What you have to prove
Show pathologic fractures occurring on three separate occasions within a 12-month period, resulting in an inability to ambulate effectively or to perform fine/gross movements of the upper extremities.
Medical evidence SSA expects
X-rays or other imaging documenting each fracture, medical records identifying the underlying cause (osteoporosis, metastatic disease, Paget's, etc.), and orthopedic treatment notes.
Common misconceptions
A single fracture — even a serious one — doesn't meet this listing. Three documented fractures within 12 months is the bar, and each must be from minimal trauma or spontaneous.
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.