Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Job Classification

In most duration tables, five job classifications are displayed. These job classifications are based on the amount of physical effort required to perform the work. The classifications correspond to the Strength Factor classifications described in the United States Department of Labor's Dictionary of Occupational Titles. The following definitions are quoted directly from that publication.

Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Fracture, Fingers and Thumb

fracture, fingers and thumb in русский (Россия)

Related Terms

  • Broken Finger
  • Broken Thumb
  • Fractures of the Phalanges of Hand
  • Phalangeal Fractures

Differential Diagnosis

Specialists

  • Hand Surgeon
  • Occupational Therapist
  • Orthopedic (Orthopaedic) Surgeon
  • Physiatrist (Physical Medicine and Rehabilitation Specialist)
  • Physical Therapist

Comorbid Conditions

Factors Influencing Duration

Disability is dependent on whether the dominant or nondominant hand is involved, work requirements, the digit/digits involved, and the presence of complications. Since the thumb is used in most hand functions, and since many hand functions can be done using only some of the fingers, thumb fractures are much more likely to limit hand function. Fractures in multiple digits typically involve much higher forces (more violent injuries) and thus have more soft tissue damage. Thus function is more limited both by more digits being involved, and more severe injury in each digit.

Medical Codes

ICD-9-CM:
816 - Fracture, Phalanges of Hand (One or More)
816.0 - Fracture, Phalanges of Hand (One or More), Closed
816.00 - Fracture, Phalanx or Phalanges, Unspecified, Closed
816.01 - Fracture, Middle or Proximal Phalanx or Phalanges, Closed
816.02 - Fracture, Distal Phalanx or Phalanges, Closed
816.03 - Fracture, Phalanges of Hand, Multiple Sites, Closed
816.1 - Fracture, Phalanges of Hand (One or More), Open
816.10 - Fracture, Phalanx or Phalanges, Unspecified, Open
816.11 - Fracture, Middle or Proximal Phalanx or Phalanges, Open
816.12 - Fracture, Distal Phalanx or Phalanges, Open
816.13 - Fracture, Phalanges of Hand, Multiple Sites, Open

Diagnosis

History: Symptoms will vary depending on the mechanism of injury and which bones are broken. Individuals should report trauma to the area. They may complain of pain, swelling (edema), sensations of numbness or coldness, and decreased range of motion in the affected digit.

Physical exam: Bruising (ecchymosis) and edema may be evident in the area of injury. Pressure applied to the finger often elicits pain. Range of motion (ROM) evaluation may suggest loss of tendon function or bone instability. ROM and strength testing of each digit and joint may establish tendon and ligament integrity but pain often limits the examination. Sensory testing may be done to evaluate nerve damage. The injured hand is compared closely with the uninjured (contralateral) one. There may be observable deformity, but the cause may be tendon damage or joint dislocation without fracture.

Examination of the skin and nail bed for bloody effusion or open wounds is done to evaluate the need for antibiotics. It is important to distinguish between new and old injuries during the examination. Previous tendon and bone injuries may otherwise complicate the findings.

Tests: Plain X-rays with anteroposterior (AP), lateral, and oblique views will often reveal the fracture location.

Source: Medical Disability Advisor






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