RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2002-03520
INDEX CODE: 100.02
COUNSEL: NONE
HEARING DESIRED: NO
_________________________________________________________________
APPLICANT REQUESTS THAT:
His reenlistment eligibility (RE) code be changed to one that would
allow reenlistment.
_________________________________________________________________
APPLICANT CONTENDS THAT:
He was discharged from the Air Force for a pre-existing condition that
affected his tibia and knees. He contends that he was misdiagnosed
and given bad advice from his military doctor that led to his
discharge. He has been trying to get back into the Air Force since
his discharge and contends that he is 110% physically and mentally fit
and is willing to do whatever the Air Force demands of him.
In support of his appeal, the applicant had provided several letters
of support from civilian physicians and results of several
examinations.
His complete submission, with attachments, is at Exhibit A.
_________________________________________________________________
STATEMENT OF FACTS:
The applicant enlisted in the Regular Air Force on 30 January 2001.
He completed basic military training (BMT) and technical training
school and attained the grade of Airman First Class (A1C/E-3). On 30
October 2001, the applicant went to a medical appointment and reported
experiencing worsening pain in his knees. On 18 January 2002, after
several appointments and a diagnosis, the applicant discussed surgery
with an orthopedic surgeon. Applicant declined surgery and
consequently underwent a medical evaluation board (MEB) to determine
his fitness for continued military service. On 28 February 2002, the
applicant’s commander wrote to the Physical Evaluation Board and
stated that the applicant’s medical condition would not allow him to
fulfill his military duties. The applicant also submitted a letter to
the PEB stating his agreement with his doctor’s findings. On 13
March 2002, the PEB recommended that the applicant be separated from
the Air Force under the provisions of Title 10 United States Code,
Chapter 61, due to a pre-existing physical disability. The applicant
noted agreement with the PEB’s findings and waived his right to a
formal PEB hearing. Applicant was separated on 3 May 2002 after
serving for 1 year, 3 months, and 3 days. He was honorably discharged
under the auspices of Air Force Instruction (AFI) 36-3212, Disability
Existed Prior to Service – PEB. He was serving in the grade of A1C
upon discharge.
_________________________________________________________________
AIR FORCE EVALUATION:
The BCMR Medical Consultant reviewed this case and recommended that no
change be made to the applicant’s record. He noted that in October
2001, after reporting to his first duty station, applicant began
making regular medical appointments complaining about bi-lateral knee
pain. It was revealed that the pain, while present since the 7th
grade, began to worsen in BMT, more so in technical training, and
finally worsened to the point that applicant was evaluated by an
orthopedic surgeon at his duty station. Applicant was diagnosed with
multi-plane deformity of the bilateral tibia including varus deformity
(bowing) with external rotation of bilateral tibiae (torsion or
twisting). Surgery was discussed with the applicant on 18 January
2002 but due to the significant risk associated with the surgery due
to the complexity of the congenital growth deformity and the
uncertainty of the surgery decreasing the knee pain, the applicant
opted to forgo surgery and undergo a MEB. He did so and was
subsequently discharged due to a pre-existing physical disability.
Any difference of opinion between the Air Force’s orthopedic surgeon
and civilian orthopedic surgeons is still whether or not the
applicant’s condition is disqualifying for military service. While
the applicant appears to be doing well working in a less physically
demanding occupation and has demonstrated the ability to participate
in regular jogging for a few months, the underlying cause of his knee
pain has not been corrected and there is no evidence that he would not
experience recurring symptoms when exposed to the rigors of military
service. The BCMR Medical Consultant refers to AFI 48-123, Attachment
3, to a list of disqualifying factors for military service:
“deformities of one or both lower extremities that have interfered
with function to such a degree as to prevent the individual from
following a physically active vocation in civilian life or that would
interfere with satisfactory completion of prescribed training and
performance of military duty.” The BCMR Medical Consultant contends
that the applicant has already demonstrated the inability to
satisfactorily complete performance of military duty. The Air Force
cannot guarantee a sedentary occupation, and even members in sedentary
occupations are often required to deploy and perform vigorous
activities in operational settings. The applicant had demonstrated
his condition has rendered him unfit for routine military duty.
The BCMR Medical Consultant’s complete evaluation is attached at
Exhibit C.
AFPC/DPPAE has reviewed this application and recommended denial.
DPPAE contends that under the circumstances of the applicant’s
discharge, that the RE code was correct.
DPPAE’s complete evaluation is attached at Exhibit D.
_________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
Copies of the Air Force evaluations were forwarded to the applicant on
3 June 2003 for review and comment within 30 days. As of this date,
no response has been received by this office.
_________________________________________________________________
THE BOARD CONCLUDES THAT:
1. The applicant has exhausted all remedies provided by existing law
or regulations.
2. The application was timely filed.
3. Insufficient relevant evidence has been presented to demonstrate
the existence of error or injustice. After a thorough review of the
evidence of record and applicant's submission, we are not persuaded
that his uncorroborated assertions of misdiagnosis and bad advice on
the part of the military medical personnel, in and by themselves,
sufficiently persuasive to override the rationale provided by the Air
Force. He provided no evidence that his underlying condition has been
corrected. Consequently we cannot assume that his knee problems would
not recur when subjected to the rigors of military service.
Therefore, we agree with the opinion and recommendation of the Air
Force office of primary responsibility and adopt the rationale
expressed as the basis for our decision that the applicant has failed
to sustain his burden of having suffered either an error or injustice.
Consequently, in the absence of persuasive evidence to the contrary,
we find no compelling basis to recommend granting the relief sought in
this application.
_________________________________________________________________
THE BOARD DETERMINES THAT:
The applicant be notified that the evidence presented did not
demonstrate the existence of material error or injustice; that the
application was denied without a personal appearance; and that the
application will only be reconsidered upon the submission of newly
discovered relevant evidence not considered with this application.
_________________________________________________________________
The following members of the Board considered AFBCMR Docket Number BC-
2002-03520 in Executive Session on 1 July 2003, under the provisions
of AFI 36-2603:
Ms. Brenda L. Romine, Panel Chair
Ms. Marilyn Thomas, Member
Mr. Grover L. Dunn, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 17 Nov 02, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, BCMR Medical Consultant, dated 30 Mar 03.
Exhibit D. Letter, AFPC/DPPAE, dated 28 May 03.
Exhibit E. Letter, SAF/MRBR, dated 3 Jun 03
BRENDA L. ROMINE
Panel Chair
AF | PDBR | CY2012 | PD2012 00741
Not Service Connected x 4 Combined: 20% *Initial rating of 0% for left tibia stress fracture increased to 10% based upon appeal by CI and records review by VA ANALYSIS SUMMARY : Chronic Bilateral Leg Pain Secondary to Chronic Bilateral TibialStress Fractures Condition . To that end, the evidence for the chronic left and chronic right leg pain conditions are presented separately with attendant recommendations regarding separate unfitness and separate ratings if indicated.The Board first...
AF | PDBR | CY2010 | PD2010-01015
At the MEB examination, 25 August 2004, just under three months prior to separation, the CI noted that her pain was aggravated by standing and sitting and that she had swelling at the ankle and pain at the knee incision site. Board considered use of the 5262 code for malunion of the tibia and fibula with ankle impairment as it also described the medical condition including the pain which affected ankle function. Accordingly, the Board cannot use both code 8520 and 5262 for the right lower...
AF | PDBR | CY2013 | PD 2013 01133
The PEB recommended placement on TDRL since additional surgery had been recommended for the knee condition indicating the condition was not stabilized for rating.At an interim TDRL evaluation in October 2005, the CI had not been able to obtain the recommended surgeries. Examination during the surgery indicated no ligament laxity or instability and the remainder of the joint was normal as at the time of the 2003 arthroscopic surgery. RECOMMENDATION : The Board, therefore, recommends that...
AF | PDBR | CY2013 | PD-2013-02209
The Board considered that the evidence in record supports that the CI had painful, limited ROM with imaging evidence of DJD following right knee injury and surgery, without significant instability. Left knee examination was the same as the right, except no effusion was present and physical therapy noted ROM of 0 degrees-130 degrees, without painful motion.At the VA C&P exam performed a week after separation the CI reported problems in the left knee due to compensation for his right knee. ...
AF | PDBR | CY2011 | PD2011-00369
Other PEB Conditions. The degree of limitation of motion in the shoulder was not compensable under the specific joint coding, however the loss of mobility was considered in the overall rating for the CI’s unfitting shoulder condition. Any scar impairment to the limitation of motion was considered in the above shoulder rating.
AF | PDBR | CY2012 | PD2012 01502
(2) is limited to those conditions which were determined by the PEB to be specifically unfitting for continued military service; or, when requested by the CI, those condition(s) “identified but not determined to be unfitting by the PEB.”The ratings for unfitting conditions will be reviewed in all cases. The requested knee and hip conditions are not within the Board’s purview.Any conditions or contention not requested in this application, or otherwise outside the Board’s defined scope of...
AF | PDBR | CY2012 | PD-2012-00646
The Board evaluates DVA evidence proximal to separation in arriving at its recommendations, but its authority resides in evaluating the fairness of DES fitness decisions and rating determinations for disability at the time of separation. Right Knee and Low Back Condition. The three potentially applicable codes from the 2002 VASRD are excerpted below: 5292 Spine, limitation of motion of, lumbar: Severe ………………………………………………………..……….………….... 40 Moderate …………………………………….……………….…….…………...….
AF | PDBR | CY2011 | PD2011-00459
PHYSICAL DISABILITY BOARD OF REVIEW Right Knee Failed ACL Reconstruction525720%Right Knee Degenerative Arthritis with Pain-Limited Motion526010% COMBINED30% ______________________________________________________________________________ Physical Disability Board of Review
AF | PDBR | CY2012 | PD2012 00589
(2) is limited to those conditions which were determined by the PEB to be specifically unfitting for continued military service or, when requested by the CI, those conditions “identified but not determined to be unfitting by the PEB.”The ratings for unfitting conditions will be reviewed in all cases.Any conditions or contention not requested in this application, orotherwise outside the Board’s defined scope of review, remain eligible for future consideration by the Army Board for Correction...
AF | PDBR | CY2011 | PD2011-00642
The Board evaluates DVA evidence proximal to separation in arriving at its recommendations, but its authority resides in evaluating the fairness of DES fitness decisions and rating determinations for disability at the time of separation. Right Knee Condition . After extensive review of the DES record, the Board was unable to find any route to achieve a combined disability rating higher than 10% under any applicable code and no extant pathology which would merit additional rating.