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Identification standard of finger disability
The appraisal of the disability degree of work-related injuries and occupational diseases is based on People's Republic of China (PRC) national standard GB/T 16 180 —— 2006 "Evaluation Standard of Disability Degree of Work-related Injuries and Occupational Diseases".

B. I. Grading series

B) level 2

1) severe mental disorder;

2) Triplegia muscle strength grade 3;

3) Hemiplegia muscle strength ≤ Grade 2;

4) Paraplegia muscle strength ≤ Grade 2;

5) Muscle strength of hands with total paralysis ≤ 3;

6) Complete sensory or mixed aphasia;

7) Severe scar formation of the whole body, accounting for more than 80% of the body surface area, accompanied by limited movement of more than three joints of limbs;

Full face scar or skin graft with severe disfigurement;

9) bilateral forearm loss or complete loss of hands function;

10) loss of both lower limbs height;

1 1) scar deformity of both lower limbs, complete loss of function; '

12) Stiffness of knees and ankles in non-functional position;

13) above the knee;

14) complete loss of knee and ankle function;

15) The ipsilateral upper and lower limbs are scarred and deformed, and their functions are completely lost;

16) Four or more joints of limbs (shoulder, hip, knee and elbow) completely lose their functions;

17) One eye has or does not have light perception, and the corrected vision of the other eye is ≤0.02, or the visual field is ≤8% (or the radius is ≤ 5);

18) has no swallowing function and relies entirely on the stomach tube to eat;

19) bilateral complete clavicle defect;

20) Complete defect of bilateral inferior clavicle;

three-level

1) shows psychotic symptoms of dangerous or impulsive actors,

2) Persons who lack the ability to take care of themselves due to psychiatric symptoms;

3) Severe epilepsy;

4) Hemiplegia muscle strength level 3;

5) Paraplegia muscle strength level 3;

6) The muscle strength of bipedal paralysis is ≤ Grade 2;

7) Moderate dyskinesia (non-limb paralysis);

8) There are two or more complete apraxia, agraphia, agraphia and agnosia;

9) Severe scar formation of the whole body, accounting for more than 70% of the body surface area, accompanied by limited movement of more than two joints of limbs;

10) facial scar or skin graft ≥2/3 with moderate disfigurement;

1 1) One hand is missing and the other thumb is missing;

12) loss of thumb and forefinger or complete loss of function;

13) is missing an elbow;

14) The function of one hand is completely lost, and the function of thumb opposition of the other hand is lost;

15) One joint of hip and knee joint is missing or nonfunctional, and the flexion and extension of the other joint is less than 0 ~ 9;

16) One hip and knee joint is deformed and completely loses its function;

17) non-ipsilateral wrist and ankle deletion;

1s) scar deformity of upper and lower limbs on different sides, with complete loss of function;

D) level 4

1) Moderate mental disorder;

2) People who lack social skills due to psychotic symptoms;

3) Muscle strength of single limb paralysis ≤ Grade 2;

4) The muscle strength of partial muscle paralysis in both hands is ≤ Grade 2,

5) Muscle strength of one-handed paraplegia ≤ 2;

6) cerebrospinal fluid leakage with skull base bone defect can not be repaired or repeated operation failure;

7) Moderate facial disfigurement;

The scar area of the whole body is ≥60%, and the motor function of the main joints of limbs 1 joints is limited;

9) Facial scar or skin graft ≥ 1/2 with slight disfigurement;

10) Both thumbs are completely missing or have no function;

1 1) The function of one hand is completely lost and the function of the other hand is partially lost;

12) one side below the knee is missing, and the other side is missing the forefoot;

13) one side above the knee is missing;

14) One ankle is missing and the other foot is deformed, making it difficult to walk;

15) missing or no function below the knee;

E) level 5

1) moderate epileptic pain;

2) quadriplegia muscle strength grade 4;

3) Muscle strength of single limb paralysis is grade 3;

4) The muscle strength of partial muscle paralysis in both hands is level 3;

5) One-handed paraplegia muscle strength level 3;

6) The muscle strength of bipedal paralysis is Grade 3;

7) Complete motor aphasia;

8) Complete apraxia, agraphia, agraphia and agnosia;

9) Incomplete apraxia, agraphia, agraphia, agnosia, etc. ;

10) the total body scar accounts for more than 50% of the body surface area, and the joint movement function is limited;

1 1) facial scar or skin graft ≥ 1/3 is one of the criteria for disfigurement;

12) Spinal fracture with scoliosis or kyphosis exceeding 30 degrees, accompanied by severe radicular neuralgia (based on electrophysiological examination);

13) One forearm is missing;

14) complete loss of primary function;

15) complete loss of function of one of the shoulder, elbow and wrist joints;

16) One hand is missing the thumb, and the other hand is missing three fingers except the thumb;

17) One hand has no thumb function, and the other hand has no three-finger function except thumb;

18) the forefoot is missing or scarred, and the function is completely lost;

19) double calcaneus plantar soft tissue defect scar formation, repeated rupture;

20) complete loss of function of one hip joint (or one knee joint);

2 1) lose points below one knee;

72) chronic severe phosphorus poisoning;

73) Severe arm vibration.

F) level 6

1) mild mental disorder;

2) Mental illness symptoms affect professional labor ability;

3) Triplegia muscle strength grade 4;

4) Paraplegic lower limb muscle strength grade 4 with mild dysuria;

5) muscle strength of both hands 4;

6) Muscle strength of partial bipedal paralysis ≤ Grade 2;

7) Muscle strength of one-legged paraplegia ≤ Grade 2;

8) Mild dyskinesia (non-limb paralysis);

13) The scalp loss after avulsion injury is greater than1/5;

14) spinal fracture deformity less than 30 degrees with radicular neuralgia (abnormal neurophysiological examination);

15) One thumb is completely missing, or two fingers of the other hand are missing;

16) the function of one thumb is completely lost, and the function of two fingers of the other hand is completely lost except the thumb.

17) loss of one hand and three fingers (including thumb);

18) Except thumb, the other four fingers are missing or completely out of function;

19) below the ankle;

20) an ankle joint is deformed and its function is completely lost;

2 1) angulation deformity of lower limb fracture > 15, and limb shortening is more than 4 cm;

22) One forefoot is missing, and the other foot has only the big toe;

23) One forefoot is missing, and the other foot is deformed by 2 ~ 5 toes except the big toe, resulting in loss of function;

24) Loss of function of one foot and partial loss of function of the other foot;

25) The flexion and extension of one hip joint or one knee joint cannot reach 0 ~ 90;

26) unilateral calcaneal plantar soft tissue defect scar formation, repeated rupture;

7 1) decompression osteonecrosis stage ⅲ;

72) Moderate arm vibration disease;

G) level 7

1) Hemiplegia muscle strength grade 4;

2) Paraplegia muscle strength level 4;

3) One-handed partial paralysis muscle strength level 3;

4) The muscle strength of bipedal partial paralysis is Grade 3,

5) Paralysis muscle strength level 3,

6) Severe sensory disturbance of toxic peripheral neuropathy;

7) Incomplete apraxia, agraphia, agraphia and agnosia;

8) It meets the second item of the severe disfigurement standard;

9) Full-thickness skull defect ≥30 cm2 after burn (note: 2 is square), or the area of skin graft on dura mater ≥ 10 cm2 (note: 2 is square);

10) Scar contracture of neck, which affects neck movement;

1 1) The total scar area is ≥ 30%;

12) facial scars, foreign bodies or skin grafts with pigment changes account for more than 10% of the face;

13) female bilateral breast defect;

14) narrow inheritance path after pelvic fracture (childless);

15) patients with severe pelvic fracture displacement and obvious symptoms;

16) The interphalangeal joint of one thumb was severed;

17) The interphalangeal joint of a thumb is deformed and its function is completely lost;

18) Except the thumb, the proximal interphalangeal joints of the other 2 ~ 3 fingers (including the index finger) were severed;

19) The proximal interphalangeal joints of the other 2 ~ 3 fingers (including the index finger) lost function except the thumb;

20) After one of the shoulder, elbow and wrist joints is injured, the range of motion cannot reach the functional position;

2 1) One foot is missing 1 ~ 5 toes;

22) Except the big toe, the other four toes of one foot are scarred and deformed, and their functions are completely lost;

23) the forefoot is missing;

24) People can basically take care of themselves after artificial joint of large joints of limbs;

25) Traumatic arthritis of large joints of limbs, with repeated effusion for a long time;

26) Shortening of lower limbs after injury > 2 cm, but less than 3 cm;

H) Grade 8

1) personality changes;

2) Muscle strength of single limb paralysis is Grade 4,

3) One-handed paraplegia muscle strength level 4;

4) The muscle strength of partial muscle paralysis in both hands is Grade 4;

5) The muscle strength of bipedal partial paralysis is Grade 4,

6) partial quadriplegia muscle strength ≤ 3;

7) No dysfunction after lobectomy;

15) vertebral compression fracture, and the overall height of the anterior edge of the vertebral body is reduced by more than 1/2;

16) In addition to the thumb and forefinger, the proximal interphalangeal joints of two fingers were severed;

17) Except thumb and forefinger, the proximal interphalangeal joints of the two fingers have no function;

18) One toe is missing and the other toe is missing.

19) One foot has a completely functional hallux deformity, and the other foot is not a hallux deformity;

20) One foot is missing three toes except the big toe;

2 1) Chronic osteomyelitis is caused by open fracture infection, which occurs repeatedly;

22) Traumatic arthritis of large joints of limbs, without effusion;

72) stage Ⅱ of decompression osteonecrosis;

73) Mild arm vibration;

I) Grade 9

1) mild epilepsy;

2) Mild sensory impairment of toxic peripheral neuropathy;

3) Brain contusion and laceration has no dysfunction;

4) No dysfunction after craniotomy;

5) Intracranial foreign bodies have no dysfunction;

6) The common carotid artery and internal carotid artery are narrowed due to neck trauma, and there is no dysfunction after stent implantation or vascular bypass surgery;

7) It meets the second item of the standard of moderate disfigurement or mild disfigurement;

8) Scary baldness at the edge of hairline or baldness in other parts, who needs to wear a wig;

9) Scar deformity of neck does not affect activities;

10) total body scar accounts for ≥ 5% of body surface area;

1 1) facial scar ≥8 cm2 (note: 2 is square) or more than three places ≥ 1 cm2 (note: 2 is square).

12) Low back pain after two or more transverse process fractures;

13) three-stage spinal internal fixation;

14) Vertebral height before compression <1/2;

15) There was no dysfunction after discectomy;

16) is missing the distal thumb part 1/2,

17) The first index finger is missing 2-3 segments,

18) Loss of function of interphalangeal joint of one thumb;

19) The toe of one foot is missing;

20) Except the big toe, the other two toes are missing or scarred, and the function is not complete;

2 1) metatarsal or tarsal fractures affect the arch of the foot;

People;

J) Grade 10

1) meets one of the criteria of moderate disfigurement;

6) The distal interphalangeal joint of any finger except the thumb is severed or loses its function;

7) After fingertip skin grafting (hypertrophic scar 1 cm2 (note: 2 is square));

The skin graft area of the back of hand is more than 50 cm2 (note: 2 is square), with obvious scar;

9) The skin grafting area of palms and feet is more than 30%;

10) 3 ~ 4 fingers are missing except thumb;

1 1) Any toes are missing except the big toe.

14) There was no dysfunction after fracture healing in all parts of the body;

15) Chronic radiation-induced skin injury of one hand or both hands is more than Ⅱ degree;