[Code of Federal Regulations]
[Title 38, Volume 1]
[Revised as of July 1, 2008]
From the U.S. Government Printing Office via GPO Access
[CITE: 38CFR4.58]

[Page 377]
 
            TITLE 38--PENSIONS, BONUSES, AND VETERANS' RELIEF
 
                CHAPTER I--DEPARTMENT OF VETERANS AFFAIRS
 
PART 4_SCHEDULE FOR RATING DISABILITIES--Table of Contents
 
                      Subpart B_Disability Ratings
 
Sec. 4.58  Arthritis due to strain.

    With service incurred lower extremity amputation or shortening, a 
disabling arthritis, developing in the same extremity, or in both lower 
extremities, with indications of earlier, or more severe, arthritis in 
the injured extremity, including also arthritis of the lumbosacral 
joints and lumbar spine, if associated with the leg amputation or 
shortening, will be considered as service incurred, provided, however, 
that arthritis affecting joints not directly subject to strain as a 
result of the service incurred amputation will not be granted service 
connection. This will generally require separate evaluation of the 
arthritis in the joints directly subject to strain. Amputation, or 
injury to an upper extremity, is not considered as a causative factor 
with subsequently developing arthritis, except in joints subject to 
direct strain or actually injured.