What you have to prove
Show: (1) solid union not evident on imaging and not clinically solid, AND (2) an inability to ambulate effectively that has lasted or is expected to last at least 12 months from the date of the fracture.
Medical evidence SSA expects
Serial X-rays or CT imaging showing nonunion, orthopedic surgeon notes, external fixator records, and assistive device prescriptions.
Common misconceptions
Temporary reliance on crutches doesn't count — SSA wants documented inability to ambulate effectively for 12+ months. Most properly treated fractures heal within that window.
Didn't meet the listing? You can still qualify via a Medical-Vocational
Allowance — SSA's determination that your residual functional capacity, combined with
your age, education, and work history, leaves no jobs you can do. See our
appeals guide for what to do after an initial denial.