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, Pelvis


Related Terms

  • Fracture of Pelvic Bones
  • Pelvis Fracture

Differential Diagnosis

Specialists

  • Critical Care Surgeon
  • General Surgeon
  • Gynecologist
  • Occupational Therapist
  • Orthopedic (Orthopaedic) Surgeon
  • Physiatrist (Physical Medicine and Rehabilitation Specialist)
  • Physical Therapist
  • Radiologist
  • Urologist
  • Vascular Surgeon

Comorbid Conditions

  • Blood disorders
  • Chronic obstructive pulmonary disease (COPD)
  • Drug abuse
  • Malnutrition
  • Obesity
  • Osteoporosis
  • Poor physical conditioning
  • Radiation therapy
  • Smoking

Factors Influencing Duration

The severity and stability of the fracture, any associated internal organ damage, and the treatment required (i.e., surgical or nonsurgical) will influence length of disability. Individuals with multiple injuries, with or without complications, may be permanently disabled. Follow-up surgeries to alleviate pain, commonly in the back, may be necessary if conservative treatment is not successful.

Medical Codes

ICD-9-CM:
808.0 - Fracture, Acetabulum, Closed
808.1 - Fracture, Acetabulum, Open
808.2 - Fracture, Pubis, Closed
808.3 - Fracture, Pubis, Open
808.41 - Fracture, Ilium, Closed
808.42 - Fracture, Ischium, Closed
808.43 - Multiple closed pelvic fractures with disruption of pelvic circle
808.49 - Closed Fracture of Other Specified Part of Pelvis
808.51 - Fracture, Ilium, Open
808.52 - Fracture, Ischium, Open
808.53 - Multiple open pelvic fractures with disruption of pelvic circle
808.59 - Open Fracture of Other Specified Part of Pelvis
808.8 - Closed Fracture of Pelvis, Unspecified
808.9 - Open Fracture of Pelvis, Unspecified

Treatment

If the pelvic fracture is only minimally displaced, bed rest and subsequent walking (ambulation) with crutches may be sufficient treatment along with pain medication (analgesics). Individuals must minimize the weight they place on the affected extremity for as long as three months. Surgery (external fixation or open reduction with internal fixation [ORIF]) may be needed to treat an unstable, displaced fracture. Emergency surgery may be needed to control bleeding or repair damage to the intestinal or urinary systems. This may take precedence over treatment of the pelvic fracture. Individuals with suspected disruptive injury to the bowel, vagina, or urinary tract may be treated with antibiotics. Some individuals may receive medication to lessen the likelihood of deep vein thrombosis (DVT). A less common pelvic fracture originates from cancer in the bone that may be treated with radiation therapy and ORIF.

Source: Medical Disability Advisor






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