Hip osteoarthritis, hip replacement or resurfacing, trochanteric pain syndrome, femoroacetabular impingement, avascular necrosis and femur fractures are documented for VA disability claims on this 13-page questionnaire. The clinician measures flexion, extension, abduction, adduction and rotation on both hips, estimates further loss after repeated use and during flare-ups, and records ankylosis, femur malunion or nonunion, leg length discrepancy, surgery residuals and assistive devices.
The Veteran's treating or examining clinician completes every section and signs the Section XIV examiner's certification. Flare-ups and functional loss are recorded in the Veteran's own words by the examiner in Section II.
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Hip and Thigh Conditions Disability Benefits Questionnaire
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Yes. Hip joint replacement and resurfacing are listed diagnoses, and Section VII records the surgery date and residuals, graded from none to markedly severe weakness, pain or limitation of motion. If femur impairment also causes a knee disability, the form directs the examiner to complete the knee questionnaire too.
No. Degenerative or post-traumatic arthritis must be confirmed by imaging once, but after it is documented, even in the past, VA requires no further imaging even if the arthritis has worsened. Section XI records the side, test type, date and results.