BVA decisions by condition

Bone malunion or nonunion: BVA grant rates and what wins

From 2018 to 2026, the Board of Veterans' Appeals decided a bone malunion or nonunion issue in 575 decisions. It granted the bone malunion or nonunion issue in 16.5% of them, below the 19.9% grant rate for all conditions, denied it in 35.1%, and remanded it in 48.2%. Counting only decisions on the merits (granted or denied), 32.0% were granted.

Decisions

575

2018–2026

Granted

16.5%

All conditions: 19.9%

Granted on the merits

32.0%

Granted ÷ (granted + denied)

Remanded

48.2%

Denied: 35.1%

Bone malunion or nonunion outcomes by year

YearDecisionsGrantedDeniedRemanded
2018
88
14.8%43.2%42.0%
2019
79
12.7%46.8%39.2%
2020
68
25.0%44.1%30.9%
2021
64
10.9%23.4%65.6%
2022
65
16.9%23.1%61.5%
2023
66
13.6%30.3%57.6%
2024
68
20.6%22.1%57.4%
2025
51
13.7%49.0%37.3%

Evidence in granted and denied bone malunion or nonunion decisions

For each kind of supporting evidence: how often the Board granted the bone malunion or nonunion issue on the merits when the decision mentioned it, compared with decisions that did not. These are associations, not causes, and evidence is recorded per decision, not per issue.

In the recordDecisionsGranted when presentWhen absentDifference
Positive nexus opinion7558.1%25.1%+33.0 pts
Private medical opinion15745.7%25.6%+20.1 pts
Claimed as secondary6450.0%30.0%+20.0 pts
Combat service5446.7%30.3%+16.3 pts
Favorable VA exam6844.6%29.0%+15.6 pts
Lay statement44431.7%33.3%−1.7 pts
  • The Board applied the benefit-of-the-doubt rule (38 CFR 3.102) in 70.5% of the decisions that granted bone malunion or nonunion.
  • The Board found the veteran's statements credible in 30.5% of grants and 11.9% of denials.

Negative evidence in the record

An unfavorable exam or a negative nexus opinion often sits in the same record as favorable evidence, and the Board weighs them against each other. So these rows show how often bone malunion or nonunion was still granted when the record contained the negative item, not that the item helped.

In the recordDecisionsGranted when presentWhen absentDifference
Negative nexus opinion24931.3%32.7%−1.4 pts
Unfavorable VA exam39529.1%40.5%−11.4 pts

Why the Board granted or denied bone malunion or nonunion

Most common reasons in grants

  1. Current diagnosis established14
  2. Caused by the service-connected disability6
  3. Service connection established3
  4. Criteria for 30% rating met2
  5. Criteria for 10 percent rating met2
  6. Unavailable service treatment records2
  7. Veteran's reports of discrepancy and pain are competent and credible2
  8. Criteria for service connection met2

Most common reasons in denials

  1. No current diagnosis19
  2. Preponderance of the evidence against the claim14
  3. Service records negative or silent14
  4. VA examiner: less likely than not related to service12
  5. No in-service complaints, treatment or diagnosis11
  6. Current diagnosis established8
  7. Criteria for service connection not met5
  8. Already at the maximum schedular rating5

Numbers are decisions that gave the reason. Reasons are short phrases extracted by AI from each decision; common wordings of the same reason are grouped. Benefit of the doubt is reported above.

Recent bone malunion or nonunion decisions

Granted

Citation Nr. A26024577Jonathan Hager · 2026

Favorable finding of current disability (pain) by AOJ; Credible lay testimony regarding in-service genesis and continuity of symptoms; Inadequate VA opinion failing to consider lay evidence and pain as disability

Citation Nr. A26019881Frederic P. Gallun · 2026

Evidence supports moderately severe muscle disability under DC 5303; Presence of metallic foreign bodies and objective findings of weakness and tenderness; Functional limitations impacting work requirements and daily activities

Citation Nr. A26020103Michael A. Pappas · 2026

Competent, credible lay testimony of shin splints during service and continuity post-service.; RO accepted in-service diagnosis of bilateral shin splints.; Benefit of the doubt applied due to approximate balance of evidence.

Denied

Citation Nr. 26004631C. Crawford · 2026

Injury not incurred in line of duty; Willful misconduct found; Reckless handling of firearm; Alcohol influence noted; Contemporaneous evidence supports misconduct

Citation Nr. A26027499Ray Barto Slabbekorn, Jr. · 2026

No objective medical evidence of diagnosis; No evidence of treatment for the condition; Lack of evidence for the first element of service connection

Citation Nr. A26018676Steven D. Reiss · 2026

Failure to report for necessary VA examination; Criteria for rating in excess of 30 percent not met; No evidence of complete ligament tear or patellar instability

Rules that apply to bone malunion or nonunion claims

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How these numbers are calculated

  • Rates count decisions in which the Board decided a bone malunion or nonunion issue, by the outcome of that issue. Other issues in the same decision can have different outcomes.
  • “Granted on the merits” leaves out remands and dismissals. “All conditions” is the grant share across every condition issue in the data.
  • The data comes from CaseScribe's AI extraction of public BVA decisions (2018–2026) and can contain errors. It is updated automatically as new decisions are added.