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Lower Extremity Chapter 17 — The Lower Extremities

Thigh/Femur QME Evaluation Guide

Thigh and femoral injuries in workers' compensation include femoral shaft fractures, quadriceps and hamstring tears, and heterotopic ossification, typically from high-energy trauma such as falls from height and motor vehicle accidents. Evaluations assess bony healing, muscle atrophy, limb length discrepancy, and gait impairment.

Updated March 2026

3-20% LE (1-8% WPI)

Typical Impairment

$2,000-$3,500

QME Fee Range

#20

Frequency Rank

Evaluation Methods

  • ROM (Range of Motion)
  • Leg length measurement
  • Circumferential atrophy measurement
  • Gait analysis
  • Strength testing

Common Conditions

Specialties That Evaluate This Region

Related Body Parts

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Frequently Asked Questions

How is the thigh/femur evaluated in a QME examination?

A QME evaluation of the thigh/femur follows the Chapter 17 — The Lower Extremities of the AMA Guides 5th Edition. Common evaluation methods include ROM (Range of Motion), Leg length measurement, Circumferential atrophy measurement. The physician assesses objective findings, reviews medical records, and determines permanent impairment using standardized criteria.

What impairment rating can I expect for a thigh/femur injury?

Typical whole person impairment ratings for thigh/femur injuries in California workers' compensation range from 3-20% LE (1-8% WPI). The exact rating depends on objective findings, diagnosis severity, treatment history, and whether the DRE or ROM method is used.

What does a QME evaluation cost for thigh/femur injuries?

QME evaluation fees for thigh/femur injuries in California typically range from $2,000-$3,500 (2026 OMFS rates). Fees are set by the Division of Workers' Compensation fee schedule and may vary based on case complexity and whether supplemental reports are needed.

What conditions commonly affect the thigh/femur?

Common workers' compensation conditions involving the thigh/femur include S72.301A, S76.101A, S76.011A. These conditions are typically evaluated by Orthopedic Surgery or Physical Medicine & Rehabilitation physicians.