Nancy Withers, Michelle Parsons, and Maureen Nowak
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Listing of impairments 1.02 Major dysfunction of a joint(s)

The next listing in the listing of impairments is 1.02. Listing 1.02 has two criteria that can be met either of which can fulfill the listing. The listing could be met with a diagnosis of severe arthritis or any other impairment that limits the movement of the joints.

The A part of the listing refers to weight bearing joints or any joint below the waist such as the hips, knees, and ankles. The B portion of the listing covers impairments of the arms, elbows, hands, and shoulders. The text of the listing is as follows:

“1.02 Major dysfunction of a joint(s) (due to any cause): Characterized by gross anatomical deformity (e.g., subluxation, contracture, bony or fibrous ankylosis, instability) and chronic joint pain and stiffness with signs of limitation of motion or other abnormal motion of the affected joint(s), and findings on appropriate medically acceptable imaging of joint space narrowing, bony destruction, or ankylosis of the affected joint(s). With:
A. Involvement of one major peripheral weight-bearing joint (i.e., hip, knee, or ankle), resulting in inability to ambulate effectively, as defined in 1.00B2b;
B. Involvement of one major peripheral joint in each upper extremity (i.e., shoulder, elbow, or wrist-hand), resulting in inability to perform fine and gross movements effectively, as defined in 1.00B2c.”

To better understand the listing we will give some examples and definitions.

Subluxation occurs when a joint will not stay in alignment. If the joint is not stabile the joint will not maintain its place, an example would be your hip joint popping out of place.
Ankylosis means fixation or joint does not move. A joint with advanced arthritis may fuse the joint together causing the joint to be unable to move. This is known as bony ankylosis.

The joint could also be fused by fibrous ankylosis. A joint fused by fibrous ankylosis is fixed because the tissues (ligaments, tendons, skin) has hardened around the joint. Bony ankylosis will eventually result in a fibrous ankylosis. It is possible to have bony ankylosis without fibrous ankylosis.

Part B of the listing the inability to perform fine and gross movements effectively means an extreme loss of function of both arms. The listing requires a very serious problem doing tasks and completing tasks without the help of another person. Using your arms means you are capable of reaching (example: taking something off a high shelf), pushing, pulling, grasping, and fingering (example: buttoning a shirt or tying your shoes) on repeatedly. SSA will look at your ability to perform activities of daily living. See our previous blog for information on activities of daily living.

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