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Pathologic fractures may occur with osteoporosis, osteogenesis imperfecta or any other skeletal dysplasias, side effects of medications,

How will we determine whether your soft tissue injury or abnormality or your upper extremity fracture is no longer under continuing surgical management Amputation of one lower extremity or both lower extremities with complications of the residual limb(s)c. An inability to use both upper extremities to the extent that neither can be used to independently initiate, sustain,

If you have a prosthesis(es), we need evidence from a medical source documenting your ability to walk,Documentation. In addition to the objective medical evidence we need to establish your soft tissue injury or abnormality, we also need all of the following medically documented evidence about your continuing surgical management: Surgical arthrodesis is the artificial fusion of the bones that form a joint, essentially eliminating the joint.

For listings that use the word “and” to link the elements of the required criteria, the medical record must establish the simultaneous presence, a. Compromise of unilateral nerve root of the cervical spine. Compromise of a nerve root as it exits the cervical spine between the vertebrae may affect the functioning of the associated upper extremity. The physical examination reproduces the related symptoms based on radicular signs and clinical tests appropriate to the specific cervical nerve root (for example, a positive Spurling test). c. Compromise of a nerve root(s) of the lumbar spine. Compromise of a nerve root as it exits the lumbar spine between the vertebrae may limit the functioning of the associated lower extremity. The physical examination reproduces the related symptoms based on radicular signs and clinical tests. When a nerve root of the lumbar spine is compromised, we require a positive straight-leg raising test (also known as a Lasègue test) in both supine and sitting positions appropriate to the specific lumbar nerve root that is compromised. it is not necessary for the medical source to evaluate your ability to walk without the prosthesis(es) in place. For example, if you use a wheelchair that typically requires the use of both hands but has been customized for your use with one hand,see 1.00C6d) that requires the use of the other upper extremity or a wheeled and seated mobility device involving the use of one hand Non-healing or complex fracture of the femur, tibia, pelvis, or one or more of the talocrural bones

This evidence must describe any limitation(s) in your upper or lower extremity functioning and the circumstances for which you need to use the assistive device. The inability to use the remaining upper extremity to independently initiate, sustain, and complete work-related activities involving fine and gross movements finger(s), or hand(s) will vary, depending on the extent of loss and corresponding effect on fine and gross movements. f. Records detailing any other factors that have delayed, or that an acceptable medical source expects to delay, the saving, restoring, or replacing of the involved part for a continuous period of at least 12 months following the initiation of the surgical management.When the criterion is imaging, we mean that we could reasonably expect the findings on imaging to have been present at the date of impairment or date of onset.