RECORD OF PROCEEDINGS AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS IN THE MATTER OF: DOCKET NUMBER: BC-2012-02462 COUNSEL: NONE HEARING DESIRED: NO ________________________________________________________________ APPLICANT REQUESTS THAT: His 1979 medical record be corrected to reflect he injured his left ankle instead of his right ankle. ________________________________________________________________ APPLICANT CONTENDS THAT: In September 1979 he hurt his ankle. While at the hospital, someone wrote “R” over the “L” on his medical record indicating his right ankle was injured. He discovered the error when he reviewed the findings after the Veterans Administration (VA) did a disability evaluation on the wrong leg. In support of his request, the applicant submits a copy of his September 1979, Standard Form (SF) 500, Chronological Record of Medical Care, VA Form 10-5345, Request for and Authorization to Release Medical Records or Health Information, and an affidavit from a former co-worker attesting to his left leg injury. The applicant’s complete submission, with attachments, is at Exhibit A. ________________________________________________________________ STATEMENT OF FACTS: The applicant is a former commissioned officer of the Regular Air Force who served from 7 June 1961 through 31 December 1981. He was progressively promoted to the rank of Colonel, O-6. ________________________________________________________________ AIR FORCE EVALUATION: AFMOA/SGAT recommends denial. SGAT states the available medical document on 16 September 1979 reflected the injury occurred on the right ankle. The note on the medical form states the applicant had a fracture of the distal tibia with displaced bone chips, but it did not differentiate whether it was the right or left ankle. In the 27 September 1979, follow-up exam, the record reflected the right ankle had no fracture and had normal range of motion. The X-ray report for 16 September 1979 was not available for review. From the documentation provided, it appears the injury occurred on the right ankle. The complete AFMOA/SGAT evaluation is at Exhibit C. ________________________________________________________________ APPLICANT'S REVIEW OF AIR FORCE EVALUATION: The applicant reiterates his contentions and further states he notes the 27 September follow-up exam indicated his right ankle had no fracture and normal range of motion, but it was not possible for his ankle that was broken on 16 September to be healed by 27 September as indicated by the AFMOA/SGAT evaluation. The applicant’s complete response, with attachments, is at Exhibit E. ________________________________________________________________ THE BOARD CONCLUDES THAT: 1. The applicant has exhausted all remedies provided by existing law or regulations. 2. The application was not timely filed; however, it is in the interest of justice to excuse the failure to timely file. 3. Sufficient relevant evidence has been presented to demonstrate the existence of error or injustice. After a review of the evidence of record and the applicant’s submission, we believe that relief is warranted. The Board notes that the Air Force office of primary responsibility states that the applicant had a fracture of the distal tibia with displaced bone chips, but his medical records did not differentiate whether it was the right or left ankle. Absent documentation to the contrary, and based on the applicant’s personal statement and the letter from his former military coworker attesting that he saw the applicant on crutches with a cast on his left foot on or about 16 September 1979, we believe there is substantial evidence to determine an error occurred in documenting the applicant’s injury to his ankle. Therefore, we recommend the applicant's records be corrected to the extent indicated below. ________________________________________________________________ THE BOARD RECOMMENDS THAT: The pertinent military records of the Department of the Air Force relating to APPLICANT be corrected to show that on 16 September 1979, he had a fracture of the distal tibia with displaced bone chips in his left ankle. ________________________________________________________________ The following members of the Board considered this application in Executive Session on 21 February 2013, under the provisions of AFI 36-2603: , Chair , Member , Member The following documentary evidence was considered in AFBCMR Docket Number BC-2012-02462: Exhibit A. DD Form 149, dated 27 May 2012, w/atchs. Exhibit B. Applicant’s Master Personnel Records. Exhibit C. Letter, AFMOA/SGAT, dated 17 Sep 2012. Exhibit D. Letter, SAF/MRBR, dated 25 Sep 2012. Exhibit B. Letter, Applicant, dated 16 Oct 2012, w/atchs. Chair