ALBERTA PERMANENT CLINICAL IMPAIRMENT GUIDE - Workers ...

FINGERS/HANDSStep Five:Rate the metacarpals of the fingers. The 5th is impaired.Therefore, use the value of the 5th finger on Chart 1.DIGITTHUMB INDEX MIDDLE RING LITTLEDistal phalanx 10 3 - - 1.2DIP joint - - - - -Middle phalanx - 3 - - 1.2PIP joint - - - - -Proximal phalanx - - - - 0.6MP joint - 0.75* - - -Metacarpal - - - - 2Step Six:Add up all the ratings obtained for each digit in turn.DIGITTHUMB INDEX MIDDLE RING LITTLEDIGIT TOTALS 10 6.75 - - 3Step Seven: Obtain the maximum value permitted for each digit as indicated onthe highest numbered chart used in this rating process (i.e., Chart2). Use Chart 1 for the thumb.DIGITTHUMB INDEX MIDDLE RING LITTLEDIGIT TOTALS 10 6.75 - - 3MAXIMUM15 7.5 N/A N/A 3ALLOWEDStep Eight:Adjust the total rating for each digit so that none exceeds themaximum allowed. In this example, none require adjustment.Step Nine:Add the digit totals plus the rating for the 5th metacarpal. Theresult is the PCI rating for all the impairments of the hand ( =21.8%*).*(10 + 6.75 + 3 + 2 = 21.75)Page 16COPYRIGHT 2006 All Rights Reserved October 1, 2006