physical examination and standards of physical fitness

4) Repeated attacks of catarrhalotitis media; intact grayish, thickeneddrum(s).f. Tympanic membrane1) Any perforation of the tympanicmembraneg. Any defects of the ear which obviouslypreclude satisfactory performance ofmilitary duty or which require frequent andprolonged treatment.2-4. Hearing. Hearing acuity level by whisperedor spoken voice test hearing less than8/15 bilateral; or less than 15/15 in one earand less than 8/15 in one ear.2-5. Upper extremities.a. Limitation of motion - an individualwill be unacceptable if the joint ranges ofmotion are less than:1) Shoulder.a) Forward elevation to 90degrees.b) Abduction to 90 degrees.2) Elbow.a) Flexion to 100 degrees.b) Extension to 15 degrees.3) Wrist: Total range of 15 degrees(extension plus flexion).4) Hand.a) Pronation to the first quarter ofthe normal arc.b) Supination to the first quarter ofthe normal arc.5) Fingers.a) Inability to clench fingers.b) With remaining fingers,inability to pick up a pin or needle and tograsp an object.b. Hand and fingers: scars and deformitiesof the fingers and/or hand which1) impair circulation,2) are symptomatic,3) draw attention away from amilitary appearance4) or impair normal function tosuch a degree as to interfere with the satisfactoryperformance of dutyc. Wrist, forearm, elbow, arm, andshoulder: healed disease or injury of abovewith residual weakness of or symptoms ofsuch a degree as to preclude satisfactoryperformance of duty.2-6. Lower extremities.a. Limitation of motion: an individualwill be considered unacceptable if the jointranges of motion are less than:1) Hip.a) Flexion to 90 degrees.b) Extension to 10 degrees (beyond 0).2) Knee.a) Full extension.b) Flexion to 90 degrees.3) Ankle.a) Dorsiflexion to 10 degrees.b) Plantar flexion to 10 degrees.4) Toes: Stiffness which interfereswith walking, marching, running, or jumping.b. Foot and ankle. Abscess, scar ordeformity which impairs normal function suchthat running and jumping are precluded orwhich interferes with the satisfactory performanceof military duty.c. Leg, knee, thigh, and hip.1) Dislocated semilunar cartilage,loose or foreign bodies within the knee joint, orhistory of surgical correction of same ifa) within the preceding six (6)months.b) six months or more haveelapsed since operation without recurrenceand(1) there is instability of theknee ligaments in lateral or anteroposteriordirections in comparison with the normal kneeor abnormalities noted on x-ray or,(2) there is significant atrophyor weakness of the thigh musculature incomparison with the normal side or,(3) there is not acceptableactive motion in flexionor extension, or(4) there are other symptomsof internal derangement.2) Authentic history or physicalfindings of an unstable or internally derangedjoint causing disabling pain or seriously limitingfunction. individuals with verified episodesof buckling or locking of the knee who havenot undergone satisfactory surgical correctionor if, subsequent to surgery, there is evidenceof more than mild instability of the knee ligamentsin lateral and anteroposterior directionsin comparison with the normal knee, weaknessor atrophy of the thigh musculature incomparison with the normal side or, if the individualrequires medical treatment of sufficient