A permanent hand injury involving curling and restricted movement of two fingers, intermittent (not constant) pain, no medical treatment for over a decade, minimal impact on recreational activities, and full capacity for self-care does not meet the 'at least very considerable' threshold for serious injury under s 134AB(38)(c) of the Accident Compensation Act 1985. The comparative exercise under s 134AB(38)(c) requires comparison with the full range of possible physical impairments including brain, spine and large joint injuries, not merely other hand injuries.
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