIMULTANEOUSLY fulfill 2 conditions:
1. Availability of interest in the amount of 40% and above according to the Appendix to Order N 1024n.
2. Availability of railway transport in the categories established by Order N 1024n.
Fulfillment of only one of the above conditions is not a sufficient basis for establishing disability.
According to these rules, the percentages are not summed up for every (any) pathology and this summation is made by ONLY adding exactly 10% (no more and no less) to the percentage for the main (most severe pathology) and only if the concomitant pathology is directly aggravates the course of the underlying pathology.
The pathology is one of those about which they say: “it’s better to see once than to hear 100 times” (read the description).
To answer your question, you need pictures of the hand (X-ray and regular).
You open any text document on the computer in full screen and remove all the text from it - you get a solid “white screen” - against its background and take pictures of the radiographs with a digital camera.
- maximum clenching of fingers into fists;
— maximum straightening of the fingers;
- in the position of holding a light object (pen, spoon, small toy).
You can attach the resulting pictures to your message or send them to me by email (its address is on this page of the site).
Ordinary photographs of the hand can be replaced by a video in which the patient completely clenches the hand into a fist, fully straightens the fingers of the hand and takes a light object in his hand.
index finger (the finger was preserved, but it lost functionality, not
moves), for this reason I was released from military service. Thank you!
The pathology you cited is not a basis for establishing disability under current legislation.
This circumstance does not matter for the prospects for establishing a disability group.
The patient’s fitness to continue serving and whether he has signs of disability are determined by DIFFERENT legal acts.
70-80% correspond to the 2nd disability group.
90-100% correspond to the 1st disability group.
According to the question posting rule:
3. According to the diploma, the profession is musician, according to labor, I worked as a manager for the longest time,
was not working at the time of injury.
4. There are no sick leaves - I was almost never sick
5. Inpatient - January 22-February 13, 2015. Operations: 02/2/2015. Amputation of the I-II-III fingers of the right hand at the level of the n/z o/f, the VI finger at the level of the n/w middle phalanx and the V finger at the level o/f. Amputation of the left hand of the second finger at the level of the s/w o/f, disarticulation of the III-IV-V fingers in the metacarpophalangeal joints.
02/09/2015 Free autodermoplasty with split skin grafts. The wounds on the stumps of both hands were not completely epithelialized; mosaic wounds remained with a tendency to spontaneous epilation.
6. Height - 185 weight - 95
In the right hand, the remaining phalanges of the fingers are limited in mobility, poor tactile
sensitivity. I can hold a pen, spoon, pencil and other light objects.
Left hand: I use the first healthy finger to perform some simple self-care tasks.
Question: what disability group is considered in this case?
Currently, the main document, guided by which the experts of the ITU bureau decide the presence (or absence) of signs of disability in a patient, is the one that came into force on 02.02.2016. Order of the Ministry of Labor of Russia dated December 17, 2015 N 1024n
There is an Appendix to this Order in the form of a table, which provides a quantitative (in percentage) assessment of the severity of various pathologies (diseases).
The specific disability group depends on the amount of interest in the appendix to Order 1024n.
10-30% - disability is not established.
40-60% correspond to the 3rd disability group.
In such cases, the experts of the ITU Bureau have to resort to various kinds of extrapolations of the points available in Order 1024n in relation to the specific situation of the patient.
The problem is that all these extrapolating calculation methods are “unofficial” in nature; no one has officially approved them, so in such cases there may be a certain element of subjectivity in the decision of the ITU Bureau.
Those. This turns out to be a “ borderline” expert case between the 3rd and 2nd disability groups.
In such cases, the issue is resolved by a vote of the ITU Bureau staff (by a simple majority of votes).
Most of the ITU bureau experts I interviewed (from different regions of the Russian Federation) are inclined to favor establishing disability group 3 in your case.
i) provides methodological and organizational assistance to the main bureau, ensures uniform application of the legislation of the Russian Federation in the field of social protection of disabled people in the established field of activity.
Assessment of decreased hand function is carried out for each patient individually, after returning to work. Sometimes very minor injuries to the hand can lead to long-term disability. In a retrospective study of 100 cases of hand injuries that resulted in irreversible impairment of function, I concluded that the number of such injuries in which irreversible impairment of function was evident from the outset was only 8-10%.
In 90-92% of cases, the damage was so minor that the doctors performing the initial treatment did not think about serious consequences and did not warn the patient about it. The loss of the entire hand is estimated by various insurance companies as a decrease in working capacity by 50-60%. After minor injuries to the hand and fingers, which are cured without functional impairment, a disability pension is not paid.
If there is a more significant loss of ability to work , when determining a disability pension, they are guided by various tables, for example, the well-known Liniger table. However, the assessment of the patient’s ability to work immediately after the end of treatment cannot be final. His condition may change later.
When determining ability to work , all factors that may be relevant from a work perspective should be taken into account: sensitive scars, decreased grip and support ability, the presence of neuromas, Sudeck syndrome. If it can be assumed that changes in the patient’s condition may occur later, then a temporary disability pension should be determined.
In the EU, the amount of the final disability pension resulting from an accident, with a decrease in working capacity by 16-25% (group 1) is 8%, with a decrease in working capacity by 26-35% (group 2) - 10%, with a decrease in working capacity by 36 -49% (group 3) - 15%, and with a decrease in working capacity by 50-66%, (group 4) - 30% of wages.
Assessment of loss of various parts of the hand: absence of the terminal phalanx of the thumb (a),
nail and main phalanges (b),
one and a half distal phalanges (c),
thumb and metacarpal bone (g),
index finger (d),
ring finger (e),
middle finger (g) and little finger (h)
If the hand and fingers are damaged, it is advisable to carry out a follow-up examination of the patient every three months. After the condition of the hand improves, the temporary pension may be reduced.
The immobility of individual fingers of the hand , especially in an extended position, greatly interferes with work. After some time, many patients ask to have their immobile finger amputated. Therefore, a stationary finger in the extension position should be considered lost.
The most important function of the hand is the ability to grip with the entire hand and fingertips. The loss of this ability is equivalent to the loss of the entire hand (40-66.5%). In cases where grip strength is preserved, but the fingertips cannot touch the palm, the loss of work capacity is actually negligible, especially in the case of unskilled workers who only need grip strength.
Assessment of hand loss in the absence of the thumb and index finger(s) and all fingers except the little finger(s),
thumb index and middle fingers (k),
all five fingers (l),
thumb and middle fingers (m),
thumb and little finger (n),
thumb and ring fingers (o) and finally index and middle fingers (p)
Loss of extensor ability especially hinders musicians and people with fine manual labor. Victims have been complaining about decreased hand strength for a very long time. These complaints should be taken into account when determining the temporary pension.
The thumb is the most important part of the hand. Its complete loss is estimated at 30-15%, and the absence of the terminal phalanx - at 20-0%. Complete immobility is equivalent to the complete loss of a finger. However, a stationary opposable thumb, in the presence of other healthy fingers, is functionally valuable. Immobility in such cases is estimated at 20-10%.
However, if the motionless thumb is in a flexed position and brought to the palm, then it significantly impairs the function of the entire hand. If young people lose their thumb, the question of replacing it through plastic surgery should be raised.
Assessment of hand loss in the absence of 2-4 fingers (p),
index and ring fingers (c),
all four fingers, with the exception of the thumb (t),
index finger and little finger (y),
middle and ring fingers (f),
middle finger and little finger (x),
ring finger and little finger (h)
The index finger is less important than the thumb, but for people of fine manual labor it has a more important function than the other long fingers. In people of heavy physical labor, its loss, if the head of the metacarpal bone is also lost, means a loss of ability to work by 10%, and in people of fine manual labor - by 10-15%.
If the index finger is immobile in the extension position, the final pension is 10%. The immobility of the terminal phalanx in the position of extension or flexion does not provide grounds for payment of a pension.
The loss of the middle finger after the patient has adapted to this condition does not cause major dysfunction. However, with the simultaneous loss of a finger and the head of the third metacarpal bone, a permanent pension of 10-25% is paid, since the grip strength is significantly reduced. The immobility of the middle finger, which leads to limited hand function, is also assessed. The same applies to the ring finger, the loss of which impairs the function of the little finger.
The loss of the little finger , as a rule, does not reduce the ability to work, but still, among manual workers, due to a decrease in grip strength, the ability to work can decrease by 10%.
When various parts of the hand are lost, it is necessary to determine to what extent the remaining part of the hand is grasped. With the loss of all long fingers and preservation of the mobile thumb, the ability to work is reduced to a lesser extent (35-40%) than with the preservation of the little finger (40-45%), since the thumb carries out the grip, while the little finger cannot be satisfactorily opposed .
Preservation of the mobile ring and little fingers makes it possible to grasp light objects even in the absence of all other fingers (33-40%). You can be guided by the indicated figures only if the remaining fingers are really missing and the scars of the stumps are insensitive. In cases where deformed or immobile stumps bend towards the palm, hand function suffers even more, which means a greater reduction in work ability. Removal of such stumps improves function.
Losing all fingers reduces working capacity by 50-60%. In such cases, the question of thumb replacement should always be raised.
Loss of the right hand in right-handed people corresponds to a decrease in working capacity of 60-66.5%. This also applies to the loss of a forearm. Loss of the upper limb above the elbow corresponds to 75%, and disarticulation of the shoulder joint corresponds to a 75-80% decrease in working capacity. The indicated values in relation to the left limb are 10% lower. They are valid only if there are painless stumps covered with unchanged skin. The assessment of the loss of individual parts of the upper limb is clearly shown in Fig. 473-476. The given schemes are based on data from Buerkle and de la Camp.
Assessment of upper limb loss: in the absence of a hand (a),
in the absence of a limb up to the middle of the forearm (b),
to the border of the upper and middle third of the forearm (c),
to the border of the lower and middle third of the shoulder (d),
to the middle of the shoulder (f) and in the absence of the entire upper limb (g)
Hello, can I ask you this question? I have amputated toes and part of the foot on each leg, what disability group am I entitled to and how much money am I entitled to?
Hello Ainur, the question is in the wrong place, since the degree of disability will be determined by doctors after you pass a medical and social examination (MSE)
Federal Law of November 24, 1995 N 181-FZ “On social protection of disabled people in the Russian Federation”
Disabled (and determine its degree) - only ITU can recognize you
The resolution establishes only the absence of a foot (no mention is made of toes), so the decision will be made by the MSE - based on the loss of function of the organ - the leg in a bath case - and the degree of loss of function (30%, more, etc.)
5. The conditions for recognizing a citizen as disabled are:
a) health impairment with a persistent disorder of body functions caused by diseases, consequences of injuries or defects;
b) limitation of life activity (complete or partial loss by a citizen of the ability or ability to carry out self-service, move independently, navigate, communicate, control one’s behavior, study or engage in work);
c) the need for social protection measures, including rehabilitation and habilitation.
6. The presence of one of the conditions specified in paragraph 5 of these Rules is not a sufficient basis for recognizing a citizen as disabled.
23. Defects and deformations of the lower limb: amputation of the hip joint area, disarticulation of the thigh, femoral stump, lower leg, absence of the foot.
Decree of the Government of the Russian Federation of February 20, 2006 N 95
(edited on 06.08.2015)
“On the procedure and conditions for recognizing a person as disabled”
To conduct an appropriate examination of a citizen in order to obtain a disability, medical and social examination services are guided by the relevant criteria and classifications.
MINISTRY OF LABOR AND SOCIAL PROTECTION OF THE RUSSIAN FEDERATION
dated December 17, 2015 N 1024n
On the classifications and criteria used in the implementation of medical and social examination of citizens by federal state institutions of medical and social examination
II. Classification of the main types of persistent disorders of the functions of the human body and the degree of their severity
3. The main types of persistent disorders of the human body’s functions include:
disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions (movements of the head, torso, limbs, including bones, joints, muscles; statics, coordination of movements);
III. Classification of the main categories of human life and the severity of the limitations of these categories
5. The main categories of human life include:
a) ability to self-service;
b) the ability to move independently;
c) ability to orientate;
d) ability to communicate;
e) the ability to control one’s behavior;
f) ability to learn;
g) ability to work.
6. There are 3 degrees of severity of limitations in each of the main categories of human life:
b) the ability to move independently - the ability to independently move in space, maintain body balance when moving, at rest and when changing body position, to use public transport:
1st degree - the ability to move independently with longer time spent, fragmentation of execution and reduction of distance using, if necessary, auxiliary technical means;
2nd degree - the ability to move independently with regular partial assistance from other persons, using auxiliary technical means if necessary;
3rd degree - inability to move independently and need constant assistance from others;
IV. Criteria for establishing disability
8. The criterion for establishing disability for a person aged 18 years and older is a health disorder with a II or more severe degree of persistent impairment of the functions of the human body (ranging from 40 to 100 percent), caused by diseases, consequences of injuries or defects, leading to limitation 2 or 3 degrees of severity of one of the main categories of human life activity or 1 degree of severity of limitations of two or more categories of human life activity in their various combinations, determining the need for his social protection.
V. Criteria for establishing disability groups
10. The criterion for establishing the first group of disability is a person’s health impairment with the fourth degree of severity of persistent impairment of the functions of the human body (in the range from 90 to 100 percent), caused by diseases, consequences of injuries or defects.
11. The criterion for establishing the second group of disability is a person’s health impairment with the third degree of severity of persistent impairment of body functions (in the range from 70 to 80 percent), caused by diseases, consequences of injuries or defects.
12. The criterion for establishing the third group of disability is a person’s health impairment with the second degree of severity of persistent impairment of body functions (ranging from 40 to 60 percent), caused by diseases, consequences of injuries or defects.
13. The category “disabled child” is established if the child has II, III or IV degrees of persistent impairment of body functions (ranging from 40 to 100 percent) caused by diseases, consequences of injuries and defects.
According to the DECISION OF THE GOVERNMENT OF THE RUSSIAN FEDERATION of February 20, 2006 N 95 ON THE PROCEDURE AND CONDITIONS FOR RECOGNIZING A PERSON WITH A DISABILITY (as amended and supplemented, entered into legal force from 01/01/2016)
A medical and social examination is carried out at the request of a citizen (his legal representative).
The application is submitted to the bureau in writing, accompanied by a referral for a medical and social examination issued by a medical organization (the body providing pensions, the body for social protection of the population), and medical documents confirming the impairment of health.
(as amended by Decree of the Government of the Russian Federation dated 06.08.2015 N 805)
25. Medical and social examination is carried out by specialists of the bureau (main bureau, Federal Bureau) by examining the citizen, studying the documents submitted by him, analyzing the social, professional, labor, psychological and other data of the citizen.
In accordance with ORDER dated December 17, 2015, MINISTRY OF LABOR AND SOCIAL PROTECTION OF THE RUSSIAN FEDERATION
ABOUT CLASSIFICATIONS AND CRITERIA USED IN THE IMPLEMENTATION OF MEDICAL AND SOCIAL EXAMINATION OF CITIZENS BY FEDERAL STATE INSTITUTIONS OF MEDICAL AND SOCIAL EXAMINATION
V. Criteria for establishing disability groups
9. The criteria for establishing disability groups are applied after a citizen has been identified as disabled in accordance with the criterion for establishing disability provided for in paragraph 8 of these classifications and criteria.
10. The criterion for establishing the first group and disability is a violation of a person’s health with IV degree of severity of persistent impairment of the functions of the human body (in the range from 90 to 100 percent), caused by diseases, consequences of injuries or defects.
11. The criterion for establishing the second group of disability is a person’s health impairment with the third degree of severity of persistent impairment of body functions (in the range from 70 to 80 percent), caused by diseases, consequences of injuries or defects.
12. The criterion for establishing the third group of disability is a person’s health impairment with the second degree of severity of persistent impairment of body functions (ranging from 40 to 60 percent), caused by diseases, consequences of injuries or defects.
QUANTITATIVE SYSTEM FOR ASSESSING THE DEGREE OF SEVERITY OF PERSISTENT DISORDERS IN THE HUMAN BODY FUNCTIONS CAUSED BY DISEASES, CONSEQUENCES OF INJURIES OR DEFECTS (IN PERCENTAGE,
IN APPLICATION TO CLINICAL AND FUNCTIONAL CHARACTERISTICS
PERSISTENT DISORDERS OF HUMAN BODY FUNCTIONS)
Foot amputation according to Pirogov, unilateral
Chopard stumps: bilateral
Chopard stump: unilateral
Stump according to Chopard: one-sided, with a vicious position of the foot
Stumps according to Chopard: bilateral with vicious position of the feet
Stump according to Lisfranc or in the area of the metatarsal bones according to Sharp: unilateral
Stump according to Lisfranc or in the area of the metatarsal bones according to Sharp: unilateral, with a vicious position of the foot
Lisfranc stump or Sharpe metatarsal stump: bilateral
Toe amputation
Big toe amputation
Amputation of the thumb with loss of the head of the first metatarsal bone
Amputation of toes from II to V or from I to III
Amputation of all toes on one foot
Amputation of all toes on both feet
If there are several persistent dysfunctions of the human body, caused by diseases, consequences of injuries or defects, the severity of each of these disorders is separately assessed and determined as a percentage. First, the maximum expressed impairment of one or another function of the human body is established, after which the presence (absence) of the influence of all other existing persistent dysfunctions of the functions of the human body on the maximum expressed impairment of the function of the human body is determined. In the presence of the indicated influence, the total assessment of the degree of dysfunction of the human body in percentage terms may be higher than the maximum expressed impairment of body functions, but not by more than 10 percent.
The degree of impairment is assessed based on a point system, after which a medical and social examination establishes a disability group.
I can't close the question.
I can't close the question. No one even asked why the amputation was carried out.
It's easier to ask a lawyer!
Ask our lawyers a question - it’s much faster than looking for a solution.
As automation and safety advances, finger avulsions are becoming less common. According to our data, they amount to 2.6%. Severations of phalanges and fingers in most cases occur at work when the hand gets into moving parts of mechanisms, less often - from transport or household injuries.
Avulsions most often affect the distal phalanges of the fingers; The more proximal the part of the hand is located, the less common is its primary loss.
Assessment of decreased hand function is carried out for each patient individually, after returning to work.
Sometimes very minor injuries to the hand can lead to long-term disability. In a retrospective study of 100 cases of hand injuries that resulted in irreversible impairment of function, I concluded that the number of such injuries in which irreversible impairment of function was evident from the outset was only 8-10%.
With a flexion contracture, extension in the joint is limited, with an extension contracture, flexion is limited. Contracture can also be adductor, abductor and rotational. Based on their origin, contractures are divided into congenital, for example caused by underdevelopment of muscles (torticollis), joints and bones (clubfoot), and acquired.
MSE and disability in fractures and dislocations of the upper extremities MSE and disability in fractures and dislocations of the upper extremity MSE and disability in fractures of the radius MSE and fractures of the ulna MSE and disability in pseudarthrosis MSE and disability in pseudarthrosis MSE and disability in fractures of the scapula MSE and disability for fractures of the clavicle MSE and disability for dislocations of the clavicle MSE and for fractures of the humerus MSE and disability for dislocations of the humerus MSE and disability for fractures of the forearm bones MSE and disability for dislocations of the bones of the forearm MSE and disability for injuries of the hand MSE and disability for injuries of the hand due to injuries to the upper extremities accounts for from 23.5% to 30% of total disability caused by injuries to the musculoskeletal system.
Modern aspects of treating patients with posttraumatic defects and deformities of the finger joints Modern Aspects of Treating Patients with Posttraumatic Defects and Deformities of Knuckle Text of a scientific article in the specialty “Medicine and Healthcare” The proportion of hand and finger injuries among injuries to the musculoskeletal system ranges from 19. 1 to 46.6%, disability - 13–30%.
Now I started to feel really bad. Is it possible to apply for “increased disability”? - Of course, it has always been like this.
Of course, with age, a person may develop illnesses and increase restrictions on their ability to live. Consult your doctor. I am 89 years old, a doctor by profession, I worked for 43 years.
Among patients with amputation defects, those with amputations of the lower extremities account for 92%, with amputations of the upper extremities - 8%. In this case, disarticulation in the hip joint and a high (up to 8 cm) femoral stump occurs in 4% of cases, femoral stump at various levels (except high) - 33.7%, shin stump at various levels - 51.3%, foot stump - 8%; disarticulation and amputation of the shoulder stump at various levels - in 24.5% of cases, forearm stump - 29.4%, hand stump - 3.9%, finger stump - 42.2%.
Order of the Ministry of Labor of Russia No. 664n dated September 29, 2014. There is an Appendix to this Order in the form of a table, which provides a quantitative (in percentage) assessment of the severity of various pathologies (diseases).
Kuznetsov Ruslan Nikolaevich
Hello! Unfortunately, I cannot say with absolute certainty whether your disability was removed legally or not. However, in the List of diseases, defects, irreversible morphological changes, dysfunctions of organs and systems of the body, for which the disability group is given without indicating the period for re-examination, there is item 22. You can view this list of diseases at the following link: http://www.invalidnost .com/index/0-145 It lists your injuries. This is what this item looks like:
22. Defects of the upper limb: amputation of the shoulder joint area, disarticulation of the shoulder, shoulder stump, forearm, absence of the hand, absence of all phalanges of four fingers of the hand, excluding the first, absence of three fingers of the hand, including the first.
Judging by it, you should have been given permanent disability. But, I do not know all the circumstances of your health condition, and the ITU members probably took other factors into account when conducting the examination. Perhaps for some reason you do not fall under this clause - for example, you have preserved phalanges on some fingers, and, according to ITU members, you are able, despite the injury, to work, study and take care of yourself.
If, in your opinion, your disability was removed illegally, you can always appeal the ITU’s decision. Read how to do this at the link: http://www.invalidnost.com/index/0-10
In addition to the actual health status, ITU members must also take into account the social status of the disabled person. For example, when subsequently passing the ITU or when appealing their decision, you can indicate that you live in a private house and cannot cope with all everyday problems (if this is really the case, of course), or it has become difficult for you to perform your previous work duties due to the loss of fingers hands. You cannot get another job, etc. Also in your complaint you can indicate the need to develop an individual rehabilitation program for you and install a prosthesis for you. All these circumstances may well help you regain your disability group. Because they will mean that you need social protection and you really, really need a disability pension.
By following the links above, you can learn a lot of useful information about how best to prepare for ITU, what to consider, and what criteria ITU members use when deciding whether to give a person a group or deny it. There are cases where ITU members unfairly deprive a person of their disability pension, and to be more prepared when dealing with such people, you should be well aware of your rights.