JUAN CARLOS I REY OF SPAIN

To all who present it and understand it.

Sabed: That the General Courts have approved and I come to sanction the following law.

EXPLANATORY STATEMENT

I

The private insurance activity has been undergoing an intense transformation reflected in the laws and regulations adopted in recent years, which have been aimed at incorporating Community law (a) to modernise the online sector of convergence with the other Member States of the European Economic Area and, as a last justification, to promote the development and expansion of the private insurance market.

This law is intended to continue with this process of legislative change, which is, as in previous occasions, driven by Community legislation.

The changes that are now being made arise from the need to adapt Law 30/1995, of 8 November, to the Management and Supervision of Private Insurance, to the new Community directives approved in the field of the sector insurance: Directive 2001 /17/EC of the European Parliament and of the Council of 19 March 2001 on the reorganisation and liquidation of insurance undertakings; Directive 2002/13/EC of the European Parliament and of the Council of 5 March 2002 on the amending Council Directive 73 /239/EEC as regards the requirements of the Directive the solvency margin of insurance undertakings other than life insurance, and finally Directive 2002/83/EC of the European Parliament and of the Council of 5 November 2002 on life assurance.

This last directive recasts the Community rules on life assurance, including Directive 2002/12/EC of the European Parliament and of the Council of 5 March 2002 amending Council Directive 79 /267/EEC in the (a) the requirements of the solvency margin of the life assurance undertakings.

On the other hand, Directive 2002/65/EC of the European Parliament and of the Council of 23 September 2002 on the distance marketing of financial services for consumers and amending the Council Directive 90 /619/EEC and Directives 97 /7/EC and 98 /27/EC introduces an amendment to Council Directive 90 /619/EEC of 8 November 1990 on the coordination of laws, regulations and administrative provisions relating to direct life insurance (Second Life Insurance Directive).

II

The incorporation into the Spanish legal system of the content of Directive 2001 /17/EC of 19 March 2001 on the reorganisation and winding-up of insurance companies involves the amendment of the legislation which within that it is intended to regulate the liquidation of the insurance institutions, as well as certain aspects of the special control measures that may be taken in respect of such entities.

purpose of the Directive is to establish coordinated rules at Community level, both for settlement procedures and for reorganisation measures, in order to ensure the proper functioning of the market. at the same time as improving the protection of creditors. This guarantees the mutual recognition of the reorganisation measures and the rules on settlement adopted by the Member States, while ensuring the necessary cooperation between those States, without any intention being given to them. to harmonise the national legislation applicable to such measures and procedures.

In this respect, it complements the existing insurance directives in which, while a single administrative authorisation of Community scope is provided for, no coordination rules are included in the case of adoption of procedures for settlement or reorganisation measures with respect to insurance institutions. It should be noted, as the directive itself points out, that insurance institutions are explicitly excluded, as is the case with other financial institutions, from the scope of Council Regulation (EC) 1346/2000 of 29 May 2000. on insolvency proceedings, in 2000.

Finally, it should be noted that the territorial scope of application of the provisions of the Directive covers the entire European Economic Area, in accordance with the Decision of the Joint Committee of the European Economic Area of 6 December amending Annex IX to the Agreement on the European Economic Area.

III

Directive 2002 /12/EC (currently repealed and the content of which has been incorporated into Directive 2002/83/EC) and Directive 2002/13/EC have amended the requirements of the solvency margin of the

life and insurance companies other than life insurance companies, respectively.

Its objective is to strengthen guarantees for policyholders by strengthening solvency margin requirements. The current solvency requirements, based on simple principles with a high degree of transparency, have presented certain weaknesses in specific cases, in particular in relation to those sensitive aspects from the point of view of the risk. As a result, there has been a need to rethink certain aspects; this review leads to the directives that are now being transposed.

With regard to the incorporation into the Spanish legal order of its content, it is necessary to modify the current regulations in relation to the requirements and solvency requirements of the entities In particular, the regulation of the guarantee fund, both in terms of the increase in its amount and its regular and automatic updating, and the preventive control measures to be taken to ensure the future solvency of the insurance companies which present difficulties, inter alia.

It must be borne in mind that with these directives on solvency margin, in its present conception, the regulation of a basic element of the supervision of the insurance institutions, which was introduced in the regulations, is closed. Spain, with a general character, by Royal Decree 3051/1982 of 15 October, and enshrined in Law 33/1984 of 2 August on the Management of Private Insurance and its implementing rules. The regulation of the solvency margin and the guarantee fund has since constituted an effective element to guarantee and monitor the solvency of the institutions, without prejudice to the fact that their current configuration is subject to a thorough review at Community level to bring more precisely the capital requirements to the risks actually borne by the institutions.

In any case, the complete incorporation of the content of the new solvency directives, in addition to the amendments of the precepts of Law 30/1995, of 8 November, of the Management and Supervision of the Private Insurance, require making the necessary adjustments to the regulatory standard, in so far as it is in it that certain aspects are regulated, such as those relating to the quantification and composition of the solvency margin.

IV

The amendments introduced by Directive 2002/65/EC of the European Parliament and of the Council of 23 September 2002 on the distance marketing of financial services in the Community insurance legislation (a) life and the need to establish a minimum legal framework for distance insurance contracts which will enable the reality of the market to be met and to serve as a basis for future transposition in its entirety of the said Directive, make various legal adaptations.

New wording is given to Article 60 of Law 30/1995, of 8 November, of the Management and Supervision of Private Insurance, on the duty of information to the taker, in order to adapt its content to the requirements of information and, in general, to the peculiarities required by the distance hiring of insurance and to the need to incorporate the concepts of distance communication and durable medium, understood as any instrument that allows to store the information so that it can be easily recovered and allows it to be reproduced unchanged, such as computer, CD, DVD and hard disk drives.

It is also necessary to amend Law 50/1980, of 8 October, of a Insurance Contract, in order to collect the new features introduced in the Community regulation of insurance by this directive, singularly the right of termination of the contract.

two amendments aim to be an effective manifestation of the protection of customers and of transparency in the relationship between insurer and taker.

V

The already mentioned Directive 2002/83/EC on life assurance, together with its primary purpose of codification of this area of Community regulation, has made certain adaptations of which it is necessary to incorporate to Spanish legislation concerning the non-requirement to provide the models of policies, technical bases and tariffs as a requirement for the granting of the administrative authorisation to insurers domiciled in third countries not members of the European Economic Area to establish branches in Spain.

VI

In the area of the Law on Civil Liability and Insurance in the Circulation of Motor Vehicles, recast text approved by Decree 632/1968, of March 21, three modifications are made. The first concerns Article 3, in relation to the need to make certain aspects of the procedure more agile in order to penalise non-compliance with the obligation to ensure.

The second, to your article 8, in order to grant indemnification guarantee to the injured resident in Spain with independence from the State of habitual parking of the vehicle that circulating without insurance cause accident.

The third is the purpose of table VI of the system for the assessment of damages caused to persons in road accidents, which is listed as an annex to the Law on Civil and Safe Liability in the Movement of Vehicles to Motor, in respect of which the experience accumulated since its entry into force advises to introduce certain modifications.

VII

In another order of things, an amendment to the Legal Statute of the Insurance Compensation Consortium is introduced in order to allow the compensation for this public entity of the personal damages as a result of extraordinary events occurring abroad when the policyholder has his habitual residence in Spain.

VIII

Public revenues currently perceived as a result of actions by the General Directorate of Insurance and Pension Funds need an inexcusable update in their regulatory regulations.

In the case of the so-called real estate valuation of insurance entities, regulated in a ministerial order of 1956, validated by a decree of 1966, it is necessary to adapt its regulation to its true nature of public price.

With regard to the rate per issue of the diploma of insurance mediator entitled, the establishment of forms of payment that will facilitate their realization to the citizens is a very important one.

On the other hand, Law 44/2002, of 22 November, of Measures of Reform of the Financial System, incorporates as novelty in the field of the mandatory surcharges in favor of the Consortium, the possibility of its fractionation in case of payment of the premium by the insured person. It is established in that law that the charge for the division to be applied must be set at the rates governing the compulsory surcharges.

Taking into account that the surcharge to finance the liquidating functions of insurance companies has a tax nature, this law comes to establish, with the appropriate regulatory range, the surcharge by fractionation apply.

The set of novelties introduced by this law is structured in four articles, two additional provisions, three transitional provisions, one derogating provision and three final provisions.

The article first takes account of the amendments to Law 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance, in the field of measures for the consolidation and liquidation of insurance institutions, solvency, duty of information to the taker and requirements for the establishment of branches of third countries not members of the European Economic Area.

The second article is reserved for the amendments introduced in Law 50/1980, of 8 October, of Insurance Contract, in order to incorporate the provisions on distance hiring.

The third article contains the three amendments in the recast text of the Law on Civil and Safe Liability in the Circulation of Motor Vehicles.

The fourth article amends Article 6 of the Legal Statute of the Insurance Compensation Consortium, as indicated.

The additional provision first incorporates the regulation of the rate by issue of the diploma of insurance mediator entitled and the additional provision second sets out the types of fractionation to be applied in the event that the the insurance institution chooses to split the surcharge intended to finance the liquidation functions of insurance institutions in conjunction with the premiums.

The transitional provisions refer to the adaptation in time to the amendments introduced in Law 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance in the field of the consolidation and liquidation of insurance companies, the new amounts of the guarantee fund of the insurance companies and the transitional arrangements for the consideration of the valuation of the real estate of insurance companies by the insurance companies General Directorate of Insurance and Pension Funds.

The single repeal provision specifically concerns the current regulation of the rates affected by the actions of the Directorate-General for Insurance and Pension Funds.

The final provision first incorporates a legislative delegation in the Government for the approval of the recast texts of the Law on Civil and Safe Liability in the Circulation of Motor Vehicles and the Legal Statute of the Insurance Compensation Consortium, and the extension of the deadline for the drafting of the recast of the Law on the Management and Supervision of Private Insurance provided for in the fourth final provision of Law 44/2002, of 20 November, of Measures Reform of the Financial System. The second final provision enables the Government for regulatory development. Finally, the third final provision provides for entry into force.

Article first. Amendments to Law 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance.

The following amendments are introduced in Law 30/1995, of 8 November, for the Management and Supervision of Private Insurance:

One. A new Article 16a is created in Law 30/1995 of 8 November of the Management and Supervision of Private Insurance, with the following wording:

" Article 16a. Coverage of preferential loans.

Insurance institutions shall have at all times invested in qualified assets as eligible for the coverage of technical provisions the amounts corresponding to those claims which, in accordance with the provided for in this law, may take precedence over those of the insured persons, beneficiaries and injured parties referred to in Article 73 of the Insurance Contract Act, and who are accounted for or should be liable to be liquid, expired and (a)

Two. Article 18 "Guarantee Fund" of Law 30/1995 of 8 November of the Management and Supervision of Private Insurance is amended, which is worded as follows:

" 1. The third part of the minimum amount of the solvency margin is the guarantee fund, which may not be less than EUR 3,000,000 for institutions operating in one of the classes of life, security, credit and any of those covering the the risk of civil liability, as well as for those engaged in exclusively reinsurer activities, and EUR 2,000,000 for the remainder.

2. For the mutual benefit of the passively and the cooperatives, the minimum guarantee fund shall be three quarters of the requirement for the other institutions.

When such entities do not operate in the fields of civil liability, credit, caution or exclusively reinsurer activities, and their annual amount of premiums or quotas does not exceed EUR 5 million for three years. For consecutive years, the guarantee fund may not be less than EUR 800 000 if they operate in the life field, EUR 200,000 if they operate in the classes of other damage to property, legal defence or death, and EUR 300,000 if they operate in the other. Where the institution exceeds the amount of EUR 5 million for three consecutive years, the minimum amount provided for in the preceding subparagraph shall apply with effect from the fourth year.

However, the mutual benefit of such a scheme shall be exempt from the minimum guarantee fund where they do not operate in the life-classes, civil liability, credit or caution or carry out exclusively reinsurer activities and its annual amount of premiums or contributions does not exceed EUR 750,000.

3. The amounts referred to in paragraph 1 shall be subject to an annual review starting on 20 September 2003 in order to take account of changes in the European consumer price index published by Eurostat.

The amounts will be automatically adjusted, increasing their initial amount in euro by the percentage of the percentage of that index during the period between 20 March 2002 and the date of revision, rounding up to a multiple of 100,000 euros. If the percentage change since the last update is less than five percent, no update will be made.

To facilitate their knowledge and implementation, these updates will be made public by resolution of the General Directorate of Insurance and Pension Funds. "

Three. Article 27 (3) (c) and (6) "Liquidation of insurance institutions", the current wording of which becomes paragraph 7 of Law No 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance, as follows: wording:

" 3. The legal regime for the appointment, performance and responsibility of the liquidators shall comply with the following rules:

[...] (c) The liquidators shall, in union with the directors, take stock of the institution's inventory and balance sheet and shall submit it, not later than one month after appointment, to the Directorate-General for Insurance and Funds Pensions or, if the settlement is intervened, to the financial controller.

They must inform creditors about the situation of the institution, in particular the policyholders as to whether the Directorate-General for Insurance and Pension Funds has determined the anticipated maturity of the duration of the insurance contracts which integrate the insurance institution's portfolio and the date of the insurance undertaking, and the manner in which they are to apply for the recognition of their claims, by means of individual notification to the known and appealing to the unknown through notices, approved in their case by the financial controller, to be published in the Official Gazette of the "Register of Trade", and in two newspapers, at least, of those with the highest circulation in the scope of the insurance undertaking.

When the known creditor has its registered office in a Member State of the European Economic Area other than Spain, the information above shall be provided in Spanish, although the document must bear in all the official languages of the European Union, the heading ' Convocation for the submission of appropriations. Applicable time limits "or" Call for submission of comments on appropriations. Applicable time limits ', as appropriate. However, where the creditor is an insurance credit, the information shall be provided in the official language or in one of the official languages of the Member State of his address.

Creditors with domicile in a Member State of the European Economic Area other than Spain may submit written claims for claims or observations to them in the official language or in one of the languages If the document is to bear the heading ` ` Presentation of credits '' or in its case ` ` Presentation of observations on the credits '' in Spanish. "

" 6. The corresponding administrative decision or the agreement in which it brings the case shall be recognised in the territory of the other Member States of the European Economic Area, in accordance with the provisions of its legislation, and shall take place. effects on them as soon as they do in Spain.

For these purposes, the Directorate-General for Insurance and Pension Funds, within ten days from the date of the date on which the decision is made or becomes aware of the agreement, shall inform the authorities of the monitor the other Member States of the European Economic Area on the existence of the procedure and its effects. In addition, the said body shall publish in the Official Journal of the European Communities an extract from that decision or agreement, which shall in any event indicate the competence of the Ministry of Economic Affairs on the procedure, the settlement procedure is contained in this law and its implementing rules, as well as the identification of the appointed liquidator or liquidators.

Liquidators will be able to carry out their activities in the territory of all the Member States of the European Economic Area, with the same functions and powers as in Spain. For these purposes, it shall be sufficient evidence to prove the status of liquidator a certification of the decision or a legalised copy of the agreement for which the appointment is made.

They may also grant proxy powers or request assistance, where this is necessary to carry out the settlement process in the territory of other Member States of the European Economic Area, and in In order to resolve the difficulties that the creditors resident in them might encounter. In any event, persons who attend or represent them must be of good repute and must meet the necessary conditions of qualification or professional experience in order to perform their duties, in accordance with Article 15 of this Law.

The provisions of this law and its implementing rules will be applicable to liquidation.

7. In any case not expressly regulated in this article, the liquidation and termination of insurance institutions shall be governed by the provisions of Articles 266 to 281 of the Law on Limited Companies, except for Articles 269 and 270. "

Four. Paragraph 3 is amended and a new paragraph 4 is created in Article 28 'Shares in respect of insurance undertakings subject to proceedings in respect of or in liquidation' of Law No 30/1995 of 8 November 1995 on the Management and Supervision of Insurance Private, with the following wording:

" 3. In the case of liquidation brought by the Ministry of Economic Affairs, the individual shares exercised by the creditors, before the commencement of the liquidation or during the liquidation, may continue until the delivery of a final judgment but his execution shall be suspended and the credit which, if appropriate, declares that judgment in his favour shall be settled jointly with those of the other creditors. However, after one year after the judgment has become final, the suspension shall be automatically lifted without the need for a declaration or a resolution in this respect, whichever state the liquidation was.

The provisions of the preceding paragraph do not apply to shares in the exercise of real rights over goods located outside the Spanish territory, which shall be governed by their specific legislation, or to the shares in the financial year of a real right of guarantee to be governed by a law other than the Spanish law.

4. The claims of insured persons, beneficiaries and injured parties referred to in Article 73 of the Insurance Contract Act shall be of absolute priority over all other claims against the insurance undertaking in respect of assets which, representing the technical provisions, are incorporated in the special register referred to in Article 16a.

In respect of claims against the insurance institution which do not enjoy the priority referred to in the preceding paragraph, the system of precedence laid down in Law 22/2003 of 9 July, Insolvency, rule, shall apply. which results in addition to subsidiary application in all of the non-regulated in this law.

The goods in respect of which the special control measure for the prohibition of disposal, as provided for in Article 39.2.a), has been adopted, even if such a measure has not been the subject of registration, shall be affected to satisfy the appropriations referred to in paragraph 1, excluding any other than those covered by the guarantee with a real right registered or an embargo entered into force prior to the date on which the measure is recorded in the registers; corresponding. This preference shall also apply to the claims of those who have concluded contracts with the insurance undertakings concerned by the provisions of Article 5.2 and the second paragraph of Article 39.7 of this Law. '

Five. A new Article 28a of Law 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance is added with the following wording:

" Article 28a. Consign processes.

1. Issued by the competent court of the competent court in respect of an insurance undertaking, that body shall immediately notify the Directorate-General for Insurance and Pension Funds, which shall be notified within 10 days. the following shall inform the supervisory authorities of the other Member States of the European Economic Area on the existence of the procedure and its effects.

The Directorate-General for Insurance and Pension Funds shall also publish in the Official Journal of the European Communities an extract from the abovementioned resolutions indicating in any case the body of the competent court and the application to the procedure of Spanish legislation.

2. In any case, the rules of private international law provided for in Law 22/2003 of 9 July, Conjuciones, should be observed.

In the case of known creditors having their domicile in a Member State of the European Economic Area other than Spain, they shall be informed of the way in which they have to apply for the recognition of their conformity with the provisions of the second paragraph of Article 27.3.c) of this law and may submit the written claims for claims or observations thereto in the manner referred to in the third paragraph of the same precept.

3. The Directorate-General for Insurance and Pension Funds may ask the judge for information on the status and development of the proceedings involving insurance undertakings. "

Six. The title of Section 3.a of Chapter III of Title II of Law 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance, which is referred to as 'Liquidation by the Insurance Compensation Consortium', is hereby amended. deletes the division in subsections of that section 3.a Seven. The first subparagraph of Article 37 (1) "Settlement procedure", of Law 30/1995, of 8 November, of the Management and Supervision of Private Insurance, is amended as follows:

" 1. Entrusted with the liquidation of the Insurance Compensation Consortium, all creditors shall be subject to the winding-up procedure by the latter and may not be requested by the creditors or the insurance institution for the declaration of competition, without (a) any action taken in the courts against that insurer, prior to the dissolution or during the liquidation period, continues to be processed until a final judgment or judgment has been obtained. However, the execution of the judgment, the preventive embargoes, the judicially agreed administrations and other precautionary measures taken by the judicial authority, the one of the order issuing the execution in the executive procedure, the judicial proceedings summarily and extrajudicial executives on mortgaged or pignorised goods found on Spanish territory, as well as the execution of the administrative provisions of the award will be suspended from the the liquidation of the Insurance Compensation Consortium and during the processing of the settlement procedure. '

Eight. The second indent of Article 39 (2) (d) "Measures of special control" of Law No 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance is amended as follows:

" (d) In addition, in all cases of the adoption of special control measures and in order to safeguard the interests of the insured persons, they may jointly or separately adopt any of the following measures:

[...] Prohibit the extension of insurance contracts concluded by the insurance undertaking in all or some of the classes. For these purposes, the insurance undertaking must inform the insured persons in writing of the prohibition of the extension of the contract within 15 calendar days after receipt of the notification of this special control measure; in this case, the provided for in the second paragraph of Article 22 of the Insurance Contract Law shall be reduced to 15 calendar days. Irrespective of the written communication to the policyholders, the decision adopting such a measure shall be published in the Official Gazette of the State and in the Official Journal of the European Communities. '

Nine. Paragraph (a) is amended and a new paragraph (f) is hereby set out in Article 39 (4) "Measures of special control", of Law No 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance, with the following wording:

" 4. The provisional replacement of the administrative bodies of the insurance undertaking shall be as follows:

(a) The administrative decision shall designate the person (s) to act as interim administrators and indicate whether they should

to do so jointly or severally. Such a decision, of an immediate executive nature, shall be published in the 'Official Gazette of the State' and shall be entered in the relevant public registers, including, where appropriate, those existing in the other Member States of the European Economic Area, determining the publication of the effectiveness of the resolution vis-à-vis third parties. The replacement of temporary administrators shall be subject to the same requirements and effects where it is necessary to do so. " " (f) Provisional administrators may carry out their action on the territory of all the Member States of the European Economic Area, and may exercise in them the same functions and powers as in Spain. For these purposes, it shall be sufficient to certify the status of administrator of a certification of the decision to which the appointment is agreed. They may also grant powers of representation or request assistance, where this is necessary to carry out the implementation in the territory of other Member States of the European Economic Area of the measures taken, and in particular, to resolve the difficulties that the creditors resident in them might encounter. In any case, persons who attend or represent them must be of good repute and must meet the necessary conditions of qualification or professional experience in order to perform their duties, in accordance with Article 15 of this Law. "

Ten. A new paragraph 9 is added to Article 39 "Special Control Measures" of Law 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance, with the following wording:

" 9. Adopted by the Directorate-General for Insurance and Pension Funds, as provided for in the preceding paragraphs, either of the measures referred to in paragraphs (a), (b) and (c), or in the second, fifth and eighth indents of paragraph 2 (d) (a) the date referred to in paragraph 3, as well as the prohibition on the distribution of dividends, active branches or returns, shall take effect, in accordance with the provisions of its legislation, in all Member States of the European Space European Economic. For these purposes and without prejudice to the provisions of paragraph 2 (a) and 51 (3), the Directorate-General for Insurance and Pension Funds shall inform the supervisory authorities of the other Member States. the European Economic Area of the agreement to be adopted for the measure and its effects within 10 days of its adoption.

Such measures shall be governed by the provisions of this law and its implementing rules. "

Once. A new Article 39a is hereby established in Law 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance, with the following wording:

" Article 39a. Measures to guarantee the future solvency of insurance institutions.

1. The Directorate-General for Insurance and Pension Funds may adopt the measures referred to in paragraph 2 of this Article where circumstances are met, deducted from checks carried out by the Administration, which may endanger the the future solvency of the institution or may pose a threat to the interests of the insured or the future performance of the obligations incurred, as a result of an inadequate selection of risks, the application of premium rates insufficient, the existence of significant deviations from the accident, the inadequacy of the policy of reinsurance or of any other cause which may in the future generate a serious situation of imbalance or financial weakness.

2. The guarantee measures for the future solvency of the insurance institutions may consist of:

(a) Require a financial recovery plan for the insurance institution to ensure and provide for its future solvency, which must be submitted for approval by the Directorate-General for Insurance and Pension Funds. This plan shall at least contain indications and justifications for the next three financial years relating to: estimates of the management costs, in particular the current general fees and charges; detailed estimates of the revenue and expenditure relating to direct insurance operations, reinsurance acceptances and reinsurance transfers; the expected balance sheets; estimates of the financial resources to which the commitments are intended to cover and the required solvency margin and the overall reinsurance policy.

(b) Require that the insurer has a solvency margin higher than that resulting from the application of the provisions of the regulatory development rules of this law, which ensures compliance in the future of the the solvency requirements of the institution. For these purposes, the minimum amount of the solvency margin to be available shall be that determined by the Directorate-General for Insurance and Pension Funds and shall be based on the financial recovery plan approved by the institution.

3. The adoption of the measures to guarantee the future solvency of the insurance institutions referred to in this Article shall be dealt with in accordance with Article 39 (5) of this Law. "

Twelve. In addition to Article 51 (2) "Intervention measures" of Law No 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance, a new and final paragraph with the following wording:

"As to the call of these creditors and the exercise of their rights, they shall be as provided for in the second and third paragraphs of Article 27.3.c."

Thirteen. New wording is given to Article 55 (2) "Establishment of branches" of Law 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance:

" 2. Within three months of receipt of the information referred to in paragraph 1 above, the Directorate-General for Insurance and Pension Funds shall communicate this to the supervisory authority of the Member State of the branch, accompanying certification that the insurance institution has the minimum legally enforceable solvency margin and is not subject to the financial recovery plan provided for in Article 39a of this law; and

shall inform the insurance institution of such communication.

The Directorate-General for Insurance and Pension Funds may refuse to release such information when, in the light of the documentation submitted by the insurer, it has reason to doubt the suitability of the structure the organisation, the financial situation of the insurance undertaking, or the good repute and qualifications or professional experience of the managers responsible or the general manager.

The refusal to communicate the information to the Member State of the branch shall be notified to the insurance undertaking. Both this refusal and the lack of communication of the information within three months, with the consideration of an alleged act in which the application may be deemed to be dismissed, shall be of a nature as to administrative action. '

Fourteen. Article 56 (2) (a) is reworded as follows: "Activities under the freedom to provide services" of Law 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance, in the following terms:

"(a) The insurance institution has the minimum solvency margin and is not subject to the financial recovery plan provided for in Article 39a of this law."

Fifteen. New wording is given to Article 60 "Deber of information to the taker" of Law 30/1995, of 8 November, of Management and Supervision of Private Insurance, in the following terms:

" 1. Before concluding an insurance contract, the insurance undertaking shall inform the policyholder about the Member State and the authority to which the control of the activity of the insurance undertaking itself is responsible, and shall also be subject to the latter. be included in the policy and in any other document in which any insurance contract is concluded.

2. Before concluding an insurance contract other than life insurance, if the policyholder is a natural person, or any life insurance contract, the insurance undertaking shall inform the taker of the law applicable to the contract, on the provisions relating to complaints which may be made and on other extremes to be determined in a regulated manner.

3. Where the insurance contract is to be concluded within the framework of a system for the provision of services at a distance organised by the insurer using exclusively one or more distance communication techniques until the conclusion of the insurance contract the contract, and the holder is a natural person acting for a purpose other than a commercial or professional activity, in addition to the information provided for in the preceding paragraphs, must be informed of the existence, where appropriate, of the right of termination as referred to in Articles 6a and 83.a of Law 50/1980 of 8 October of Insurance Contract and its form of exercise, as well as the procedure to be followed for the conclusion of the contract and other extremes to be established.

In any case, in life insurance in which the policyholder assumes the risk of investment, it will be clearly and accurately reported that the amount to be charged depends on fluctuations in the financial markets, which are outside the control of the underwriter and whose historical results are not indicators of future results.

4. All the information referred to in the preceding paragraph and the contractual terms shall be made by the insurer at the disposal of the holder in a durable medium accessible to the taker in good time at the time when he is assume any obligation arising out of the insurance contract.

Where the contract has been concluded at the request of the taker using a distance communication technique that does not allow the contractual conditions and information prior to the conclusion of the contract to be transmitted on a support The insurer shall comply immediately after the conclusion of the insurance contract with the obligations referred to in the preceding paragraph.

At any time in the contractual relationship the taker will be entitled to obtain the contractual terms on paper and to change the distance communication techniques used.

5. For the purposes of paragraphs 3 and 4 above,

following definitions shall apply:

'Distance communication technique' means any medium that can be used for the conclusion of an insurance contract between the insurer and the taker without the existence of a simultaneous physical presence of the parties.

` ` durable support '' means any instrument that allows information to be stored so that it can be easily recovered for a period of time appropriate to the purposes for which such information is intended and enables its reproduction without change.

6. For the duration of the life insurance contract, the insurance undertaking shall inform the taker of the changes in the information initially provided and also of the status of its share in profits, in the terms and time-limits to be determined. '

Sixteen. Article 67 (2) (b) is reworded as "mutual fund and financial guarantees" of Law 30/1995, of 8 November, of the Management and Supervision of Private Insurance, in the following terms:

" (b) They shall be required to constitute the technical provisions referred to in Article 16, they shall have the solvency margin as laid down in Article 17 and the guarantee fund required by Article 18.

The minimum amount of the guarantee fund for these mutual funds shall be three quarters of the minimum amounts provided for in the first paragraph of Article 18.2 of this Law.

However, for mutual societies which provide in their statutes the possibility of carrying out quotas or of reducing benefits and the annual amount of quotas does not exceed EUR 5 million for three years The minimum guarantee fund shall be that provided for in the second paragraph of Article 18.2. If the institution exceeds the amount of EUR 5 million for three consecutive years, from the fourth year the minimum amounts shall be as set out in the preceding paragraph.

The mutual funds referred to in the second subparagraph of paragraph 3 of the provision shall be exempt from the minimum guarantee fund

transitional provisions of this law and, in any case, those social security mutual societies which do not operate by classes, which provide in their statutes the possibility of carrying out quotas or of reducing benefits, which do not cover life risks and the amount of which does not exceed EUR 750,000.

For the purposes of this paragraph, the risks covered by these social security funds shall be assimilated to the insurance classes in the manner prescribed for the solvency margin. "

seventeen. In addition to Article 80 'Intervention measures' of Law 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance, two new paragraphs 4 and 5, with the following wording:

" 4. In respect of an insurance institution domiciled in a Member State of the European Economic Area other than Spain, including its branches in Spain or in other Member States of the European Economic Area, a measure of (a) reorganisation or winding-up proceedings, such a measure or procedure shall take effect in Spain as soon as it does so in the Member State of the European Economic Area in which the measure has been adopted or the procedure has been initiated.

For the purposes of the preceding paragraph, it is understood as a reorganisation measure that involves the intervention of administrative bodies or judicial authorities, which is intended to maintain or restore the financial situation of the insurance institution and it affects the pre-existing rights of third parties other than the entity itself. Settlement procedure means a collective procedure involving the liquidation of assets and the distribution of the proceeds of settlement between creditors, shareholders or shareholders, as appropriate, and which necessarily implies some form of intervention by the administrative or judicial authority, whether or not based on insolvency and having a voluntary or compulsory nature.

Once the General Directorate of Insurance and Pension Funds is notified of the adoption of the measure or the opening of the procedure, it shall publish in the "Official State Gazette" an extract of the agreement or resolution of which bring the measure or proceedings; in any event, the extract shall include the competent authority of the Member State which has adopted the measure or procedure, the legislation resulting from it, and, where appropriate, the identification of the Designated liquidators or liquidators.

Administrators and liquidators appointed by the competent authority of another Member State of the European Economic Area will be able to perform their duties in Spain, resulting in sufficient evidence to prove their condition a certification of the resolution or legalised copy of the agreement for which it is made its appointment or designation translated into Spanish.

Such measures and procedures shall be governed by the law of the Member State of the European Economic Area for the adoption of the measure or procedure without prejudice to the fact that the following cases are referred to: The following rules are observed and leaving aside what can be foreseen in international treaties:

1. The effects of these measures and procedures on employment contracts under Spanish law will be governed by the Spanish legislation.

2. º The rights of the insurer on a property, ship or aircraft that are subject to registration in a Spanish public register shall be governed by Spanish law.

3. Without prejudice to the provisions of paragraph 3 of this Article, the adoption of reorganisation measures or the opening of the winding-up proceedings shall not affect the actual rights of creditors or third parties in respect of tangible or intangible assets, furniture or buildings, both specific assets and sets of non-determined assets, the composition of which is subject to modification, belonging to the insurance undertaking which is located in Spain the time of adoption of such measures or the opening of such proceedings, or the exclusive right to to charge a claim, in particular, of the right guaranteed by a pledge of which the credit is to be granted or by the transfer of that credit to guarantee, where such guarantees are governed by Spanish law.

4. The adoption of reorganisation measures or the opening of a winding-up procedure on a buyer's insurance undertaking shall not affect the rights of the seller based on a domain reservation, where such either is at the time of the adoption of the measure or the opening of the procedure on Spanish territory.

The adoption of reorganisation measures or the opening of a winding-up proceedings on an insurance undertaking selling a good, after it has been delivered, shall not constitute a cause of termination or termination of the proceedings. sale and shall not prevent the purchaser from acquiring the property of the goods sold when the same is, at the time of the adoption of the measures or the opening of the procedure, in Spanish territory.

5. The adoption of reorganisation measures or the opening of a winding-up procedure shall not affect the right of a creditor to claim the compensation of his credit with the credit of the insurance institution when the law governing the settlement allows the clearing.

6. The effects of a reorganisation measure or winding-up procedure on the rights and obligations of participants in a Spanish regulated market shall be governed exclusively by Spanish law.

7. The nullity, annulment or unavailability of legal acts harmful to all creditors shall be governed by the law of the Member State of the European Economic Area of origin unless the person who is The benefit of the act prejudicial to all creditors proves that the act is subject to Spanish law and that this legislation does not in any way allow for its challenge.

8. The validity of the transfer for consideration by an insurance undertaking carried out after the adoption of a reorganisation measure or the opening of a winding-up proceedings, of a property situated in Spain, vessel or aircraft subject to registration in a Spanish public register or of transferable securities or other securities whose existence and transfer involves an entry in a register or an account provided for by Spanish legislation or are placed in a central deposit system governed by Spanish law, shall be governed by the Spanish legislation.

9. The effects of a reorganisation measure or settlement procedure on a pending cause followed in Spain relating to a property or a right of which the insurer has been dispossessed shall be governed exclusively by the Spanish legislation.

5. The Directorate-General for Insurance and Pension Funds may require the supervisory authorities of other Member States of the European Economic Area to provide information on the status and development of winding-up proceedings to be carried out on (a) in respect of entities subject to the supervision of those authorities. "

Eighteen. Article 86 (1) of Law 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance is amended with the following wording:

" 1. Insurers domiciled in another Member State of the European Economic Area intending to operate in Spain under the freedom to provide services shall be obliged to appoint a representative with tax residence in Spain to effects of the tax obligations referred to in this law by the activities carried out on Spanish territory. "

nineteen. Article 87 (1) (c) "Establishment of branches" of Law No 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance, is amended as follows:

" 1. The Ministry of Economy may grant administrative authorisation to insurance companies domiciled in third countries not members of the European Economic Area to establish branches in Spain for the purpose of carrying out the insurance business, provided that they meet the following requirements:

[...] (c) They submit and comply with an activity programme adjusted to Article 12. They shall also provide the documentation to be determined. "

Twenty. A new paragraph 3 is created in Article 87 "Establishment of branches" of Law 30/1995, of 8 November, of the Management and Supervision of Private Insurance, with the following wording:

" 3. The Directorate-General for Insurance and Pension Funds may require the systematic communication of the technical bases used for the calculation of premiums and technical provisions, without such a requirement being able to constitute a prior condition. for the exercise of the activity. '

Twenty-one. Article 88 (3) "Conditions for the exercise of the insurance business" of Law No 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance is deleted.

Twenty-two. A new and final subparagraph is added to Article 89 (1) "Special rules for the intervention of branches" of Law 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance, with the following wording:

" Where an insurance institution domiciled in a third country is not a member of the European Economic Area, it shall have branches established in Spain and in other Member States of the European Economic Area, General Insurance and Pension Funds will coordinate their actions with those of the other supervisory authorities involved. "

Twenty-three. Paragraph 3 of the additional provision sixteenth 'Special scheme for Swiss insurance companies' in Law 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance, is amended as follows:

" 3. The prior administrative authorisation, approval or making available prior to the use of the models of policies, technical bases and premium rates. However, the Directorate-General for Insurance may require the presentation, provided that it is relevant, of the models of policies, technical bases and premium rates in order to monitor whether they comply with the technical and contract provisions of insurance. This requirement may not constitute a prior condition for the insurance undertaking for the pursuit of its business. "

Twenty-four. Paragraphs (a) and (b) of paragraph 2 of the first paragraph of the first 'Basis of the organisation of insurance and exclusive powers of the State', which are amended as follows:

" (a) In accordance with Article 149.1.6.a of the Constitution, the matters referred to in Article 28a and in the additional provisions of the sixth, eighth, ninth, tenth and eleventh paragraphs in paragraphs 1 to 13, 15, 19 and 21 thereof, contained in the transitional provisions twelfth, thirteenth, fourteenth, fifteenth and seventeenth.

(b) In accordance with Article 149.1.8.a of the Constitution, the matters referred to in Article 28 (2) and Article 80 (4) and (5). "

Twenty-five. An additional 17th provision is added to Law 30/1995 of 8 November on the Management and Supervision of Private Insurance, with the following wording:

" Additional 17th Disposition.

Tax obligations of the representative designated by the insurance entities operating in the free provision of services.

The representative designated in Article 86 (1) of this law shall, on behalf of the insurance undertaking operating under the freedom to provide services, comply with those provided for in Article 82 of this Law, the following tax obligations:

1. Practice retention or income to account and enter the amount in the Treasury in relation to the transactions that are carried out in Spain in the terms provided for in the regulations of the Tax on the Income of the Natural Persons, on Societies and on the Income of Non-Residents.

2. Inform the Tax Administration in relation to the operations carried out in Spain in accordance with the provisions of the rules governing the tax on the Income of the Physical Persons, on Societies and on the Income of non-residents. "

Twenty-six. Article 73 of Law 30/1995, of 8 November, on the Management and Supervision of Private Insurance, is amended as follows:

" 1. In the Ministry of Economy, the Advisory Board of Insurance and the Fund of Pen will function as the administrative board of directors of the Ministry of Economy in matters concerning the management and supervision of private and private insurance. plans and pension funds to be submitted for consideration. The report you issue will not be binding.

2. The Advisory Board of Insurance and Pension Funds shall be chaired by the Director General of Insurance and Pension Funds and shall form part, as members of the Board, representatives of the General Administration of the State, insured and consumers, insurance companies, pension fund managers, insurance intermediaries, trade union and business organisations and prestige corporations related to private insurance, actuaries, insurance experts and commissars of breakdowns, in the manner that is determined. In addition, the President may request assistance from other persons or entities according to the nature of the matters to be dealt with. "

Article 2. Amendments to Law 50/1980 of 8 October of Insurance Contract.

The following modifications are made in Law 50/1980, of October 8, of Insurance Contract:

One. A new Article 6a is created in Law 50/1980, of 8 October, of a Insurance Contract, with the following wording:

" Article 6a.

1. The holder of a distance insurance contract, other than life insurance, who is a natural person acting for a purpose other than a commercial or professional activity, shall have the unilateral right to terminate the contract. a contract without any indication of the reasons and without any penalty provided that the damage to which the event is covered has not occurred within a period of 14 days from the date of the conclusion of the contract or from the day on which the taker receives the contractual conditions and the information required by Article 60 of Law No 30/1995 of 8 November 1995, Management and Supervision of Private Insurance, if this date is later.

This shall not apply to travel or baggage insurance contracts of a duration of less than one month, to those whose effects are terminated before the time limit referred to in the preceding paragraph, or to those which comply with the above to an obligation to secure the taker.

2. The unilateral decision-making power of the contract shall be exercised by the taker by means of a communication addressed to the insurer through a durable medium, available and accessible to the insurer and allowing the notification to be recorded. This communication shall be made in accordance with the instructions which the taker has received in accordance with the provisions of Article 60 (3) of Law 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance. Such communication shall be issued by the policyholder before the expiry of the period referred to in the preceding paragraph.

3. From the date on which the communication referred to in the preceding paragraph is issued, the insurer shall cease to cover the risk and the insurance taker shall be entitled to the refund of the premium which he would have paid, with the exception of the corresponding to the period of time when the contract would have been in force. The insurer shall have a period of 30 days from the day on which the notice of termination is received. '

Two. Article 83.a) of Law 50/1980, of 8 October, of the Insurance Contract, is amended as follows:

" Article 83.a).

1. The holder of the insurance in an individual insurance contract of a duration of more than six months who has stipulated the contract on his or her own life or that of a third party shall have the unilateral right to terminate the contract without any indication of the reasons and without any penalty within 30 days of the date on which the insurer delivers the policy or interim cover document.

Where the contract has been concluded at a distance, the period before shall be counted from the date on which the taker is informed that the contract has been concluded or from the day on which the taker receives the conditions. the contractual and information required by Article 60 of Law 30/1995 of 8 November 1995 on the Management and Supervision of Private Insurance, if this date is later.

The insurance contracts in which the taker assumes the risk of the investment, as well as the contracts in which the guaranteed return is based on investments, are exempted from this unilateral resolution. allocated in the same.

2. The unilateral decision-making power of the contract shall be exercised by the taker by means of a communication addressed to the insurer through a durable medium, available and accessible to the insurer and allowing the notification to be recorded. In the case of an insurance contract marketed at a distance, the communication shall be made in accordance with the instructions which the taker has received in accordance with the provisions of Article 60 (3) of Law No 30/1995 of 8 November 1995. Management and Supervision of Private Insurance. Such communication shall be issued by the policyholder before the expiry of the period referred to in the preceding paragraph.

3. From the date on which the communication referred to in the preceding paragraph is issued, the insurer shall cease to cover the risk and the insurance taker shall be entitled to the refund of the premium which he would have paid, with the exception of the corresponding to the period of time when the contract would have been in force. The insurer shall have a period of 30 days from the day on which the notice of termination is received. '

Three. The following additional provisions are added to Law 50/1980 of 8 October of Insurance Contract:

" Additional disposition first. Durable support.

Provided that this law requires that the insurance contract or any other information related to it be written in writing, this requirement shall be deemed to be fulfilled if the contract or information is contained on paper or other support. durable to save, easily retrieve and reproduce the contract or information without changes.

Additional provision second. Distance hiring.

For the purposes of this law, a distance contract means any insurance contract concluded within the framework of a distance service delivery system organised by the insurer, which uses only one or more of the following: distance communication techniques up to the conclusion of that contract, including the conclusion itself.

A distance communication technique shall mean any medium that can be used for the conclusion of an insurance contract between the insurer and the taker without a simultaneous physical presence of the parties.

Notifications or communications carried out at a distance, and in particular the use of electronic, telematic or computer techniques, shall ensure the integrity of the message, its authenticity and its non-alteration, Mechanisms should be used to ensure that the date of the sending and receiving of the message, its accessibility, preservation and reproduction is established.

Additional provision third. Electronic procurement.

Insurance contracts concluded by electronic means will produce all the effects provided by the legal system when the consent and other requirements necessary for its validity are met.

As to their validity, proof of celebration and obligations arising from it, they will be subject to the specific rules of the insurance contract and the law on services of the information society and commerce. electronic. "

Article 3. Amendments to the Law on Civil and Safe Liability in the Circulation of Motor Vehicles, recast text approved by Decree 632/1968 of 21 March.

The Law on Civil Liability and Insurance in the Circulation of Motor Vehicles is amended, recast text approved by Decree 632/1968, of March 21, in the following terms:

One. The following amendments are made to Article 3 'Failure to comply with the obligation to ensure':

In the last paragraph (b) of Article 3:

"In any case, the non-filing at the request of the agents of the accrediting documentation of the insurance will be sanctioned with 60 euros of fine."

In the first subparagraph of paragraph (c) of Article 3:

" (c) pecuniary penalty from 601 to 3.005 euro of a fine graduated according to which the vehicle is in circulation or not, the category of the vehicle, the service it provides, the seriousness of the damage caused, where appropriate, the duration of the failure to secure and the reiteration of the same infringement. "

In the third subparagraph of paragraph (c) of Article 3:

" The sanctioning procedure will be that provided for in the Law on Traffic, Vehicle Circulation to Motor and Road Safety, in the form that is regulated and instructed by the corresponding Traffic Headquarters. In any event, the penalties for fines provided for may be made effective before the decision of the sanctioning file is delivered with a reduction of 30% on the corresponding amount entered in the complaint by the Commission. the agent or, failing that, in the subsequent notification of that complaint by the instructor of the file and this provided that the subscription of the civil liability insurance of the car prior to the receipt is credited by the receipt of the premium date of the complaint. '

Two. Article 8 (1) (b) "Functions of the Insurance Compensation Consortium" shall be amended to read as follows:

" (b) Indemnity the damage to persons and property caused by a vehicle with its usual parking in Spain, as well as those caused within the Spanish territory to persons with habitual residence in Spain or property of the same property located in Spain with a vehicle with regular parking in a third country which is not a signatory to the Multilateral Guarantee Convention, in both cases where the vehicle is not insured. "

Three. Table VI, "Classifications and Valuation of Sequels", of the Annex (System for the assessment of damages caused to persons in road accidents) of the Law on Civil and Safe Liability in the Circulation of Vehicles Engine, recast text approved by Decree 632/1968 of 21 March, is worded as follows:

TABLE VI

Classifications and sequelae assessment

INDEX

Chapter 1. Head.

Skull and brain.

Face:

osteoarticular system.

Boca.

Nose.

olfactory and gustative system.

Eye system.

Hearing system.

Chapter 2. Trunk.

Spine and pelvis.

Neck (organs).

Chest.

Abdomen and pelvis (organs and viscera).

Chapter 3. Cardiovascular apparatus.

Heart.

Peripheral vascular.

Chapter 4. Upper extremity and scapular waist.

Shoulder.

Collarbone.

Arm.

Elbow.

Forearm and wrist.

Hand.

Chapter 5. Lower extremity and hip.

Dismetries.

Hip.

Thigh.

Knee.

Leg.

Ankle.

Pie.

Chapter 6. Spinal cord and cranial pairs.

Spinal Cord.

cranial nerves.

Chapter 7. Peripheral nervous system.

Top Members.

Lower Members.

Chapter 8. Endocrine system.

Special Chapter. Aesthetic damage.

General rules:

1. The score given to each sequel, according to clinical criteria and within the permitted margin, will take into account its intensity and severity from the physical or biological-functional point of view, without taking into consideration age, sex or profession.

2. A sequel should be valued only once, even if its symptomatology is described in several sections of the table, without prejudice to the established respect for aesthetic damage. The sequelae that are included and/or derived from another, even if they are independently described, will not be valued.

3. The so-called temporary sequels, i.e. those that are called to be cured in the short or medium term, do not have the consideration of permanent injury, but they must be assessed according to the rules of Table V (a), computing, in their the case, its effect on the ground or not and on the basis of the reasonable calculation of its duration, after the attainment of the lesional stabilisation.

(SEE IMAGES, PAGE 39201 TO 39218)

Description of the Punctuation Sequels

CHAPTER 1: Craneum and Brain Loss LOSS OF BONE SUBSTANCE:

That does not require cranioplasty .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5 Which requires cranioplasty. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... .. 5-15

Central source neurological syndromes:

Non-engine syndromes:

Afasia:

Motora (Broca). ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .................................................. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. ... 50-60

Amnesia:

Fixing or anterograte (including deterioration of integrated superior brain functions).

Evocative or retrograde (included in post-shock syndrome).

Epilepsy:

Partial or Focal:

Simple without history, in treatment and with electroencephalographic evidence. 1-10 Complexes. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ...............................

.... ..

Generalized:

Absences with no background and medically controlled .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5 tonic-clonic:

Medically controlled. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... 15 Not medically controlled:

With difficulty in the activities of daily life ... .. .. .. .. .. .. .. .. .. .. ... ... ... ... ... ............................................ .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. ..... 80-90

Impairment of integrated superior brain functions, accredited by specific tests (Outcome Glasgow Scale):

Mild (mild limitation of the interpersonal and social functions of daily life) .. .. .. .. .. .. .. 10-20 Moderate (moderate limitation of some, but not of all the interpersonal and social functions of life There is a need for supervision of the activities of daily life. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20-50 Grave (severe limitation that prevents a useful activity in almost all social and interpersonal functions daily; requires continuous supervision and restriction of the home or a center) ... .. 50-75 Very serious (severe limitation of all daily functions that requires an absolute dependency on another person, is not able to take care of himself ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. ................... .. ... .. 75-90

Description of the Punctuation Sequels

Osteodural Fistulas .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-10 extrapyramidal syndromes (assess according to functional alterations).

ventricular-peritoneal, ventricle-vascular (by post-traumatic hydrocephalus) derivation according to functional alteration .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. 15-25 Persistent vegetative state .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 100 unilateral cerebellar syndrome .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 50-55 Bilateral cerebellar syndrome. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 75-95

Engine syndromes:

Disarthria. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 10-20 Ataxia .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. 10-35 Hemiplegia (according to dominancy) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. 80-85 Hemiparexia (according to dominance):

Mild. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 15-20 Moderate .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20-40 Grave .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. 40-60

Other central limb motor deficits: to assimilate and assess according to the assumptions indicated in the same lesions of medullary origin (higher values will be granted according to dominance and existence of spasticity).

Psychiatric syndromes:

Personality disorders:

Post-shock syndrome (headache, dizziness, sleep disturbances, memory, character, libido). ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. 5-15 Organic personality disorder:

Mild (mild limitation of daily interpersonal and social functions) ... .. .. .. .. .. .. .. .. ... .. .. 10-20 Moderate (moderate limitation of some, but not all interpersonal and social functions of the everyday life, there is need for supervision of the activities of daily life ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20-50 (a severe limitation that prevents a useful activity in almost all social and interpersonal functions daily, requires continuous monitoring and restriction of the home or a centre ... .. .............. 50-75 Very serious (severe limitation of all the daily functions that requires an absolute dependency of another person: is not able to take care of himself) ... .. .. .. .. .. .. .. .. .. .. .. .. ... ... .. 75-90

Humor disorder:

Reactive depressive disorder .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-10

Neurotic Disorders:

By post-traumatic stress .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... 1-3 Other neurotic disorders. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5

Aggravations:

Aggravation or destabilization of non-traumatic dementia (includes senile dementia) .. ... .. .................. 5-25 Agravation or destabilization of other mental disorders. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ........... ... 1-10

Face

Osteoarticular System traumatic alteration of dental occlusion by inoperable lesion (vicious consolidation, pseudoarthrosis of the lower and/or upper jaw, loss of substances, etc.).

With dental contact:

Unilateral .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-15 Bilateral .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5

No dental contact. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 15-30 Structural Deterioration of upper and/or lower maxillary (with no possibility of repair). Assess according to functional impact on chewing. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. 40-75 Loss of substance (hard and soft palate):

Without communication with a nasal cavity ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. 20-25 With communication with nasal cavity (inoperable). ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... .. ... 25-35

Limiting the opening of the temporo-mandibular joint (from 0 to 45 mm) according to its impact. ... 1-30 Recidivating luxation of the temporo-mandibular joint:

Luxation between the 20-45 mm aperture .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-10 Luxation between 0-20 mm opening .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .......... ... 10-25

Recurrent sublimation of the temporo-mandibular joint ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. ...................... ... 1-5 Material of osteosynthesis .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-8

Description of the Punctuation Sequels

Boca

Teeth (complete traumatic loss):

From an incisor. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. 1 of a premolar .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1

Language:

Scar disorders (retractable scars of the tongue that cause functional alterations (after surgical repair) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. 1-5 Amputation:

Partial:

Less than 50 percent. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. 20-45

Total. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. 45

Partial change of taste. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... .. 5-12

Nose

Loss of the nose:

Partial. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... ... 5-25 Total. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ......................... ... 25

Impairment of nasal respiration by bone deformity or cartilage. .. .. .. .. .. .. .. .. .. .. .. ... .. 2-5 chronic post-traumatic sinusitis .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-12

olfactory and gustative system Disosmia. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 2 Hisposmia .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. ... .. ... .. ... ... .. ... .. ... .. ... ... .. .. 3-6 Anosmia .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 7 Ansmia with ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 7 Anosmia with taste ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. ...... ... .. 7-10

Eyeball Eyeball System:

Ablation of an eyeball .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 30 Ablation of both eyeballs. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. 90

Sclerocornea:

Leucoma (value according to loss of visual field).

Iris:

Posttraumatic iris alterations (assess loss of visual acuity and add 1-5 points in case of accommodation disorder) ... ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5

Crystalline:

Inoperable post-traumatic cataract (values according to visual acuity).

Unilateral effect after surgical failure; assess according to visual acuity disorder (see tables A and B attached and combine obtained values) and add 5 points.

Intraocular lens placement .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5

Eye-outs:

Muscles: paralysis of one or more muscles (see cranial pairs).

Entropion, tripiasis, ectropion, vicious scars. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ................... palpebral. 1-10 Malocclusion.

Unilateral .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-6 Bilateral .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 6-15

Palpebral Ptosis:

Unilateral (add visual field loss) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 2-8 Bilateral (add visual field loss) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ......... ... 8-16

Constant and permanent alterations of tear secretion (excessive or default).

Unilateral .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-6 Bilateral .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 6-12

Description of the Punctuation Sequels

Hyperesthetic or hispoesthetic manifestations. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ....................

.....

Visual field:

Peripheral vision:

Hemianopsies:

Homonomics. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 35-45 Nasal Heteronths. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 40-50 Temporary. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 30-40

quadranopsies:

Nose bottom. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. ... ............ .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 3-8 Temporary top .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 2-7

yuxtacentral Escotomas .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ......... ... 5-20

Central view:

Central pick. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .............. ... 15-20

Driving Function:

Diplopia:

In high positions of the look-less than 10o of deviation-. ... .. .. .. .. .. .. .. .. .. .. .. .. ............ ... 1-10 In the lateral field-less than 10o of deviation-.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... ... ............ .. .... ... .. ... 5-15 At the bottom of the visual field-less than 10o of deviation-... .. .. .. .. .. .. .. .. .. ... ... ......... .. 10-20 In all directions, forcing occlusion an eye-deviation of more than 10o-. 20-25

Visual Acuity:

Visual Acuity Deficit (see tables A and B attached and combine their values).

Loss of vision of an eye. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .....................

......... ..

Note: If the trauma-affected eye previously had any visual deficits, the rate of aggravation will be the difference between the current and the existing deficit.

Blindness .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ..... ..

.. ..... ...... ...... ....... ....... ..

Hearing System

Important deformation of the hearing or loss pavilion:

Unilateral. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-4 Bilateral. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ................................ ...

-8

Acufenos .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ..................................................

Sporadic. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-3 Persistent. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 15-30

Deficit of hearing acuity (see Table C). ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .............. ... 1-70

Note: If the trauma-affected ear previously had any hearing deficits, the rate of aggravation will be the difference between the current and the existing deficit.

CHAPTER 2: TRUNK SPINE and pelvis

Post-traumatic arthrosis with no history. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-8 Agravation artrosis prior to trauma ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... 1-5 Post-traumatic vertebral Osteitis without medullary involvement. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... ... ... ... ..... ... 30-40 Material of osteosynthesis in spine ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ........................ ... 5-15 Fracture previous minting/crushing:

Less than 50 percent of the height of the vertebra .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... ................................................. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..... .. .. 10-15

Clinical table derived from hernia/s or protrusion/is disc/s or operada/s or without operating; the entire affected segment of the column (cervical, thoracic or lumbar) ... is considered to be ... .. .. .. ...................................... 1-15

Description of the Punctuation Sequels

Alterations of postfracture vertebral static (value according to arc of curvature and degrees). .. .. .. .. .. .. .. .. .. 1-20 Post-traumatic Algies:

No root commitment .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5 With root commitment ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-10

Cervical column:

Limiting the mobility of the cervical spine .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-15 cervical post-traumatic syndrome (cervical, dizziness, dizziness, headache). .. .. .. .. .. .. .. .. .. .. .. ...............

...

lumbar-lumbar column:

Limitation of the mobility of the toraco-lumbar spine .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. ... .. ... .. ............. ... 2-25

Sacro and pelvis:

Pubic and sacroiliac disjunction (as affected by static vertebral and locomotor function) .. .. .................... 5-12 pelvic sterreness with impossibility of birth by natural means .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. 5-10

Neck (organs)

Faringe:

Stenosis with obstacle to swallowing. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... ................... ... .. 12-25

Esophagus:

Post-traumatic esophageal Diverties .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 15-20 motor function disorders. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... ... ............................................. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... ... ... .. ... 2-20 Inoperable esophageal-tracheal Fistula. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. 10-35 External Fistula .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 10-25

Laringe:

Stenosis:

Scar stenosis that determine dysphonia .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. ... ... ...... .. 5-12 scar estatricals to determine dyspnea of stress without possibility of prosthesis .. .. .. .. .. .. .. ... 15-30

Paralysis:

Paralysis of a vocal cord (dysphonia) ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. 5-15 Paralysis of two vocal chords (afonia). ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .............. ... 25-30

Trachea:

Trapedotomized with permanent need of cannula .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... ... ... ........... ... 35-45 tracheal stenosis (rate of respiratory failure).

Chest

Bone system:

Fracture of ribs/sternum with sporadic and/or persistent intercostal neuralgias .. .. .. .. .. .. .. .. 1-6

Lung parenchyma:

Pleural post-traumatic sequelae according to functional impact. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. 10-15 Resection:

R. Partial of a lung (add assessment of respiratory failure). ... .. .. .. ... ................................................. ... .. .. 12

Paralysis of the phrenic nerve (respiratory failure will be assessed).

Respiratory function:

Restrictive respiratory failure (quantifying by spirometry):

Type I restriction (100-80 percent) .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-10 Type II Restriction (80-60 percent). ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 10-30 Restriction type III (60-50 percent). ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 30-60 Restriction type IV (R 50 per cent) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. 60-90

Moms:

Mastectomy:

Unilateral. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-15 Bilateral. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ...................... ... 15-25

Description of the Punctuation Sequels

Abdomen and pelvis (organs and viscera)

Stomach:

Gastrectomy:

Partial ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-15 Subtotal. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... .. 45

Small Intestine:

Fistulas:

No nutritional disorder. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. 3-15 With nutritional disorder ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 15-30

Partial or total Yeyun-llectomy (according to functional impact). ... .. .. .. .. .. .. .. .. .. .. .. .. ........... ... 5-60

Large Intestine:

Collectomy:

Partial:

No functional disorder ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5 With functional disorder .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-30

Total. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 60

Sigma, Straight, and Year:

Incontinence with or without prolapse .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. ... .. .. .. 20-50 Colostomy .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 40-50

Liver:

Hepatic disturbances:

Mild (no coagulation disorders or cytolysis, but with cholestasis). ... .. .. .. .. .. .. .. .. .. .. ... .. .. 1-15 Moderate (slight alteration of coagulation and/or minimal signs of cytolysis) ... .. .. .. .. .. .. ... ... ... ................................................... cholestasis ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... ... ... ....... ... 30-60

Hepatic lobectomy without functional alteration ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 10 Removal gallbladder ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-10 Biliary Fistules. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 15-30

Pancreas:

Post-traumatic alterations ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-15

Spleen:

Splenectomy:

No hemato-immunologic impact. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. 5. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 10-15

Hernias and adhesions (inoperable):

Inguinal, crural, epigastric ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 10-20 Peritoneal ... .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. ... .. ... .. ... .. ... .. .. 8-15 Eventrations. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 10-20

Kidney:

Nephrectomy:

Partial unilateral nephrectomy-total (assess renal impairment if applicable) .. ... .. .. .. .. .. .. .. .............. ............ 20-25 Bilateral Nephrectomy ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 70

Renal Impairment (rate based on creatinine clearance and subsequent alterations):

Grade I: 120-90 ml/min ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-10 Grade II: 90-60 ml/min .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... ... ......... ... 10-20 Grade III: 60-30 ml/min .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20-40 Grade IV: R 30 ml/min .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 40-70

Description of the Punctuation Sequels

Bladder:

Chronic urine retention: Forced Sondages .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 10-20 Urinary Incontinence:

Effort. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 2-15 Permanent .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 30-40

urethra:

Tightness without infection or kidney failure. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... .. ... 2-8 Chronic urethritis. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 2-8

Male Genital Apparatus:

Penile disstructuring (includes erectile dysfunction):

No narrowing of the meato. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. ... 40-50

Traumatic Loss:

From a testicle. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20-30 Of two testicles. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 40

varicocele. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. ... .................

.

Female Genital Apparatus:

Vulvar and vaginal lesions that make it difficult or impossible to intercourse (according to functional impact) .. ........................ 20-30 Loss of uterus:

Before the menopause ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .40 After the menopause .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... ... ......... ... 10

Ovaries:

Loss of an ovary. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20-25 Loss of two ovaries ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 40

CHAPTER 3: CARDIOVASCULAR HEART

Heart failure:

Grade I: dyspnea of great efforts (ejection fraction: 60 per cent-50 per cent). .. .. .. .. .. .. 1-10 Grade II: dyspnea of moderate efforts (ejection fraction: 50 per cent-40 per cent). ... ... 10-30 Grade III: dyspnoea of small efforts (ejection fraction: 40 per cent-30 per cent) .. .. .. ... 30-60 Grade IV: rest dyspnoea (ejection fraction: R of 30 per cent). .. .. .. .. .. .. .. .. .. .. .. .. .. 60-90

Valvular prostheses .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20-30 Sequels after heart trauma (without heart failure) ... .. .. .. .. .. .. .. .. .. .. .. .. .. ...................

...

Peripheral vascular

Aneurysms of Traumatic Origin (assessed according to the degree of disability that I caused in the corresponding section):

Venous disorders of post-traumatic origin:

Flebitis or venous trauma in patients with prior venous pathology:

Mild (appreciation of varices and pigmentation) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-8 Moderate (appearance of edema, eczema, pain and indurated cellulite) .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. ... .. .. .. .. .. .. ... ... .. 9-15 Grave (appearance of ulcers and severe trophic disorders). ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20-30

Arterial disorders of post-traumatic origin:

Intermittent and coldness (according to functional impact) ... ... ... .. .. .. .. .. .. .. .. .. .. 1-15 Intermittent claudication, coldness and trophic disorders (according to functional impact) ... .. .. ... .. .. ... 15-25

Arteriovenous post-traumatic fistulas:

No regional or general repercussion .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-20 With regional impact (edemas, varices ...) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20-40 With general impact (assess heart failure).

Lymphedema. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 10-15 Substitute material and/or prosthetics. .. .. .. .. .. .................................. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... 20-30

Description of the Punctuation Sequels

CHAPTER 4: UPPER EXTREMITY AND WAIST SCAPULAR Note: the score of one or several sequels corresponding to a joint, member, apparatus or system (in the event that they are several sequels after using the formula of (a), may never exceed that which corresponds to the total, anatomical and/or functional loss of this joint, member, apparatus or system.

Shoulder/Shoulder Amputation Shoulder:

Unilateral. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 55-60 Bilateral. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. 90

Oscillating Shoulder (pseudoarthrosis, resections and extensive loss of substance and resection of the humeral head). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 30-40 Total abolition of shoulder mobility (ankylosis and arthrodesis):

In functional position ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20 In non-functional position ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ....... ... ..

.................... ..

Limiting mobility (the possible arc of motion will be valued):

Abduction (N: 180o):

Moves more than 90o. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5 Mueve more than 45o and less than 90o. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-10 Move less than 45o. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. 10-15

Driving (N: 30o). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-3 Previous Flexion (N: 180o) (will value the possible arc of motion):

Moves more than 90o. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. ......... 5-10 Mueve less than 45o. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. 10-15

Back bending (extension) (N: 40o). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5 Rotation:

External (N: 90o) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5 Internal (N: 60o) ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... ... ... ... ....... .. 1-6

Recidivating luxation of the inoperable shoulder (according to functional impact). .. .. .. .. .. .. .. .. .. .. .. ... 5-15 Chronic septic Osteyarthritis (as per functional limitation). ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... ... .......... ... 20-25 Post-traumatic arthrosis and/or painful shoulder .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. 1-5 Agravation of a previous arthrosis .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5 Total shoulder protesis (according to its functional limitations, which are included) ... .. .. .. .. .. ..................... 15-25 Material of osteosynthesis .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5

Collarbone

Acromio-collar/sterno-clavicular luxation (inoperable) ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. 1-5 Pseudoarthrosis inoperable collarbone (according to functional limitations) .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. 5-10 Material of osteosynthesis .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-3

Arm

Humerus Amputation:

Unilateral. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 45-50 Bilateral .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .................... ... 80

Consolidations in rotation and/or angulations of the humerus greater than 10o .. .. .. .. .. .. .. .. .. .. ...................... inoperable humerus Pseudoarthrosis:

No active infection. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 15 With active infection ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20

Humerus active osteomyelitis. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... 15 Acording/elongation of top member greater than two centimeters. ... .. .. .. .. .. .. .. .. 1-5 Material of osteosintesis .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5

Elbow

Amputation-disarticulation of the elbow .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 40-45 Ankle-arthrodesis:

In functional position. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 10-20 In non-functional position .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20-30

Description of the Punctuation Sequels

Mobility Limitation (degrees): the neutral (functional) position is considered with the arm at 90o.

From that position, the maximum bending arc is 60o and that of the maximum extension is 90o.

Bending limitation:

Moves less than 30 or. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-15 Move over 30o. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5

Limitation of the extension:

Moves less than 60o. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. 5-15 Move over 60o. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5

The motion-supination movements are valued in the forearm and wrist section.

Chronic Septic Osteoarthritis (as per functional limitation). ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... ... .......... ... 20-25 Post-traumatic arthrosis and/or painful elbow. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... 1-5 Elbow Protesis (according to its functional limitations, which are included) ... .. .. .. .. .. .. ... ............................ .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. ... ... 1-4

Forearm and wrist

Forearm Amputation:

Unilateral. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 40-45 Bilateral .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. 70-75

Removal of the head of the radio (including functional limitation) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5 Anquilosis/doll arthrodesis:

In functional position. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 8-10 In non-functional position .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. 10-15

Limitation of wrist mobility (degrees):

Pronation (N: 90o). ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. 1-5 Flexion (N: 80o) ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-7 Extension (N: 70o) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-8 Radial inclination (N: 25o). ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-3 Cubital inclination (N: 45o) .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-3

Consolidations in rotation and/or upper forearm angulations to 10o .. .. .. .. .. .. .. .. .. .. ..................... ... 1-3 Pseudoarthrosis inoperable from cubite and radio:

No active infection. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 18-20 With active infection ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20-25

Pseudoarthrosis inoperable from cubto:

No active infection. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 8-10 With active infection ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 10-15

Pseudoarthrosis inoperable radio:

No active infection. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 6-8 With active infection ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 8-12

Luxation radius-distal distal (depending on functional limitation) ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-7 Ischemic Volkmann Rettraction .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. ........... ... 30-35 Post-traumatic arthrosis and/or painful forearm-doll .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. .................. ... 1-5 Material of osteosynthesis .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-4

Hand

Carpo and metacarpo:

Amputation of one hand (at the height of the carp or metacarp):

Unilateral. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 35-40 Bilateral .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .................. ... 65

Pseudoartrosis inoperable of escapoids ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .......... 6 residual syndrome postcotton hand ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. ............ ... 1-5 Material of osteosynthesis .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-3

Description of the Punctuation Sequels

Fingers:

Full first finger amputation:

Unilateral. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 15-20 Bilateral .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... ...................

................

Full amputation of the distal phalanx of the first finger. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 8-10 Full second finger amputation:

Unilateral. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 8-10 Bilateral .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ........................

............. ...

Full amputation of the distal phalanx of the second finger .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-6 Full amputation of middle and distal phalanx of the second finger. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... .. 6-7 full amputation of 3.o, 4. º or 5. finger (for each finger) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... ... ............................................................. o 5. finger (for each finger) .. .. .. .. .. .. .. .. .. .. ... ... .. 3-4 Full amputation of the middle and distal phalanx of 3.o, 4. º or 5. finger (for each finger) ... .. ... .............................................................. joint joints):

In functional position. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 7-10 In non-functional position .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. 10-15

Anquilosis/second finger arthrodesis (including joint of the joints):

In functional position. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 4-5 In non-functional position .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-8

Anquilosis/arthrodesis of 3.o, 4. º or 5. ° finger (including joint of the joints):

In functional position. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 2-4 In non-functional position .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 4-6

Limitation of mobility of metacarpo-phalangics joints:

First finger .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5 Rest fingers (for each finger). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .................

............

Limiting the mobility of the carpo-metacarpiana joint of the first finger. ... .. .. .. .. .. .. ... ......... functional limitation of interphalangic joints:

First finger .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-3 Rest fingers (for each joint) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1

Post-traumatic arthrosis and/or pain in hand ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... .. ... .. ... 1-3

CHAPTER 5: LOWER EXTREMITY AND HIP

Note: the score of one or more sequels corresponding to a joint, member, device, or system (in the case that they are several sequels after using the concurrent incapabilities formula) can never exceed the one that corresponds to the total, anatomical and/or functional loss of this joint, member, apparatus or system.

Dismetries

Lower Extremity's Acoring:

Less than 3 centimeters ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 3-12 3 to 6 centimeters. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 12-24 From 6 to 10 centimeters ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 24-40

Hip

Disjoint/amputation:

Unilateral. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 60-70 Bilateral. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. 90-95

Arylosis/arthrodesis:

In functional position ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 25 In non-functional position ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... ... ...............

.......... ..

Mobility Limitation (possible motion arc will be valued):

Bending (N: 120o):

Moves more than 90o. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5 Mueve more than 45o and less than 90o .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. ... 5-10 Move less than 45o. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. 10-15

Description of the Punctuation Sequels

Extension (N: 20o) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5 abduction (N: 60o):

Moves more than 30o. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-3 Mueve less than 30o. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. 3-6

Driving (N: 20o) ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-3 External rotation (N: 60o):

Moves more than 30o. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-3 Mueve less than 30o. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. 3-6

Internal rotation (N: 30o) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. ... .. ... ... .. ... ... .. ... ... .. ... .. ... ... .. ... 1-3 Chronic septic Osteyarthritis (as per functional limitation). ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... ... .......... ... 20-35 Post-traumatic arthrosis (includes functional limitations and pain) .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... .. 1-10 Inspecific post-traumatic Coxalgia. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. ........ 20-25 Pregravitation of prior arthrosis. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5 Prothesis:

Partial (according to their functional limitations, which are included). .. .. .. .. .. .. .. .. .. .. .. ... ... ... 15-20 Total (according to its functional limitations, which are included). .. .. .. .. .. .. .. .. .. .. .. ... .. .. 20-25

Material of osteosynthesis .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-10

Thigh

Femur Amputation:

Unilateral, at the level of diafisario or knee .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. 50-60 Bilateral, at the level of diafisario or knees .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. ... ... .. 85-90

Inoperable Femur Pseudoarthrosis:

No active infection. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 30 With active infection ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. 40

Consolidations in rotation and/or angulations:

From 1o to 10o. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. ... 5-10

Osteomyelitis chronicle of femur .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. ... .20. .. .. ... ... ... ... .. .. .. .. .. .. .. .. .. .. .. ... ... .. ... .. ... .. ... ... .. ... .. ... .. ... .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. ... ... ....... ... 1-10

Knee

Knee/arthrodesis knee:

In functional position. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20 In a non-functional position .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20-30

Mobility Limitation:

Bending (N: 135o):

Moves more than 90o. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5 Mueve more than 45o and less than 90o .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. ... 5-10 Move less than 45o. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. 10-15

Extension:

Moves less than 10o. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. 4-10 Move over 10o. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-3

Chronic Septic Osteoarthritis (as per functional limitation). ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... ... .......... ... 20-35 Post-traumatic arthrosis (refers to the femoro-tibial and femoro-patellar joints and includes functional limitations and pain). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. 1-10 Inspecific post-traumatic Gonalgia/aggravation of a previous arthrosis .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5 Lligaments Injury:

Lateral ligaments (operated or not) with symptomatology .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-10 crossed ligaments (operated or not) with symptomatology. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. ....................

.. ..

Sequelae of meniscal lesions (operated or not operated) with symptomatology .. .. .. .. .. .. .. .. .. .. .. 1-5

Description of the Punctuation Sequels

Knee prosthesis:

Partial (including functional limitations) ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 15-20 Total knee (including functional limitations). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. 20-25

Material of osteosynthesis ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5

Rotula:

Removing the kneecap (patelectomy):

Partial (partial patelectomy) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ..................

..

Recidivant Luxation inoperable. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ......................................... ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. ... 1-3

Leg

Amputation:

Unilateral amputation. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. 55-60 Bilateral Amputation ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 80-85

Inoperable Tibia Pseudoarthrosis:

Without infection .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 25 With active infection. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 30

Consolidations in rotation and/or angulations:

From 1o to 10o .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5 More than 10o. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .................... ... 5-10

Osteomyelitis of tibia. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... .20. .. .. ... ... ... ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .......... ... 1-6

Ankle

Amputation at the tibio-tarsian or tarso level:

Unilateral. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 30-40 Bilateral. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. 60-70

Anylosis/artrodesis tibio-tarsiana:

In functional position ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 12 In non-functional position ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. ... ... ........ ... ... ... .. 12-20

Limitation of mobility (will be assessed according to the arc of the movement possible):

Bending plantar (N: 45o) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. 1-7 Dorsal Flexion (N: 25o) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ...................... ... 1-5

Instability of the ankle with ligamentous injury ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. ... ... .. ... ... ....... ... 1-7 Postcotton residual syndrome of ankle/foot. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-10 post-traumatic arthrosis (includes functional limitations and pain). .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-8 Agravation of a prior arthrosis. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5 Material of osteosynthesis ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-3

Pie

Metatarsal Amputation and Tatar:

Unilateral. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 15-30 Bilateral. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 30-60

Triple arthrodesis/ankylosis .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 10 Ankylosis/artrodesis subastragalin. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. 5-8 Limitation of mobility:

Investment (N: 30o). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-3 abduction (N: 25o). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-3 Driving (N: 15o). ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-3

Posttraumatic arthrosis subastragalin .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5 Talalgia/metatarsalgia inspecific ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. ..................

. ..

Description of the Punctuation Sequels

Pseudoarthrosis astragalus inoperable .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... .. ... .. ... .. ... .. ... .. ... .. ... .. ... .. .. 10-15 Post-traumatic Deformities of the foot (valgo, varo, etc.). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. 1-10 Material of osteosynthesis ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-3

Fingers:

Amputation first finger ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 10 Amputation of other fingers (for each finger) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .................................... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. ... 3 Amputation second and third phalanx of the rest of the fingers (for each finger). ... .. .. .. .. .. .. .. .. 1 functional limitation of metatarso-phalangica joint:

First finger .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 2 Rest of the fingers. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..................

.............. ..

Material of osteosynthesis ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1

CHAPTER 6: SPINAL CORD AND CRANIAL PAIRS

Spinal Cord

Tetraplegia:

Above C4 (no mobility. Subject to automatic respirator ... .. .. .. .. .. .. .. .. ... 100 Tetraplegia C5-C6 (capular waist mobility) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ........................................ 95 ... Use senior members. Possible the sedstation). ... .. .. .. .. .. ... .. 90

Tetraparesia:

Mild (depending on whether or not it has an interest) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ...................................................... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... ... ... ....... ... 60-70 Grave (depending on whether or not of interest) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ............................

........

Paraplegia:

Paraplegia D1-D5. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .......................................... ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... .... ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. ... ..............

..

L2-L5 transverse medullary syndrome (the march is possible with devices, but always having the seat of the wheelchair) ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... 75 Medullar Hemissection Syndrome (Brown-Sequard):

Mild ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20-30 Moderate. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 30-50 Grave .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 50-70

Horse Queue Syndrome:

Full syndrome (includes motor, sensory and interest disorders) .. .. .. .. .. .. .. .. .. .. .. ..................... ... 50-55 Incomplete syndrome (including possible motor, sensory and interest disorders):

High (levels L1, L2, L3) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 35-45 Medium (below L4 to S2). ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 25-35 Low (below S2) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. ...... 15-20

Top member Monoparesia:

Mild ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 15-18 Moderate. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 18-21 Grave .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ...... .. ... ... ...... ... ... ..

.... ... ... ....... ... .. ..

Lower member Monoparesia:

Mild ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .15 Moderate. .. .. ................................. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 25 Serious .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 30

Top or bottom member Parapesesia:

Mild ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 30-40 Moderate. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 50-55 Grave .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. 60-65

Paresia of some muscle group .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. ... ... .. ... ... .. ... .. ... .. ... .. ... .. .. 5-25 Monoplegia of a lower or upper member .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 40-60

Description of the Punctuation Sequels

Cranial Nerves

I. Olfactory nerve (see chapter 1).

II. Optic nerve (by visual defect).

III. Common Eye Engine:

Complete Paralysis (diplopia, paralytic midriasis that forces occlusion, ptosis) ... .. .. .. .. .. ... 25 Paresia (rate diplopia).

IV. Internal or pathetic eye motor:

Complete Paralysis: Diplopia of lower fields .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 10 Paresia (rate per diplopia).

V. Trigeminal nerve:

Intermittent pain. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. 2-12 continuous Dolores. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... .. 15-30 Sub-orbital Paralysis. Hiccups/Ophthalmic Anesthesia. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. 5-10 Lower Paralysis. Hiccups/anesthesia maxillary branch ... ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. 5-10 Language Parsis. Hypo/anesthesia branch-mandibular. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-10

VI. External Eye Engine:

Complete Paralysis. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ............... 5 paresis (according to diplopia).

VII. Facial nerve:

Trunk:

Paralysis. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. ......................

.

Branches:

Paralysis. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. ................ ... 2-5

Hypo/anesthesia of two-thirds of the previous language. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. 2-5

VIII. Auditory nerve (see chapter 1).

IX. Glosofaryngeal nerve:

Paralysis (according to functional disorder) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-10 Paresia (according to functional disorder). ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ...... .. 10-15

X. Pneumogastric or vague nerve paralysis:

Mild ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5 Moderate. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-15 Grave (value according to functional disorder) ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. ... ... ......... .. ....... .. .. 15-25

XI. Spinal nerve. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... .................................. Hypoglous nerve. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-10

Paralysis:

Unilateral paralysis .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 7-10 Bilateral Paralysis. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. 20

Paresia ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-7

CHAPTER 7: PERIPHERAL NERVOUS SYSTEM

Top Members

Paralysis:

Circumflex nerve .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. ... ... ... ... ... ... ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .10-12 Nervio subscapular. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 6-10

Median nerve:

At arm level. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... 30-35 At the level of the forearm-doll .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... 10-15

Description of the Punctuation Sequels

Cubital nerve:

At arm level. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... 25-30 At the level of the forearm-doll .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... 10-15

Radial nerve:

At arm level. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... 25-30 At the level of the forearm-doll .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... 20-25

Brachial plexus, C5-C6 roots. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... ... ... ... ... ... ............................................. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. 30-45

Paresias:

Circumflex nerve .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. 2-8 Nervio cutaneous muscle ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. 2-10 Nervio subscapular. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 2-5 Nervio medium .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. ... .. .. .. .. .. ... .. ... ... .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 12-15

Paresthesia:

From parts acras .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-5

Lower Members

Note: Common usage acceptations in Spanish are indicated in parentheses.

Paralysis:

Femoral Nerve (crural nerve). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 25 Nervio shutter. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 4 Nervius upper gluteus. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 4 Lower gluteus nerve ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 6 Sciatic nerve (common sciatic nerve). ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 40

Common peroneum nerve (outer popliteal sciatic nerve). ... .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. ... .........

.......

Superficial peroneum nerve (cutaneous muscle nerve) .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. 3 Nervio deep peroneo (anterior tibial nerve) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. ... 8

Tibial nerve (inner popliteal sciatic nerve) ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 22

Paresias:

Femoral Nerve (crural nerve). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. 6-12 Nervio shutter. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 2-3 Nervio gluteo superior. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-2 Nervio bottom gluteus ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 2-3 sciatic nerve (common sciatic nerve). ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... ... ..................

...... ..

Common peroneum nerve (outer propliteal sciatic nerve) ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. 7-12

Superficial peroneum nerve (cutaneous muscle nerve) .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1 Nervio deep peroneo (anterior tibial nerve) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. ... 2-4

Tibial nerve (inner popliteal sciatic nerve) ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5-8

Neuralgies:

Of the sciatic nerve .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 10-30 Of femoral nerve. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ........................ ... 5-15

Paresthesia:

From parts acras .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-3

CHAPTER 8: ENDOCRINE DISORDERS

It will be assessed according to the therapeutic needs and the possible long-term complications.

Previous pituitaria-hypothalamic hypothalamic (TSH and ACTH deficit) ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. 10-20 Neuropitisis injuries (diabetes insipidus) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. ........... ... 15-30

Description of the Punctuation Sequels

SPECIAL CHAPTER: AESTHETIC DAMAGE

Light .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1-6 Moderate. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... Pretty important. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. ........... ... 31-50

Rules of use.

1. Aesthetic damage consists of any pejorative modification that affects the image of the person; it constitutes a diverse dimension of the physiological damage that serves as a substrate; it refers to both its static and dynamic expression.

2. The physiological damage and the aesthetic damage are different harmful concepts. Where a permanent impairment of health implies, in turn, the existence of aesthetic damage, the score corresponding to one and the other must be set separately, without the weight of the physical consequence being assigned to the physiological sequel. Anti-aesthetic impact.

3. The physiological damage and the aesthetic damage must be assessed separately and, awarded the total score corresponding to each, the assessment to be carried out in accordance with Table III shall be carried out separately. amounts obtained for the purpose of integrating the amount of the basic allowance for permanent injuries.

4. The score awarded to the aesthetic damage is the expression of a percentage of permanent impairment of the aesthetic patrimony of the person. 50 points correspond to a percentage of 100 percent.

5. The aesthetic injury score must be carried out by the weighting of their joint significance, without it being possible to attribute to each of their components a certain partial score.

6. The aesthetic damage is the existing one at the time of the production of the injured (lesional stabilization) healing, and it is compatible with the cost of the plastic surgery interventions for its correction. The impossibility of correction is a factor which intensifies the importance of injury.

7. The most important aesthetic damage is to the detriment of enormous gravity, such as the one that produces the great burns, the great losses of substance and the great alterations of the facial or corporal morphology.

8. Neither the age nor the sex of the injured person shall be taken into account as parameters for measuring the intensity of the aesthetic damage.

9. The score awarded to the aesthetic injury does not include the weighting of the incidence which it has on the activities of the injured (professional and non-professional), whose specific injury is to be assessed through the correction of permanent incapacity.

Article 4. Amendment of the Legal Statute of the Insurance Compensation Consortium, contained in the fourth article of Law 21/1990 of 19 December, to adapt Spanish law to Directive 88 /357/EEC on the freedom of services in different insurance the life and updating of private insurance legislation.

One. A new paragraph is added immediately after the first paragraph of Article 6.1 of the Legal Statute of the Insurance Compensation Consortium, with the following wording:

" By way of derogation from the foregoing paragraph, personal damages arising from extraordinary events occurring abroad shall be indemnified by the Insurance Compensation Consortium when the holder of the The policy is your usual residence in Spain. "

Two. The second paragraph of Article 23.4 of the Legal Statute of the Insurance Compensation Consortium is amended, with the following wording:

" All insurance contracts that are held on risks located in Spain, other than life insurance and export credit insurance or with state support, are subject to this surcharge. No insurance plans shall be subject to the surcharge, whatever the contingency or contingencies they cover. '

Additional disposition first. Rate by issue of the diploma of insurance mediator entitled.

1. The rate per issue of the diploma of insurance mediator entitled shall be governed by this law and by the other normative sources which for the fees are laid down in Article 9 of Law 8/1989, of April 13, of Public Fees and Prices.

2. It is the taxable fact of the fee to formalise the file and to issue the diploma of insurance mediator entitled.

3. The fee shall be payable when the application initiating the file is submitted, the diploma not being expired until the payment has been made.

4. Persons applying for the initiation of the file shall be liable for the fee.

5. The amount of the fee shall be EUR 24,04.

6. The amount of the fee may be collected by means of self-validation, in the form and time limits to be determined.

7. The administration, liquidation and voluntary collection of the fee corresponds to the General Directorate of Insurance and Pension Funds.

The collection in executive period corresponds to the State Tax Administration Agency, in accordance with the current legislation.

8. The General Budget Law of the State of each year may update the amount of the fee.

Additional provision second. Fractionation of the surcharge intended to finance the liquidation functions of insurance entities by the Insurance Compensation Consortium.

The choice by the insurer of the option to split the surcharge intended to finance the liquidation functions of insurance institutions together with the premiums will entail the obligations laid down in the Article 18 (2) of the Legal Statute of the Insurance Compensation Consortium, in accordance with the wording given to it by the third paragraph of Article 11 (3) of Law 44/2002 of 22 November of the System Reform Measures Financial.

The calculation of interest by fractionation shall be carried out for each of the classes or risks in which this option has been chosen and shall be declared and settled together with the recharges broken down in the model itself and in the the same period to which the surcharges correspond.

The types of fractionation to be applied, based on calculation of the surcharge to be declared corresponding to the entire premium, excluding other surcharges and taxes, will be:

For premium fractionation with half-yearly maturities, 2 percent.

For premium fractionation with quarterly maturities, 2.5 percent.

For premium fractionation with bimonthly maturities, 3 percent.

For premium fractionation with monthly maturities, 3.5 percent.

The interests by fractionation will have to all effects the same nature as the mandatory surcharge to which they correspond.

First transient disposition. Transitional arrangements for the amendments introduced by Law No 30/1995 of 8 November 1995 on the management and supervision of private insurance, in the case of measures for the reorganisation and liquidation of insurance undertakings.

The amendments introduced in Law 30/1995 of 8 November on the management and supervision of private insurance, in the area of measures for the reorganisation and liquidation of insurance institutions, will apply to the measures and procedures adopted or initiated after their entry into force.

The reorganisation measures and winding-up procedures of insurance entities, adopted or initiated, respectively, prior to the entry into force of the amendments introduced by this law, will be governed by the provisions which would be applicable to them at the time of their adoption or opening.

Second transient disposition. Adaptation of the insurance companies to the new requirements of the guarantee fund introduced in Law 30/1995 of 8 November of the management and supervision of private insurance.

As of 31 December 2006, the insurance companies must have adapted to the new requirements of the guarantee fund provided for in Article 18 of Law 30/1995 of 8 November, for the management and supervision of insurance companies. private, according to the wording given by this law. The adaptation shall be carried out linearly or by another systematic criterion agreed by the entity with irreversible character, communicated to the General Directorate of Insurance and Pension Funds within one year of the entry into force of this law.

The entities that foresee not being able to meet the new solvency requirements on the date indicated must submit, by that date, for approval by the General Directorate of Insurance and Pension Funds, according to the provisions of Article 39 of the Law on the Management and Supervision of Private Insurance, a plan setting out the measures to be taken, indicating the conditions and the time limit, which may not exceed two years, in order to achieve the case, the new solvency requirements.

Social security funds which do not operate by insurance classes shall have a maximum period of 10 years in order to achieve the amount of financial guarantees as set out in Article 67 (2) of the Law. 30/1995, dated 8 November, for the management and supervision of private insurance, in accordance with the wording given by this law. To this end, an adaptation plan must be submitted within one year of the entry into force of this law in order to lay down the measures to be taken which will determine the amounts to be set up for each financial year and the sources of financing for to cover the differences arising from the new requirements, in a linear manner or through another systematic criterion agreed by the institution.

Transitional provision third. Transitional arrangements for the consideration of the valuation of real estate by insurance companies for the services of the Directorate-General for Insurance and Pension Funds.

The consideration for the valuation of real estate by insurance entities for the services of the General Directorate of Insurance and Pension Funds will continue to be required under the provisions of the Order of the Ministry of Hacienda of 9 May 1957 until at the order of the Minister for Economic Affairs it is established its new regulation appropriate to its nature of public price, in accordance with the provisions of Title III of Law 8/1989, of 13 April, of Rates and Public Prices.

Single repeal provision. Regulatory repeal.

The provisions of this law are repealed as many provisions.

In particular, they are repealed:

(a) Article 32 of Law 9/1992, of 30 April, of mediation in private insurance.

(b) The transitional provision, sixth, of the Regulation on the management and supervision of private insurance, approved by Royal Decree 2486/1998 of 20 November 1998 relating to credit insurance.

(c) The Order of the Ministry of Finance of 9 May 1957, for which the Real Estate Assessment Service is reorganised directly to cover the legal reserves of insurance, savings and insurance institutions. In the case of the Bank's interest in the Bank's interest in the capital, the Bank will not be able to provide any additional capital to the Bank, as well as to the Bank's own funds. transitional third.

Final disposition first. Legislative delegation to the Government for the approval of the recast texts of the Law on Civil and Safe Liability in the Movement of Motor Vehicles and the Legal Statute of the Insurance Compensation Consortium, and the extension of the deadline for the drafting of the recast of the Law on the Management and Supervision of Private Insurance.

The Government is hereby authorized to, within one year of the entry into force of this law, prepare and approve a recast text of the Legal Statute of the Insurance Compensation Consortium, contained in Article 4 of the Law 21/1990 of 19 December 1990 to adapt Spanish law to Directive 88 /357/EEC on the freedom of services in insurance other than life and the updating of private insurance legislation, as well as a new recast text of the Law on civil and insurance liability in the movement of motor vehicles replacing the current one approved by Decree 632/1968 of 21 March.

Both recast texts will include modifications made by subsequent laws in the initial text of the above rules.

The delegation includes the power to regularize, clarify and harmonize the legal texts to be recast.

The authorization to the Government for the elaboration of a recast text of the Law on the ordination and supervision of private insurance, in accordance with the fourth paragraph, first paragraph, of Law 44/2002, of 22 November, Measures of Reform of the Financial System, will include the incorporation of the modifications contained in this law, as well as those that are derived from the provisions of the Law of the Bankruptcy provided in the final decision of the Law 1/2000, of 7 of January, on Civil Procedure. The period of one year laid down in the fourth final provision of Law 44/2002 shall be computed from the entry into force of this law.

Final disposition second. Enabling for regulatory development.

The government is empowered, in the field of its powers, to develop the provisions of this law.

Final disposition third. Entry into force.

This Law shall enter into force on the day following that of its publication in the "Official Gazette of the State", without prejudice to the following:

(a) The amendments introduced in Law 30/1995 of 8 November of the management and supervision of private insurance, in the area of measures for the reorganisation and liquidation of insurance institutions, will enter into force on 19 December. April 2003.

(b) The amendments introduced in Law 30/1995 of 8 November 1995 on the management and supervision of private insurance in the area of solvency of insurance institutions shall enter into force on 1 January 2004.

c) The types of the fractionation surcharge referred to in the second provision of this law shall enter into force within three months of their publication in the "Official State Gazette".

Therefore, I command all Spaniards, individuals and authorities, to keep and keep this law.

Madrid, 4 November 2003.

JOHN CARLOS R.

The President of the Government,

JOSÉ MARÍA AZNAR LÓPEZ