Listing 1.23
Non-healing or complex fracture of an upper extremity
This listing covers fractures of the arm bones — the humerus (upper arm), radius, or ulna (forearm) — that either won't heal (nonunion) or are complex (badly shattered, with bone loss, soft tissue damage, cartilage damage, or joint dislocation), and that are still under ongoing surgical care.
Read the full plain-language explanation
SSA needs two things: (A) a nonunion or complex fracture of the shaft of one of these bones under continuing surgical management aimed at restoring use of the arm; and (B) medical documentation that you can't use the arm for work tasks involving fine and gross movements, lasting or expected to last at least 12 months.
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What Listing 1.23 asks for
What SSA looks for — see the 2 items
We will check your records against each of these. Every item comes straight from SSA's own listing.
- You must have a non-healing or complex fracture of the shaft of your upper arm or forearm bone, and you must still be under ongoing surgical treatment aimed at restoring the use of your arm.
- A and B are both required.
Read the original wording
You must have a non-healing or complex fracture of the shaft of your upper arm or forearm bone, and you must still be under ongoing surgical treatment aimed at restoring the use of your arm. A and B are both required.
(Listing 1.23, criterion A)
A medical source must document that you can't use the arm for work-type tasks — fine movements like picking, pinching, and fingering, and gross movements like gripping, holding, reaching, lifting, and carrying — and this must last or be expected to last at least 12 months.
(Listing 1.23, criterion B)
How long it must last:
- The inability to perform work-related fine and gross movements must have lasted, or be expected to last, for a continuous period of at least 12 months.
- All criteria (A and B) 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 inability to perform work-related fine and gross movements must have lasted, or be expected to last, for a continuous period of at least 12 months. All criteria (A and B) 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).