Workers compensation Scheduled Loss of Use for  Shoulder

If you’ve been hurt at work and are wondering what “Scheduled Loss of Use” (SLU) entails for your shoulder, you’ve come to the correct spot! You could be eligible for a compensation payment determined by the Workers’ Compensation Board’s guidelines.

We will state that as a result of your work-related accident, you have lost functioning in the harmed body part and will suffer from it for the rest of your life. Our report will use Workers’ Compensation Guidelines for Determining Impairment to evaluate your case. The requirements of this article are derived from New York state workers compensation rules.

In our report we will state that as a result of your work-related accident, you have lost use of the injured body part and will be afflicted with it for the rest of your life due to your inability to work in that area. Our analysis will utilize Workers’ Compensation Guidelines for Determining Impairment to evaluate your claim. We follow the guidelines from provisions in New York state workers compensation legislation.

Objectives for Determining Impairment for Shoulder

In order to arrange the hand in space and enable functional use of the upper extremities, the shoulder and elbow are crucial. The torso and upper arms are joined by the shoulders. The shoulder joint is the most complicated and flexible joint in the human body. The shoulder is where three bones, about a dozen separate muscles, and several ligaments and tendons come together.

We can move our arms pretty much in any direction because to the way they are attached. The cost of this flexibility is that the shoulder is vulnerable to injury. Furthermore, determining the source of shoulder pain is not always simple. The capacity to complete work duties might be significantly impacted by an injury and its associated constraints.

The objective is to precisely determine the permanent physical deficit that the claimant experienced as a result of their accident. The assessment should, to the greatest extent feasible, be based on factual information obtained from the history and physical examination, as well as any relevant diagnostic test results.

Methods Available to Assess Permanent Impairment

At the point of greatest medical improvement, when further healing is not anticipated, the degree of a permanent residual physical deficit should be assessed. Based on the results of the clinical course of treatment, the medical provider’s experience, and any additional treatment alternatives accessible to the patient, the maximum medical improvement should be assessed.

The medical professional should, when appropriate, take into account expected/normal values and the contralateral extremity when assessing the level of permanent residual physical deficit. The time from the injury to the point of greatest medical improvement may differ, although in most situations it is one year since the injury or the most recent surgery.

The mechanism of the damage has no effect on how severe the permanent residual physical deficit is. In addition to physical injury to bone, muscles, cartilage, tendons, nerves, blood vessels, and other tissues, it also indicates the physical deficit that still exists after the point of maximum medical improvement.

Shoulder Range of Motion

Shoulder motions include:

  • Flexion and extension
  • Abduction and adduction
  • External and internal rotation


Flexion and Extension

Shoulder Abduction and Adduction

Shoulder External (Up) and Internal (Down)

Calculating Loss of Use

Determine whether any unusual circumstances exist before calculating the overall schedule loss of shoulder function. If not, apply the larger deficit where there are deficits in abduction and flexion (see chart below). For other considerations, see the notes. When evaluating using range of motion, the combined total deficit cannot be greater than the value of ankylosis.

Percent Loss of Use of Shoulder
Instructions: To the extent there are deficits select values per the chart and/or notes below.
Maximum value cannot exceed the value for ankylosis.
Schedule loss of use percentages for ranges of motion values above/below those
depicted here should be adjusted proportionally.








  • The bigger of the two deficits, not both, must be used if flexion (forward elevation) and abduction deficits are both reported. However, up to 10% may be added to the overall timetable loss of use, up to and including ankylosis, if the deficit in both ranges of motion is considerable or more and the measurements are within 100 of one another.
  • To avoid cumulative values, do not add slight rotational internal and exterior deficits. Add 10-15%, but not more than ankylosis, for clearly noticeable rotational impairments and muscular atrophy.
  • Mild deficits of posterior extension equal 7½–10% loss of use of an arm.
  • Mild deficits of adduction equal 7½ –10% loss of use of an arm.
  • Use the table below for isolated internal/external ROM deficiencies.

Internal and External Rotation Only










Special Considerations used by us

Special considerations with enumerated schedule loss of use values include the following. When indicated or when no schedule value is given, further deficits may be introduced. However, the value of ankylosis cannot surpass the maximum schedule loss of use value.

  1. Shoulder dislocations may be eligible for a schedule loss of use review if at least a year has passed since the corrective surgery was performed, or if the dislocation has occurred more than once and a permanent impairment has developed. An overall schedule and allocation are required in cases with pre-existing, recurrent shoulder dislocation.
  2. Depending on the severity of the impairment, clavicle fractures might range from 0 to 10 %.
  3. Loss of arm function from acromio-clavicular or sterno-clavicular separation ranges from 7½ to 10 percent.
  4. Depending on the severity of the functional impairment, a winged scapula caused by Serratus Anterior Palsy and/or Trapezius Palsy may result in a 15-20% loss of arm function. In these situations, wait two years after a main nerve has been surgically repaired before evaluating for a schedule loss.
  5. Bone loss from resection of either end of the clavicle is equal to 10%; loss of arm function after resection of the entire clavicle is equal to 15%. If present, take into account the most prominent mobility deficits in connection to functional deficit.
  6. A non-surgical rupture of the biceps muscle’s long head results in a 10 to 15 percent loss of arm function. A biceps tear at the distal point of insertion results in a 20% reduction in arm strength. The timeline may vary by up to 33 ⅓% loss of arm function, taking into account muscular weakness and mobility, depending on the severity of the impairment discovered.
  7. Frozen shoulder and adhesive capsulitis (with or without surgery): Provide a plan for loss of function if the problem is asymptomatic.
  8. The supplied schedule is concentrated on the extremity’s most valuable portion. Calculate the main loss in the part affected first in the event of a high schedule for one specific part of the extremities. For instance, amputation at the wrist results in a 100% loss of hand function or an 80% loss of arm function. The end timetable would be 90 percent loss of use of the arm if there were subsequent deficits of the elbow and/or shoulder, which would be added to the initial 80 percent loss of use of the arm by 10%.
  9. Results of full or partial shoulder arthroplasty or replacement are evaluated no earlier than 12 months following surgery because clinically meaningful changes in functions can take place earlier. The schedule is provided in accordance with the medical evaluation of:
  • range of motion as measured by flexion or abduction, utilizing the most severe degree of impairment;
  • atrophy as measured at the mid-arm level and compared to the contralateral side; and
  • the presence of chronic problems as shown in the table below (unless appropriate for classification).

The chart below is used to calculate the schedule loss of usage values. A 35 % Schedule Loss of Use is considered to be a positive result (as shown in Row A below). Add the value for the additional deficit (using the value that most closely matches the deficit in each column) to the base of 35 percent to determine the total schedule loss of use award where deficits are greater than those described in Row A.

Shoulder Joint Replacement Schedule Loss of Use












An individual undergoes surgery to replace their shoulder. The medical professional discovered a satisfactory outcome with full range of motion but some atrophy present at the point of optimum medical progress. Starting with the initial value for a positive outcome (35%) and adding % for the atrophy if the atrophy measurement was:

  • 1.5 inches less than the contralateral side (overall SLU value for this individual would be 40%)
  • If the distance is more than 2.5 inches from the other side, increase it by 10%. (overall SLU of 45 percent).


Amputation from the elbow to the shoulder results in a complete loss of arm function. Amputation can seriously harm a claimant’s ability to earn money. It has the potential to physically and mentally alter their life. For the claimant to receive the proper award for schedule loss, a proper evaluation must be made. Since it is essentially the worst-case scenario, it is always a last resort.

Please refer to the Workers Compensation Board website of your state or speak with your Workers Compensation attorney for more information.

Call Us Now!

Based on 116 reviews
I had an extremely friendly and personalized medical consult with Dr Karkare. Dr Karkare was very knowledgeable and very professional. His communication skills was extremely good and explained my medical condition in very simple words. The office visit was very helpful in understanding my medical condition. Thank you Dr Karkare
Padmanabhan Nagaraj
20:49 25 Sep 23
Dr. Karlkare and his staff were excellent. Dr. Karkare explained everything clearly and took his time getting to know my Dad.
Anna Acker
22:46 07 Sep 23
Dr Vedant Vaksha had done emergency surgery in 2020 after a traumatic injury.His office at Complete Orthopedics handled the continued care thereafter.Dr V and his staff had been Professional and friendly throughout the process, taking the time to explain all the questions on how to proceed and what to expect.Whenever I needed to speak with Dr V or the office they were a phone call away, without waiting or calling several numbers like in so many other medical offices.The office was accommodating to scheduling to my needs at all times. Dr Vedant Vaksha earned the following5 out of 5 stars, highly recommended.
John Kuey
20:58 05 Sep 23
Dr. Vaksha helped me recover from an injury. I am very thankful that he took the time to explain the best treatment for my injury. Also thankful for the wonderful office staff!
Joseph Castelli
22:30 02 Aug 23
The office is wonderful!… Dr Paresh was very helpful and attentive and made my sister in laws recovery so much better.. Thank you for everything
Jazz Lorenzo
17:48 14 Jul 23
The ladies are very welcoming, the service is great, the doctor is very professional and caring and the building is super clean. I really like to come here, the atmosphere is very friendly... Come and you will love it too.
Joan Carasco
14:41 30 Jun 23
Dr. Nakul Karkare is awesome! And patriotic! Thank you, Dr. Karkare for displaying the American Flag in your waiting room, honoring and mourning our military personnel, this Memorial Day, who died while serving in the United States Armed Forces.
00:52 30 May 23
Excellent and skilled orthopedic practice specializing in joint replacements. Dr Karkare was trained at the Hospital for Special Surgery and has excellent results, as do his associates!! Would gladly refer family members to the practice!!
00:24 30 May 23
I had such a wonderful experience with Complete Orthopedics in Stony Brook. Not only did Dr. Kuo fix my broken wrist with such kindness and care, but the office staff, including Billing, Reception and the X-Ray Technician, was always so helpful, going out of their way to ensure that each patient felt welcome, answering any questions with a smile, and ensuring any issues with insurance/billing were handled with the utmost professionalism. I highly recommend their practice!
Victoria DeMatteo
19:49 10 May 23
I'm very happy St. Catherine's sent me to this office for treatment after I broke my collar bone! Unfortunately the break was too severe to repair on its own and I had to have it rebuilt a week after the injury. Dr. Vaksha did a great job fixing it. I'm three months out, and I have full use of the arm and shoulder. The whole office staff is very professional, accommodating, and welcoming. I hope to not need orthopedic services again, but Dr. Vaksha will be my number one choice if I or anyone in family suffers such am injury.
Tina Rivera
20:42 08 May 23
No one likes going to the doctor. But these people make it painless. I go for knees, hips and shoulders. At almost 70 Complete Orthopedics keeps my active life style running smoothly. Whether chasing my Grandson and even surfing again, I highly recommend them!!
Thomas Slavin
15:02 02 Mar 23
Dr. Kuo knowledgeable and competent surgeon- very good experience and more importantly great result.
Joseph McCoy
21:23 25 Feb 23
Dr Vaksha was so kind and helpful. He took extra time with us and explained things so thoroughly. Highly recommend. Office very clean.
Susan Bosinius
20:20 19 Feb 23
Dr Vaksha, is a great doctor very professional knows what he talking about. Treat patient with upmost respect. Thank You
Troy Spencer
16:46 19 Jan 23
Dr. Karkare is an amazing doctor, very caring and attentive, the girl at the front desk is very kind and helpful. .elizabeth .thank you so much .
blanca ventura
21:32 26 Oct 22
Been going to this place before my accident and after I had my knee surgery. So happy how I been treated and how well I am getting. Thank you all and specially Dr. VAKSHA for everything and getting back on track.
Ita Opico
19:01 25 Oct 22
Love this place From the minute I called I was treated kindly. When I arrived The Dr saw me right away he was compassionate and ordered the appropriate tests for me. I came back in for my follow up and had the same great experience.
Christine Rostock
21:28 23 May 22
Dr Vaksha and Dr karkare are 2 of the best orthopedic doctors around my wife Susan had a very serious broken ankle in March of 2019 she didn't think she was going to walk again Dr vaksha did an excellent surgery on her ankle he said it was his toughest he ever did he put a lot of hardware in her ankle and told her she would be alright she made remarkable recovery thanks to his surgery as of now she regained 100 percent use of her ankle she would highly recommend him to anyone. My own experience with Dr karkare has been wonderful he takes his time with you listens to what you have to say and prescribes various treatments and is very caring I would highly recommend him to anyone I would give both doctors a 10 plus rating we are very happy with them the best.
Harry Jones
23:31 19 May 22
Complete orthopedics is a wonderful place to go when you hurt or injured a great staff and wonderful doctors very knowledgeable and helpful I would recommend this place to all of my family and friends that is in me of orthopedic care I give them 10 thumbs up
Wayne Pemberton
17:39 18 May 22
The staff is very professional and helpful. Dr. Vaksha is excellent. He takes time to listen and offer suggestions to help you get better. I’m very thankful and happy to be a patient here at Complete Orthopedics.
Phoenix Rising
19:54 16 May 22
Dr.Karkare is the best. He listens to everything and explains everything I recommend him to everyone. I am so happy he is my doctor.
Myrna James
00:48 13 May 22
Dr.Kuo is amazing very attentive,caring,and passionate and staff is awsome too.Thank you for everything Dr.kuo.
Erick Murillo
23:17 12 May 22
I was in a car accident November 1 I was referred to Dr. Vaksha For shoulder surgery . I he was amazing he made me feel very comfortable and explained everything that was going to happen from surgery all the way through my physical therapy highly recommend Dr. Vaksha
Yolanda Ojeda
19:37 09 May 22
My appointment with Dr. Vaksha was amazing. Dr. Vaksha was very thorough and kind. I would refer this office to anyone who needs a great orthopedic doctor.
John Senechal
19:54 05 May 22
Scheduling my appointment was quick and easy. The staff was super friendly and down to earth. I was seen on time. The appropriate test, “x-rays” were taken before the conversation with doctor, something I really liked, test for analysis and conversation was done upfront. Dr. V had a great personality and was no BS, straight forward diagnosis and a play on next steps. I am happy I found them and would refer them to friends and family.
00:46 03 May 22
I have seen Dr. Kuo two times already and he's awesome along with his staff. Very friendly office and I'm glad to be a patient here.
Camaris A
20:01 28 Apr 22
Amazing team!! Very caring, profesional, and friendly!! Dr. Kevin Kuo, you are the best, very passionate, caring, and helping thank you for getting me better and being so kind to me! Elizabeth you the best thank you for you help always and you big smile and positive actitud❤️🙏🏼
breidy valerio
19:01 22 Apr 22
The staff is truly exceptional, they make you feel comfortable and welcomed. The doctors are amazing,always professional, compassionate and great listeners.
Elizabeth Collado
03:25 09 Apr 22
What a great place! The place is clean and organized.The staff is wonderful. Setting up physical therapy is right there as well.I'm so glad I found this place.
Donna Anne
22:45 05 Apr 22
This was my 1st time breaking something in my 27 years on this planet. I was recommended here by a friend Dr. Vashka helped me from day 1 and still continues to check in on me and my healing ankle. Would highly recommend
tyron davis
16:06 01 Apr 22
Brand new office, same great doctors! Rooms are clean, plenty of parking, physical therapy attached, Dr. Karkare and his staff are awesome. Thank you!
Emily B
02:49 24 Mar 22
Dr.VAksha is the best, I love the way he treats me as his patient, he is caring,understanding and very attentive to my needs
Mirna Caballero
14:53 03 Mar 22
Great staff. Dr. Vaksha is awesome and takes the time to listen to his patients. He is very compassionate. I would highly recommend this office.
Bebe Doyle
01:24 23 Feb 22
After suffering from a severe ankle injury Dr. V was able to help me heal and return back to work completely to a job where I stand for 12 hours a day. The office is very clean and I appreciated the reminders of my appointments via phone call and through text. The patient portal made it easy for me to access all my documents including work notes. The office staff is wonderful and Rebecca was able to schedule me with a busy schedule and awesome at answering all of my questions including referring me to a great physical therapy office. I highly recommend this office to anyone who’s looking for knowledgeable and kind orthopedic office.
Elizabeth Birchwell
21:31 28 Jan 21
The staff here are great, I was seen at the time of my appointment and was well taken care of!
Shaun Berry
18:14 07 Jan 21
They are an excellent practice. The front and back office people are amazing and so helpful. Rebecca is such a kind and understanding person. I had an issue with paperwork and she cleared it right up. Dr. Karkare is very knowledgeable, helpful, and caring.
Matt S.
19:31 18 Nov 20
Rebecca K. - What a true burst of sunshine. Very friendly and definitely an asset to the practice!
Laura Aston
18:17 17 Nov 20
Great experience, the Doctor is nice but the staff is incredible. I worked with Linda, who was profession and assisted me beyond what any person has done at other practices. Complete Ortho should be complimented for having such a person on their staff.I highly recommend this place!!!
Joe Allen
17:26 17 Nov 20
Linda and Becca they are so good ever time I come they are very nice I would tell everyone I no to come to this office..
Barbara Victor
16:45 17 Nov 20
I was rear ended in an auto accident , Dr Vashka was recommended by a friend of mine .I was experiencing Back , neck , and shoulder pain . After a thorough examination and given exercises to do at home , I am feeling much better , and I ended up avoiding surgery . The staff at Complete Ortho is extremely attentive and show great care when making an appointment and are very friendly and i never waited more than 5 minutes for my appointment . So I would strongly recommend Complete Orthopedics for any aches and pains that one might be experiencing.....
Bill Becht
04:44 17 Nov 20
It was the afternoon of Friday Sept. 24. We were in Pt. Jefferson and my wife, Mary Ann, broke her hip. We went to Mather Hospital and it was determined that she would have to have an operation to have it repaired. This would be her third time under the knife in the past year. It just so happened that we were very fortunate enough to have Dr. Karkare, who was on standby, perform the surgery. He put in a rod and two screws in her hip. She spent a few days in the hospital and then went to Gurwin rehabilitee for another few weeks.It has now been almost six weeks and we both worked the election the other day. If it wasn’t for Dr. Karkare’s expertise she never would have been able to work. She is able to walk with a walker and is doing physical therapy three times a week.We can not thank the doctor enough for the compassion and dedication that he puts into his work. It allows Mary Ann do the things that she likes to do, even on a limited basis for a while. I know that with her will, perseverance and the great work that the surgeon performed she will be back on her feet in no time.Sincerely:John V. PlumpEast Northport, NY 11731
Jack Harris
14:36 06 Nov 20
In the year of 2018 I was referred to Dr. Karkare because I was experiencing severe knee joint pain. After exhausting physical therapy and trying to labor through the pain, I had to make a quality of life decision. Total knee replacement was the only viable option. Dr. Karkare made my decision easy as he walked me through the whole process from surgery to recovery.On 12/13/19 ( Friday the 13th) I enter Lenox Hill Hospital in great hands. From the time I entered Dr. Karkare’s office for the first time until now, his staff has been amazing. Andrea the medical coordinator walked me through all the paper work and necessary preparations for the surgery. Courtesy and kind would be an understatement. Dr. Karkare went over and beyond from the wellness checks and phone calls all to assure me that I was important to him. This was the right decision no pain and no limp. Complete Orthopedics should be your choice!
Kenneth Randolph
22:18 25 Sep 20
Dr. Vadshka has a great bedside manner. He really takes his time and explains treatment options.
T Lee
12:33 09 Sep 20
I suffered with pain in both knees for years. My orthopedic doctor kept recommending knee replacement . I fought it for years, as I was just afraid. When I had no choice and could barely walk , it was recommended I see Dr. Karkare. We set up a consultation and my wife and I left his office feeling totally confident and comfortable with moving ahead with the surgery. He explained everything to us, and the office staff set everything up for us and made the process easy. So about one month after our initial meeting I had the first knee done. I was up walking mere hours after the surgery, and on the workout machines the next morning. I went home two days after the surgery, and yes walked my daughter down the aisle at her wedding only one week after the surgery without even a cane! Three months later I had the other knee done and went home the very next day. Dr. Karkare put my fears to rest . I would highly recommend him. His expertise gave me my life back. Thank you Dr. Karkare.SincerelyVito Congro
Ethel Congo
23:58 12 Aug 20
Dr Rhodin really cares for his patients. When I see him he makes sure to review my progress in detail.
Micki Cahill
15:03 08 Feb 20
My mom had a total hip replacement by dr karkare. He is the BEST orthopedic doctor.Her incision is almost invisable.She is going back for her other hip next week. The office staff is the best, love Andrea.You wont find a better doctor.
21:06 13 Jul 18
There is no better Orthopedic doctor you will find. Broke my ankle three places on a Saturday. Called Dr. Karkare. He had is team ready at the hospital and operated on me within 6 hours after my injury. Now After 3 months of great care by him and his staff, I am walking to normalcy.
Spacecom Tel
04:13 23 Mar 18


Complete Orthopedics is a medical office and we are physicians . We are not attorneys. The information on this website is for general informational purposes only.

Nothing on this site should be taken as legal advice for any individual case or situation. The information posted is not intended to create, and receipt or viewing does not constitute, an attorney-client relationship or a doctor-patient relationship nor shall the information be used to form an legal or medical opinions.

You should not rely on any of the information contained on this website. You should seek the advice of a lawyer or physician immediately for more accurate information surrounding any legal or medical issues.

This information has been posted for informational and/or advertisement purposes only. You consent to these terms and conditions by using our website