Comminuted Ulnar Fractures and Disability Claims

Q: Comminuted Ulnar Fractures and Disability Claims

Dear netizens： The determination of disability must wait until treatment has ceased and it is confirmed that the condition cannot be corrected, resulting in a significant impairment of bodily function. <br>Generally speaking, patients with fractures typically wait about 1 to 2 ye

Ulnar wrist comminuted fracture?

Hello, I was injured while riding a bike and have a comminuted fracture.
I am currently waiting to have the metal pins removed.
Can I apply for disability? If so, what level would it be? My last two fingers on my right hand currently cannot fully bend, and the doctor said I need to wait for rehabilitation.
Does this count as a disability?

pc, 30~39 year old female. Ask Date: 2010/04/08

Dr. Chen Xingyuan reply Orthopedics

Dear netizens: The determination of disability must wait until treatment has ceased and it is confirmed that the condition cannot be corrected, resulting in a significant impairment of bodily function.
Generally speaking, patients with fractures typically wait about 1 to 2 years before undergoing evaluation.
The standards for upper limb disabilities are as follows for reference.
Wishing you health and safety!
Dr.
Chen
Upper limb disability refers to impairments resulting from developmental delays, lesions in the central or peripheral nervous system, trauma, or other congenital or acquired musculoskeletal deficiencies or diseases that lead to significant and irreparable functional limitations.
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Severe:
1.
Total loss of function in both upper limbs.
2.
Absence of both upper limbs above the wrist joint.

If an individual has disabilities in two or more of the upper limbs, lower limbs, trunk, or all four limbs, the classification will be based on the most severe condition.
If there are two or more conditions of the same severity, one level may be upgraded, but the maximum upgrade is limited to one level.
Moderate:
1.
Significant impairment of function in both upper limbs.
2.
Total loss of function in one upper limb.
3.
Absence or total loss of function in both thumbs and index fingers.
4.
Absence of more than half of the upper arm in one upper limb.
Mild:
1.
Significant impairment of function in one upper limb.
2.
Total loss of function or significant impairment in any of the shoulder, elbow, or wrist joints of the upper limb.
3.
Absence or total loss of function in the thumb and index finger of one upper limb, or significant impairment.
4.
Absence or total loss of function in three fingers of one upper limb, including the thumb or index finger, or significant impairment.
5.
Significant impairment of function in the thumbs of both upper limbs.
*Significant functional impairment is defined as one of the following conditions:
1.
Loss of normal joint range of motion exceeding 70% (the joints mentioned above for the upper limbs include the shoulder, elbow, and wrist joints; for the lower limbs, the hip, knee, and ankle joints).
2.
Muscle strength loss rated at level three (inclusive) or below (based on a zero to five muscle strength classification system).

Reply Date: 2010/04/08

More Info

Comminuted ulnar fractures can significantly impact a person's functionality, especially when they involve the wrist and hand. These types of fractures are characterized by the bone being broken into multiple pieces, which can complicate healing and rehabilitation. Given your situation, where you have sustained a comminuted fracture and are awaiting the removal of hardware (screws or plates), it is understandable that you are concerned about the potential for disability claims.

In the United States, disability claims related to injuries are typically assessed based on the extent of the injury, the impact on daily activities, and the prognosis for recovery. The Social Security Administration (SSA) has specific criteria for evaluating musculoskeletal disorders, including fractures. To qualify for disability benefits, you generally need to demonstrate that your condition severely limits your ability to perform basic work activities.

Here are some key points to consider regarding your situation:
1. Extent of Injury: The fact that you have a comminuted fracture suggests a more severe injury, which can lead to complications such as chronic pain, limited range of motion, and potential nerve damage. If your right hand's last two fingers cannot bend fully, this could indicate a significant functional impairment.

2. Recovery and Rehabilitation: The recovery process for comminuted fractures can be lengthy, often requiring extensive rehabilitation. If your doctor has indicated that you will need physical therapy to regain function, this is an important factor in your claim. Documenting your rehabilitation progress and any limitations you experience during this time will be crucial.

3. Disability Rating: In terms of disability ratings, the American Medical Association (AMA) Guides to the Evaluation of Permanent Impairment provides a framework for assessing the degree of impairment. The rating can vary based on the specific details of your injury, including the range of motion in your fingers and wrist, strength, and any pain you experience. A medical professional will typically assess these factors to assign a percentage of impairment, which can influence your disability rating.

4. Claim Process: To apply for disability benefits, you will need to provide comprehensive medical documentation, including your diagnosis, treatment history, and any assessments of your functional limitations. It may be beneficial to consult with a disability attorney or advocate who can help you navigate the application process and ensure that all necessary information is included.

5. Potential Outcomes: If your injury results in permanent impairment that significantly limits your ability to work, you may qualify for disability benefits. The specific rating (e.g., 10%, 20%, etc.) will depend on the severity of your impairment as assessed by medical professionals.
6. Consultation with Specialists: It is advisable to keep in close contact with your orthopedic surgeon and physical therapist. They can provide ongoing assessments of your recovery and help determine the extent of your functional limitations, which is critical for your disability claim.

In conclusion, based on your description of a comminuted ulnar fracture and the resulting limitations in finger movement, it is possible that you may qualify for a disability claim. However, the success of your claim will largely depend on the documentation of your injury, the extent of your functional limitations, and the recommendations from your healthcare providers. It is essential to gather all relevant medical records and consider seeking professional assistance to enhance your chances of a successful claim.

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