ConditionsMusculoskeletal DisordersNon-Healing or Complex Fracture of an Upper Extremity
Blue Book Listing 1.23

Non-Healing or Complex Fracture of an Upper Extremity

Major arm fracture that hasn't healed within expected time.

What you have to prove

Show: (1) nonunion or complex fracture of the shoulder girdle, humerus, radius, or ulna with medical documentation, AND (2) an inability to perform fine and gross movements effectively that has lasted or is expected to last at least 12 consecutive months.

Medical evidence SSA expects

Serial X-rays, orthopedic evaluations, occupational therapy assessments, and physical examination findings of range of motion and strength.

Common misconceptions

The duration requirement (12+ months) is the sticking point for most fractures, which normally heal in 3-6 months.

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.