Listing 1.22
Non-healing or complex fracture of the femur, tibia, pelvis, or one or more of the talocrural bones
This listing covers fractures of the thigh bone (femur), shin bone (tibia), pelvis, or ankle-area (talocrural) bones that either won't heal (nonunion) or are complex (badly shattered, with bone loss, soft tissue damage, cartilage damage, or joint dislocation).
Read the full plain-language explanation
SSA needs three things: (A) imaging and clinical evidence that the bone has not solidly healed; (B) a physical limitation lasting at least 12 months; and (C) a documented medical need for a walker, two canes, two crutches, or a two-handed wheelchair. A nonunion is usually established when at least 9 months have passed since the injury and the fracture has shown no or minimal healing for at least 3 months.
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What Listing 1.22 asks for
What SSA looks for — see the 3 items
We will check your records against each of these. Every item comes straight from SSA's own listing.
- Imaging (like x-rays) must show the fracture has not solidly healed, AND a doctor's exam must confirm it is not clinically solid.
- Both parts are needed, along with criteria B and C.
Read the original wording
Imaging (like x-rays) must show the fracture has not solidly healed, AND a doctor's exam must confirm it is not clinically solid. Both parts are needed, along with criteria B and C.
(Listing 1.22, criterion A)
The limitation on your physical functioning must last, or be expected to last, at least 12 months in a row.
(Listing 1.22, criterion B)
A medical source must document that you need a walker, two canes, two crutches, or a wheelchair that takes both hands. A single cane is not enough for this listing.
(Listing 1.22, criterion C)
How long it must last:
- The impairment-related physical limitation must have lasted, or be expected to last, for a continuous period of at least 12 months.
- All criteria (A, B, and C) must appear in the medical record simultaneously or within a close proximity of time (a consecutive 4-month period, or 12 months for claims decided during the pandemic/post-pandemic evaluation periods).
Read the original wording
The impairment-related physical limitation must have lasted, or be expected to last, for a continuous period of at least 12 months. All criteria (A, B, and C) must appear in the medical record simultaneously or within a close proximity of time (a consecutive 4-month period, or 12 months for claims decided during the pandemic/post-pandemic evaluation periods).