If you’ve suffered multiple bone fractures from minimal trauma, you may be dealing with more than just bad luck. Certain medical conditions—such as osteoporosis, cancer, or metabolic bone disease—can weaken bones to the point that fractures occur easily and repeatedly.
Social Security recognizes how disabling this can be. That’s why Listing 1.19 exists. This listing applies when pathologic fractures happen multiple times and cause long-term functional limitations.
Here’s what Illinois disability applicants should understand.
What Is a Pathologic Fracture?
A pathologic fracture is a broken bone that occurs because the bone is weakened by disease—not because of a major accident or injury.
Common causes include:
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Osteoporosis
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Bone cancer or cancer that has spread to the bones
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Long-term steroid use
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Metabolic or endocrine disorders
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Certain genetic or autoimmune conditions
These fractures can occur during normal daily activities, such as walking, lifting, or even standing.
Social Security Disability Listing 1.19 Explained
To qualify under Listing 1.19, Social Security requires both of the following elements to be documented.
A. Three Pathologic Fractures Within 12 Months
Your medical records must show that you experienced pathologic fractures on three separate occasions within a single 12-month period.
Each fracture must be supported by medical evidence such as:
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Imaging studies (X-rays, CT scans, MRIs)
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Hospital or emergency room records
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Orthopedic or specialist treatment notes
This requirement focuses on the frequency and severity of fractures—not just a single incident.
B. Long-Term Functional Limitations Lasting at Least 12 Months
In addition to repeated fractures, you must show serious physical limitations that:
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Have lasted at least 12 months, or
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Are expected to last at least 12 months
Social Security looks closely at how these fractures affect your ability to function in everyday life. Your records must document at least one of the following:
1. Medical Need for a Mobility Device
You may qualify if you have a documented medical need for:
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A walker
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Two canes or two crutches
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A wheelchair or seated mobility device that requires the use of both hands
Importantly, the need for these devices must be clearly stated by a medical provider—not just reported by you.
2. Inability to Use One Upper Extremity Effectively
You may also qualify if:
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One arm or hand cannot be used effectively for work-related activities involving fine or gross movements, and
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You medically require a one-handed assistive device or a mobility device that requires the use of the other hand
3. Inability to Use Both Upper Extremities
Finally, Listing 1.19 may be met if:
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Neither arm or hand can be used effectively to perform work-related activities involving fine or gross movements
This applies in cases where fractures or related conditions severely limit upper-body function.
Why Listing 1.19 Claims Are Often Denied
Many valid disability claims involving repeated fractures are denied because:
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Medical records don’t clearly label fractures as pathologic
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The timing of fractures is not well documented
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Doctors fail to explain functional limitations, not just diagnoses
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Assistive devices are used but not formally prescribed
Social Security does not “connect the dots” for you. The evidence must clearly match the listing criteria.
How a Disability Attorney Can Help
An experienced Social Security Disability attorney can help:
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Identify whether your fractures meet Listing 1.19
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Work with your doctors to clarify medical documentation
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Ensure assistive device needs are properly documented
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Present your case in a way Social Security understands
For many Illinois applicants, this guidance can make the difference between denial and approval.
Get Help With Your Social Security Disability Claim
If repeated fractures are limiting your mobility, independence, or ability to work, you may be entitled to Social Security Disability benefits—but only if your claim is properly supported.
If you have questions about your Social Security Disability claim, contact the Law Office of Jonathan W. Cole P.C. at (708) 529-7794 — Your Neighborhood Law Firm.
