RECORD OF PROCEEDINGS 

PHYSICAL DISABILITY BOARD OF REVIEW 

SEPARATION DATE:  20011212 

 
NAME:  XXXXXXXXXXXXXXXXXXX                                                      BRANCH OF SERVICE:  ARMY  
CASE NUMBER:  PD1200877 
BOARD DATE:  20130116    
 
 
SUMMARY  OF  CASE:    Data  extracted  from  the  available  evidence  of  record  reflects  that  this 
covered  individual  (CI)  was  an  active  duty  PV2/E-2  (96B/Intelligence  Analyst),  medically 
separated  for  chronic  left  hip  flexor  tendinitis.    The  CI  was  unable  to  meet  the  physical 
requirements of her Military Occupational Specialty or satisfy physical fitness standards.  The CI 
was issued a permanent U3 profile and referred for a Medical Evaluation Board (MEB).  The 
MEB forwarded no other conditions for Physical Evaluation Board (PEB) adjudication.  The PEB 
adjudicated  the  chronic  left  hip  condition  as  unfitting,  rated  0%,  with  application  of  the 
Veterans  Affairs  Schedule  for  Rating  Disabilities  (VASRD).    The  CI  made  no  appeals,  and  was 
medically separated with a 0% disability rating.   
 
 
CI  CONTENTION:    “I  believe  the  was  evidence  of  injury  that  should  have  been  compensated 
once I was discharged.  I received compensation for the exact same injuries that I received a 
rating of 0%.”     
 
 
SCOPE OF REVIEW:  The Board wishes to clarify that the scope of its review as defined in DoDI 
6040.44, Enclosure 3, paragraph 5.e. (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  left  hip  condition  requested  for 
consideration  meets  the  criteria  prescribed  in  DoDI  6040.44  for  Board  purview,  and  is 
accordingly addressed below.  The right hip and lumbar which were rated by the VA but not 
identified by the MEB 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 review, remain 
eligible for future consideration by the Army Board for Correction of Military Records.   
 
 
RATING COMPARISON:   
 

VA (5.5 Mos. Post-Separation) – All Effective Date 20011213 
Condition 
Chronic Bursitis Left Hip 
Chronic Bursitis Right Hip 
Radiating  Symptomatology  of  L 
spine associated with B Hip bursitis 
0% X 0 / Not Service-Connected x 0 
Combined:  30% 

Rating 
10% 
10% 
10% 

Code 
5019 
5019 
5295 

Exam 
20020628 
20020628 
20020628 
 

Service IPEB – Dated 20011113 
Condition 
Left Hip flexor tendinitis 

Code 
5099-5024 

Rating 
0% 

↓No Additional MEB/PEB Entries↓ 

Combined:  0% 

 
 
 

 

ANALYSIS SUMMARY: 
 
Left  Hip  Condition.    There  were  three  goniometric  range-of-motion  (ROM)  evaluations  in 
evidence,  with  documentation  of  additional  ratable  criteria,  which  the  Board  weighed  in 
arriving at its rating recommendation; as summarized in the chart below.   
 

Left Hip (Thigh) ROM 
(Degrees) 
Flexion (125 normal) 
Extension (20) 
External Rotation (45) 
Abduction (45) 
Adduction (45) 

Comment 

Ortho ~3.5 Mo. Pre-Sep 

MEB ~2 Mo. Pre-Sep 

VA C&P ~6 Mo. Post-Sep 

115 
- 
45 
- 
- 
Tenderness  

>100 
- 
30-40 
60 
- 
Without pain 
 Minimal  tenderness  
Minimal limp 

100 
15 
40 
30 
20 
Painful motion. 
Gait and posture normal 

0% (PEB 0%) 

10% (VA 10%) 

§4.71a Rating 

10% 

 
The  CI  developed  left  hip  pain  during  basic  training.    X-rays  and  bone  scan  revealed  no 
abnormality  with  the  left  hip.    The  hip  pain  would  aggravate  with  physical  activity  and 
movement, therefore the CI was never able to pass the Army Physical Fitness Test.  The CI was 
evaluated  by  orthopedics  who  concluded  that  the  CI's  symptoms  were  not  likely  to  resolve 
within a reasonable period of time in the military environment and recommended referral to 
the PEB.  At the MEB exam (2 months prior to separation), the CI had “full, active/passive” ROM 
of  the  hips  without  pain  as  noted  in  the  table.    There  was  minimal  tenderness  to  palpation 
along anterior inguinal ligament.  The CI walked with minimal limp, jump was equal, could jog 
without pain and heel-toe walk without difficulty and full deep knee bends were noted.  At the 
VA Compensation and Pension (C&P) exam (6 months after separation), the ROM is noted in 
the table above.  The CI did have pain with motion of the left hip.  There were no abnormal 
weight bearing signs; posture and gait were normal.  There was no further limitation by fatigue, 
weakness, lack of endurance or incoordination.   
 
The Board directs attention to its rating recommendation based on the above evidence.  The 
PEB  rated  the  left  hip  condition  0%  citing  "chronic  left  hip  flexor  tendinitis  [...]  rated  as 
tenosynovitis  without  loss  of  range  of  motion.  (MEBD  Dx  1,  2  NARSUM:  1.  chronic  left  hip 
tendonitis  and  2.  left  hip  intra-articular  irritation)”;  and  coded  the  condition  5099-5024 
(tenosynovitis).  The VA rated 10% citing limitation of motion coded 5019 (bursitis).  The Board 
notes that the VASRD directs that both diagnoses codes 5019 and 5024 be rated on limitation 
of  motion  of  the  affected  parts,  as  arthritis,  degenerative.    The  CI's  ROM  is  not  limited  to 
support even the 10% lowest rating and thus would be rated at 0%.  The Board considered the 
application of §4.59, (Painful motion).  The CI did have pain with movement at the orthopedic 
evaluation about a month prior to the MEB examination and at the C&P exam 6 months after-
separation.  The Board concluded that the CI does have painful motion in sufficient frequency 
to support a rating of 10%.  After due deliberation, considering all of the evidence and mindful 
of VASRD §4.3 (Resolution of reasonable doubt), the Board recommends a disability rating of 
10% for the left hip flexor tendonitis condition.   
 
 

BOARD FINDINGS:  IAW DoDI 6040.44, provisions of DoD or Military Department regulations or 
guidelines relied upon by the PEB will not be considered by the Board to the extent they were 
inconsistent  with  the  VASRD  in  effect  at  the  time  of  the  adjudication.    The  Board  did  not 
surmise  from  the  record  or  PEB  ruling  in  this  case  that  any  prerogatives  outside  the  VASRD 
were exercised.  In the matter of the left hip flexor tendonitis condition, the Board unanimously 
recommends a disability rating of 10%, coded 5099-5024 IAW VASRD §4.71a.  There were no 
other conditions within the Board’s scope of review for consideration.   
 
 
RECOMMENDATION:  The Board recommends that the CI’s prior determination be modified as 
follows, effective as of the date of her prior medical separation:   
 

UNFITTING CONDITION 
Left Hip Flexor Tendonitis 

VASRD CODE  RATING 
5099-5024 
COMBINED 

10% 
10% 

 
 
The following documentary evidence was considered: 
 
Exhibit A.  DD Form 294, dated 20120605, w/atchs 
Exhibit B.  Service Treatment Record 
Exhibit C.  Department of Veterans’ Affairs Treatment Record 
 
 
 
 
 
 
 
 

 

           XXXXXXXXXXXXXXXXXXXX, DAF 
           Director 
           Physical Disability Board of Review 

 
 
 

SFMR-RB 
 
 
 
 
MEMORANDUM FOR Commander, US Army Physical Disability Agency  
(TAPD-ZB / XXXXXXXXX), 2900 Crystal Drive, Suite 300, Arlington, VA  22202-3557 
 
 
SUBJECT:  Department of Defense Physical Disability Board of Review Recommendation  
for XXXXXXXXXXXXXXXXX, AR20130002538 (PD201200877) 
 
 
1.  I have reviewed the enclosed Department of Defense Physical Disability Board of 
Review (DoD PDBR) recommendation and record of proceedings pertaining to the 
subject individual.  Under the authority of Title 10, United States Code, section 1554a,   
I accept the Board’s recommendation to modify the individual’s disability rating to 10% 
without recharacterization of the individual’s separation.  This decision is final.   
 
2.  I direct that all the Department of the Army records of the individual concerned be 
corrected accordingly no later than 120 days from the date of this memorandum.    
 
3.  I request that a copy of the corrections and any related correspondence be provided 
to the individual concerned, counsel (if any), any Members of Congress who have 
shown interest, and to the Army Review Boards Agency with a copy of this 
memorandum without enclosures. 
 
 BY ORDER OF THE SECRETARY OF THE ARMY: 
 
 
 
 
Encl 
 
 
 

     XXXXXXXXXXXXXXXX 
     Deputy Assistant Secretary 
         (Army Review Boards)