Safety Knights

All depends on what state you're in. In Kentucky, avulsions such as de-glovings are not considered amputations from the KY OSHA standpoint (we're a state plan). Kentucky OSHA requires bone loss to be considered an amputation. So the PLHCP may classify a degloving as an amputation, but KY OSHA wouldn't.

I was as much a HR W/C guy as H&S. I work in a Fed OSHA State. In my state, a doctor (MD or DO) calls it an amputation, it is an amputation. In my state for WC only a MD, DO, DC, DPM, can call an injury or illness a "work-related" condition. However WC is not OSHA, and OSHA is not WC. As Drew says OSHA uses the term "PLHCP". Till I met Drew I have never heard of "degloving". I learned about the term "avulsion" from a Occ Certified DO. She taught me that the difference is #1 no bone loss, #2 maybe some tissue loss, but such that it will grow back or back together like a split finger. However, if there is permanent loss, it is an amputation. She told me in that case there was no sense even asking a doctor to change an amputation to an avulsion because they will not go there.
So if there is no bone loss I ALWAYS called the doctor and asked to consider a diagnosis of an avulsion. In the 46 years I have made all too many calls. I would take a SWAG and tell you I have been successful about 20% of the time. Most of that time was before OSHA had to be called on amputations.