Regarding the diagnosis of clavicular dysfunction?
Dear Vice Dean Li,
1.
Regarding the standards for labor insurance disability benefits / trunk / other trunk bone deformities, specifically for significant deformities of the clavicle, sternum, ribs, scapula, or pelvic bones.
The term "significant deformity of the clavicle, sternum, ribs, scapula, or pelvic bones" refers to a noticeable deformity due to fractures (including defects) that can be observed externally after removing clothing.
Deformities that can only be detected through X-ray diagnosis are not included in the criteria.
2.
Diagnostic evidence: The clavicle is functioning normally.
Externally, the medial aspect of the clavicle appears prominent, while the lateral aspect shows mild depression.
May I ask if there is a difference in professional medical opinion between the two?
I would appreciate it if you could take the time to clarify this matter.
Thank you.
Liu Xiansheng, 40~49 year old female. Ask Date: 2018/05/25
Dr. Li Yongheng reply Orthopedics
Hello, based on the diagnosis stating that "the clavicle functions normally, with a noticeable bulge on the inner side and a slight depression on the outer side," it does not meet the definition of "an obvious deformity that can be observed externally due to a fracture (including defects) after the clothing is removed." Of course, this is merely a literal inference, and actual assessment should be based on a direct examination.
Thank you for your inquiry.
Reply Date: 2018/05/25
More Info
Understanding the standards for disability diagnosis related to the clavicle in orthopedics is crucial for both patients and healthcare providers. The criteria for assessing disability due to clavicle deformities, as outlined in labor insurance regulations, focus on the visible and functional implications of such deformities.
1. Definition of Significant Deformity: The term "significant deformity" refers to a condition that is visibly apparent upon physical examination, particularly when the patient is undressed. This means that any deformity resulting from fractures or other injuries must be observable externally. For instance, if a patient has a clavicle fracture that has healed improperly, leading to a noticeable bump or irregularity in the bone structure, this could qualify as a significant deformity. However, deformities that can only be detected through X-ray imaging, such as minor misalignments or internal changes, do not meet the criteria for significant deformity as per the standards.
2. Functional Assessment: The assessment of clavicle function is also a critical component of the disability evaluation. A clavicle that appears normal in function but has visible deformities may still be considered for disability benefits. In your case, the report indicates that the clavicle functions normally despite the presence of a visible bump on the inner side and a slight indentation on the outer side. This suggests that while there may be an aesthetic concern, the clavicle's functionality remains intact.
3. Medical Perspective: From a professional medical standpoint, the distinction between visible deformities and those detectable only through imaging is significant. Clinicians often rely on both physical examinations and imaging studies to assess the extent of an injury and its impact on a patient's quality of life. In the case of clavicle deformities, the focus is not only on the physical appearance but also on how these deformities affect the patient's daily activities, range of motion, and overall shoulder function.
4. Implications for Disability Claims: When it comes to filing for disability benefits, it is essential to provide comprehensive documentation that includes both clinical findings and functional assessments. If a patient presents with a significant deformity that is visible and affects their daily activities, they may have a stronger case for disability benefits. Conversely, if the deformity is minor and does not impact function, the claim may be less likely to be approved.
5. Recommendations for Patients: For patients seeking to understand their eligibility for disability benefits related to clavicle deformities, it is advisable to consult with an orthopedic specialist who can provide a thorough evaluation. This evaluation should include a physical examination, functional assessment, and possibly imaging studies to document the extent of the deformity and its impact on function.
In summary, the standards for diagnosing clavicle disability focus on visible deformities that can be observed externally, as well as the functional implications of these deformities. It is essential for patients to understand these criteria and work closely with their healthcare providers to ensure that all relevant information is documented for any disability claims.
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