BOARD DATE: 6 March 2015
DOCKET NUMBER: AR20140010679
THE BOARD CONSIDERED THE FOLLOWING EVIDENCE:
1. Application for correction of military records (with supporting documents provided, if any).
2. Military Personnel Records and advisory opinions (if any).
THE APPLICANT'S REQUEST, STATEMENT, AND EVIDENCE:
1. The applicant requests correction of his DD Form 214 (Certificate of Release or Discharge from Active Duty) to show a different separation code.
2. The applicant states:
* he was discharged due to a fracture in his right hip (lesser trochanter and sacrum) and he never had any issues with his hips prior to enlisting in the Army
* he never had any pain nor had he ever had an injury to his hips prior to enlisting
* he suspects the fracture occurred after a long physically-intense training day
* he was subjected to numerous slams and drops on his sides, hips, and butt at the range and his intense pain associated with his fracture began on the same date
* he believes the Army mismanaged his discharge as well as his diagnosis and treatment
* not enough time was allowed for his fracture to fully heal prior to his physical therapy and rehabilitation
* he should have been medically boarded
* he was simply sent on his way with a compromised hip and not given any information on how to seek treatment or assistance once he was discharged
* there is no evidence or medical documentation to support the Army's claim that the injury existed prior to service
3. The applicant provides:
* self-authored statement
* DA Form 4707 (Entrance Physical Standards Board (EPSBD) Proceedings), dated 11 June 2013
* five Standard Forms 600 (Chronological Record of Medical Care)
CONSIDERATION OF EVIDENCE:
1. The applicant enlisted in the Regular Army on 12 February 2013.
2. On 4 April 2013, the applicant underwent a bone scan that showed a probable stress fracture in the right femoral neck. On 10 April 2013, he was placed on convalescent leave for a 30-day period.
3. His DA Form 4707, dated 11 June 2013, shows:
a. He was seen in his 7th week of basic combat training (BCT) for right hip pain and he was placed on crutches and ordered to undergo a bone scan. His bone scan came back suspicious and inconclusive, so magnetic resonance imaging (MRI) was ordered. The MRI, dated 9 April 2013, confirmed a stress fracture of the right lesser trochanter and the applicant was placed on 30 days of convalescent leave.
b. The applicant returned from convalescent leave with continued symptomology of right hip pain and the Physical Therapy Department placed him in a physical training rehabilitation platoon. He showed no improvement and he was returned to his unit at full duty.
c. The applicant returned to sick call with persistent right hip pain and related that he could no longer train.
d. He was identified while in his 16th week of training as having a condition that existed prior to service (EPTS). His separation from the service was recommended.
4. A DA Form 4856 (Developmental Counseling Form), dated 12 June 2013, shows the applicant was counseled on his commander's intent to initiate separation action under the provisions of Army Regulation 635-200 (Active Duty Enlisted Administrative Separations), paragraph 5-11 (Separation of Personnel Who Did Not Meet Procurement Medical Fitness Standards.
5. On 21 June 2013, his commander initiated separation action under the provisions of Army Regulation 635-200, paragraph 5-11, for an EPTS medical condition. His commander recommended an entry-level separation. On the same date, the applicant acknowledged receipt of the discharge notification on a DA Form 2823 (Sworn Statement). He elected not to submit statements in his own behalf.
6. On 2 July 2013, the findings of the EPSBD were approved by the medical approving authority.
7. On 9 July 2013, the applicant concurred with the EPSBD Proceedings and requested to be discharged without delay. He waived his right to consult with counsel and indicated he did not want to remain on active duty.
8. On 16 July 2013, the separation authority approved the applicant's discharge and directed he receive an entry-level separation.
9. On 1 August 2013, the applicant was discharged accordingly. His DD Form 214 shows in:
* item 24 (Character of Service) Uncharacterized
* item 25 (Separation Authority) Army Regulation 635-200,
paragraph 5-11
* item 26 (Separation Code) JFW
* item 28 (Narrative Reason for Separation) Failed Medical/Physical/
Procurement Standards
10. The applicant provided five Standard Forms 600 that show the following regarding his hip prior to his separation:
* 3 April 2013 initial visit for hip pain
* 5 April 2013 bone scan revealed slight asymmetric radiotracer uptake in the region of the right lesser trochanter (part of the femur connecting to the hip bone) subtle stress fracture cannot be excluded
* 10 April 2013 probable stress fracture in the right femoral neck; stress fracture adjacent to the right lesser trochanter two stress fractures noted in the sacrum
* 10 May 2013 previous bone scan, dated 4 April 2013, and right hip MRI, dated 19 April 2013, reveal bone edema and questionable abnormality just above the lesser trochanter
* 11 June 2013 applicant identified as having an EPTS condition he returned to sick call with persistent right hip pain and related he could no longer train
11. Army Regulation 635-200 sets forth the basic authority for separation of enlisted personnel. Paragraph 5-11 specifically provides that Soldiers who were not medically qualified under procurement medical fitness standards when accepted for enlistment, or who became medically disqualified under these standards prior to entry on active duty, active duty for training, or initial entry training will be separated. A medical proceeding, regardless of the date completed, must establish that a medical condition was identified by appropriate medical authority within 6 months of the Soldier's initial entrance on active duty, that the condition would have permanently or temporarily disqualified the Soldier for entry into the military service had it been detected at the time, and that the medical condition does not disqualify the Soldier from retention in the service under the provisions of Army Regulation 40-501 (Standards of Medical Fitness), chapter 3. The characterization of service for Soldiers separated under this provision will normally be honorable, but will be uncharacterized if the Soldier has not completed more than 180 days of creditable continuous active duty prior to the initiation of separation action.
12. Army Regulation 40-501 governs medical fitness standards for induction, enlistment, appointment, retention, separation, retirement, officer procurement programs and related policies and procedures. Paragraph 2-10 pertains to lower extremities and states limitation of motion of the hip due to disease or injury does not meet the standard.
13. Army Regulation 635-40 (Physical Evaluation for Retention, Retirement or Separation), chapter 5, provides that if a Soldier is processed for failure to meet procurement medical fitness standards within the first 6 months of entry on active duty and the condition existed prior to the term of service, the Soldier will be discharged in an entry-level status with uncharacterized service.
14. Army Regulation 635-5-1 (Separation Program Designator (SPD) Codes) prescribes the specific authorities (regulatory, statutory, or other directives), the reasons for the separation of members from active military service, and the separation program designators to be used for these stated reasons. The regulation shows the SPD JFW as shown on the applicant's DD Form 214 specifies the narrative reason for discharge as "Failure to Meet Procurement Medical Fitness Standards" and that the authority for discharge under this SPD is Army Regulation 635-200, paragraph 5-11.
DISCUSSION AND CONCLUSIONS:
1. The evidence shows the applicant was diagnosed as having a stress fracture of the right lesser trochanter while attending BCT. He appeared before an EPSBD which determined that he did not meet medical fitness standards for enlistment or induction under the provisions of Army Regulation 40-501. His condition was listed as EPTS which was not permanently aggravated by service.
2. While Soldiers enter active duty with existing medical conditions, many of them successfully complete their initial entry training. Unfortunately, some are unable to complete their training because the rigor of BCT is too strenuous to complete with the medical condition. Soldiers who cannot complete their training must be discharged.
3. The applicant concurred with the finding of the EPSBD and requested discharge without delay.
4. Accordingly, he was discharged under the provisions of Army Regulation
635-200, paragraph 5-11, for failure to meet medical fitness standards with his service uncharacterized. He was assigned an SPD code of JFW.
5. The applicant's separation was accomplished in compliance with applicable regulations with no indication of procedural errors, which would tend to jeopardize his rights. The type of discharge directed, the reasons for that separation, and the assigned SPD code were appropriate considering all of the facts of the case.
BOARD VOTE:
________ ________ ________ GRANT FULL RELIEF
________ ________ ________ GRANT PARTIAL RELIEF
________ ________ ________ GRANT FORMAL HEARING
___X_____ ___X_____ __X__ DENY APPLICATION
BOARD DETERMINATION/RECOMMENDATION:
The evidence presented does not demonstrate the existence of a probable error or injustice. Therefore, the Board determined the overall merits of this case are insufficient as a basis for correction of the records of the individual concerned.
___________X______________
CHAIRPERSON
I certify that herein is recorded the true and complete record of the proceedings of the Army Board for Correction of Military Records in this case.
ABCMR Record of Proceedings (cont) AR20140010679
3
ARMY BOARD FOR CORRECTION OF MILITARY RECORDS
RECORD OF PROCEEDINGS
1
ABCMR Record of Proceedings (cont) AR20140010679
3
ARMY BOARD FOR CORRECTION OF MILITARY RECORDS
RECORD OF PROCEEDINGS
1
AF | PDBR | CY2012 | PD2012 01512
The leg, hipand knee conditions, characterized as “bilateral shin splints,” “right tibial plafond stress reaction,” “bilateral femoral stress reactions,” and “left greater trochanteric bursitis & PFPS [patellofemoral pain syndrome],” were forwarded to the Physical Evaluation Board (PEB) IAW SECNAVINST 1850.4E. Bilateral Leg PainCondition (includes Bilateral Shin Splints,Bilateral Femoral Stress Reactions, Left Greater Trochanteric Bursitis, and Left PFPS) :The narrative summary, 4 months...
AF | PDBR | CY2013 | PD-2013-02762
These were considered together as right and left lower leg conditions for determination of fitness. The Board agreed the left hip condition was mild.The records noted periods of both hip pain and no hip pain.Routine X-rays, bone scans of the hips revealed no pathology. The Board noted the report of the CI at the time of the NARSUM thatleft hip pain “radiated from the back.”After due deliberation, considering all of the evidence, the Board agreed that there was no preponderance of evidence...
ARMY | BCMR | CY2013 | 20130011424
His DA Form 4707 (Entrance Physical Standards Board (EPSBD) Proceedings), dated 18 December 1996, shows in item 8 (after careful consideration of medical records, laboratory findings, and medical examination, the board found that he was medically unfit for enlistment in accordance with current medical fitness standards and in the opinion of the evaluating physicians the condition existed prior to service. Accordingly, he was discharged from active duty on 31 January 1997, under the...
AF | PDBR | CY2012 | PD 2012 01437
Post-Separation) All Effective Date 20020716 Condition Code Rating Condition Code Rating Exam Bilateral Inferior Pubic Ramus Stress Fractures, X- Ray Verified with Other Lower Extremity Stress Reactions on Bone Scan 5299-5010 0% Stress Fracture Left Tibia 5299-5262 0% 20021217 Stress Fracture Right Tibia 5299-5262 0% 20021217 Bilateral Pelvic Stress Fractures 5299-5255 Non Service Connected (NSC) 20021217 .No Additional MEB/PEB Entries. The PEB combined the bilateral inferior pubic ramus...
AF | PDBR | CY2012 | PD-2012-00453
The PEB adjudicated the CI as “Fit for Duty.” However, an Informal Reconsideration PEB, 2 months later, adjudicated right hip pain s/p healed right hip stress fracture and left hip pain, which had not been identified by the MEB, as unfitting, rated 10% and 10% respectively, with application of the Veteran’s Affairs Schedule for Rating Disabilities (VASRD). Pre‐Separation) – All Effective Date 20011214 Exam Condition Code Service Recon PEB – Dated 20080815 Condition Code Right Hip Pain S/P...
AF | PDBR | CY2014 | PD-2014-02473
Left hip. Post-Separation) ConditionCodeRatingConditionCodeRatingExam Left Hip Pain5299-525510%Residuals, Left Femoral Neck Fracture525520%20090504Other x 0 (Not In Scope)Other x 8 RATING 10%RATING: 30% *Derived from VA Rating Decision (VARD)dated 20090731(most proximate to date of separation (DOS)). Left Hip Pain.
ARMY | BCMR | CY2013 | 20130021548
A medical proceeding conducted by an EPSBD, regardless of the date completed, must establish that a medical condition was identified by appropriate medical authority within six months of the Soldier's initial entrance on active duty, that the condition would have permanently or temporarily disqualified the Soldier for entry into the military service had it been detected at the time of enlistment, and the medical condition does not disqualify the Soldier from retention in the service under...
ARMY | BCMR | CY2013 | 20130008441
Paragraph 5-11 specifically provides that Soldiers who were not medically qualified under procurement medical fitness standards when accepted for enlistment or who became medically disqualified under these standards prior to entrance on active duty, active duty for training, or initial entry training will be separated. A medical proceeding, regardless of the date completed, must establish that a medical condition was identified by appropriate medical authority within 6 months of the...
AF | PDBR | CY2012 | PD2012 01267
She was medically separated for multiple stress reaction conditions.The CI reported an onset of foot pain 4 weeks into basic training in 2001, followed by pelvic and hip region pain that did not respond adequate to anti-inflammatory medication and physical therapy (PT)to meet the physical requirements of her MOS or satisfy physical fitness standards. The PEB combined the multiple lower extremities at 20% as noted above, and the VA adjudicated that the conditions were healed without sequelae...
AF | PDBR | CY2011 | PD2011-01056
The MEB forwarded right hip pain secondary to femoral neck stress fracture and left sacroilitis condition on the DA Form 3947 to the Physical Evaluation Board (PEB) as medically unacceptable IAW AR 40-501. An MRI done at that time noted no evidence of a left hip stress fracture. The CI was seen in follow up by Orthopedics for left hip pain in January 2009 with findings of a positive impingement test in the anterior and posterior left hip and it was noted that the more the CI walked, there...