Genu Recurvatum VA Disability Rating
Diagnostic Code 5263 · 38 CFR §4.71a
What Is It?
Genu recurvatum is a condition where the knee hyperextends or bends backward beyond the normal straight position when standing or walking. It can result from ligament damage, nerve injuries, muscle weakness, or bone abnormalities in the lower leg. Veterans may develop this condition from combat injuries, training accidents, or as a complication of other knee conditions. The backward bending creates instability and increases the risk of falls and further joint damage.
Rating Criteria
| Rating | Criteria |
|---|---|
| 10% | Acquired genu recurvatum with weakness and insecurity in weight bearing that is objectively demonstrated. This is the only rating under this code. |
Evidence Needed
- Medical records documenting the hyperextension deformity
- Clinical examination showing the knee bends backward during weight bearing
- Evidence linking the condition to service or a service-connected condition
- Statements describing instability and risk of falls
- Records of any bracing or assistive devices used
C&P Exam Tips
- Demonstrate the hyperextension during standing if it occurs naturally
- Describe instances of the knee giving way or feeling insecure during walking
- Report any falls caused by the condition
- Mention if you wear a brace to prevent hyperextension
- Explain how the instability limits your confidence in walking and standing activities
How to File
File under DC 5263 with medical evidence showing the hyperextension and objective demonstration of weight-bearing insecurity. Since this code caps at 10 percent, evaluate whether additional knee codes like instability or limited motion also apply to maximize your overall rating.
Common Mistakes
Not having the hyperextension objectively documented during examination Failing to describe the weight-bearing insecurity which is required for the rating Not considering whether additional knee ratings under other codes are warranted Missing the connection to an underlying service-connected condition that caused the recurvatum
Frequently Asked Questions
What does acquired mean in this context?
Acquired means the condition developed after birth, as opposed to being present from birth. For VA purposes this means it developed during or because of your military service, which is necessary for service connection.
Can genu recurvatum be rated alongside other knee conditions?
Potentially, but VA avoids pyramiding — rating the same symptoms under multiple codes. If the hyperextension causes distinct symptoms from other knee conditions like limited motion or instability, separate ratings may be possible.