Downloaded from https://www.everyspec.com c. Current persistent glycosuria when associated with impaired glucose tolerance (250) or renal tubular defects (271.4) is disqualifying. d. Current or history of acromegaly, including, but not limited to gigantism or other disorders of pituitary function (253), is disqualifying. e. Current or history of gout (274) is disqualifying. f. Current or history of hyperinsulinism (251.1) is disqualifying. g. Current or history of hyperparathyroidism (252.0) and hypoparathyroidism (252.1) is disqualifying. h. Thyroid disorders. (1) Current goiter (240) is disqualifying. (2) Current hypothyroidism uncontrolled by medication (244) is disqualifying.
(3) Current or history of hyperthyroidism (242.9) is disqualifying. (4) Current thyroiditis (245) is disqualifying. i. Current nutritional deficiency diseases, including, but not limited to beriberi (265), pellagra (265.2), and scurvy (267) are disqualifying. j. Other endocrine or metabolic disorders such as cystic fibrosis (277), porphyria (277.1), and amyloidosis (277.3) that obviously prevent satisfactory performance of duty or require frequent or prolonged treatment are disqualifying. 2–9. Upper extremities a. Limitation of motion . Current joint ranges of motion less than the measurements listed below are disqualifying. (1) Shoulder (726.1): (a) Forward elevation to 90 degrees.
(b) Abduction to 90 degrees. (2) Elbow (726.3): (a) Flexion to 100 degrees. (b) Extension to 15 degrees. (3) Wrist (726.4): A total range of 60 degrees (extension plus flexion) or radial and ulnar deviation combined arc 30 degrees. (4) Hand (726.4): (a) Pronation to 45 degrees. (b) Supination to 45 degrees. (5) Fingers and thumb (726.4): Inability to clench fist, pick up a pin, grasp an object, or touch tips of at least three fingers with thumb. b. Hand and fingers. (1) Current absence of the distal phalanx of either thumb (885) is disqualifying.
(2) Current absence of distal and middle phalanx of an index, middle, or ring finger of either hand, irrespective of the absence of the little finger (886), is disqualifying. (3) Current absence of more than the distal phalanx of any two of the following fingers: index, middle finger, or ring finger of either hand (886) is disqualifying. (4) Current absence of hand or any portion thereof (887) is disqualifying except for specific absences of fingers as noted above. (5) Current polydactyly (755) is disqualifying.
(6) Scars and deformities of the fingers or hand (905.2) that are symptomatic or that impair normal function to such a degree as to interfere with the satisfactory performance of military duty are disqualifying (see also para 2–32). (7) Current intrinsic paralysis or weakness of upper limbs, including nerve paralysis, carpal tunnel and cubital syndromes, lesion of ulnar and radial nerve (354) sufficient to produce physical findings in the hand, such as muscle atrophy and weakness is disqualifying. (8) Current disease, injury, or congenital condition with residual weakness or symptoms such as to prevent satisfactory performance of duty, including, but not limited to chronic joint pain:
shoulder (719.41), upper arm (719.42), forearm (719.43), and hand (719.44), late effect of fracture of the upper extremities (905.2), late effect of sprains without mention of injury (905.7), and late effects of tendon injury (905.8) are disqualifying. (See also para 2–11.) 2–10. Lower extremities a. Limitation of motion. Current joint ranges of motion less than the measurements listed in paragraphs below are disqualifying. (1) Hip (due to disease (726.5), or injury (905.2)): (a) Flexion to 90 degrees. (b) No demonstrable flexion contracture. 6 AR 40–501 • 14 December 2007