Citation Nr: 18158935
Decision Date: 12/19/18	Archive Date: 12/18/18

DOCKET NO. 16-38 981
DATE:	December 19, 2018
REMANDED
The issue of an increased rating for left elbow fracture is remanded.
The issue of an increased rating for left elbow impaired supination and pronation is remanded.
REASONS FOR REMAND
The matters are REMANDED for the following action:
1. Request that the Veteran provide the names and addresses of all health care providers who provided treatment for his left elbow fracture and left elbow impaired supination and pronation disabilities. After acquiring this information and obtaining any necessary authorization, obtain and associate any pertinent records with the claims file or e-folder. 
2. After all available records have been associated with the claims file and/or e-folder, schedule the Veteran for a VA examination to determine the extent of the Veteran’s current left elbow fracture and left elbow impaired supination and pronation disabilities. The Veteran’s claims file, to include a copy of this Remand, should be made available to and reviewed by the examiner. The examination report should reflect that such review was accomplished.
(a.) As noted above, the examiner should review the record in conjunction with rendering the requested opinion; however, his/her attention is drawn to the following:
(b.) In an August 2018 Board hearing with the undersigned, the Veteran stated that both of his conditions have worsened since his last examination, which was conducted in April 2016. 
(c.) The examiner must take a detailed history from the Veteran. If there is any clinical or medical basis for corroborating or discounting the credibility of the history provided by the Veteran, the examiner must so state, with a complete explanation in support of such a finding. 
(d.) If the examiner determines the Veteran’s left elbow fracture and left elbow impaired supination and pronation disabilities have worsened, the examiner must provide an opinion and state with particularity to what degree the disabilities have worsened. The examiner must provide a complete explanation for his or her opinion(s), based on his or her clinical experience, medical expertise, and established principles. 

3. Thereafter, and after undertaking any additional development deemed necessary, readjudicate the issues on appeal. If the benefit sought on appeal remains denied, the Veteran and his representative must be provided with a Supplemental Statement of the Case (SSOC) and be afforded reasonable opportunity to respond. The case should then be returned to the Board for further appellate review, if otherwise in order.
 
Vito A. Clementi 
Veterans Law Judge
Board of Veterans’ Appeals
ATTORNEY FOR THE BOARD	T. T. Emmart, Associate Counsel