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, Rib


Related Terms

  • Broken Rib
  • Cracked Rib

Specialists

  • Internal Medicine Physician
  • Orthopedic (Orthopaedic) Surgeon
  • Physical Therapist
  • Pulmonologist
  • Thoracic Surgeon

Comorbid Conditions

  • Acute or chronic respiratory illness
  • Asthma
  • Cancer
  • Chronic obstructive lung disease
  • Emphysema
  • Osteopenia
  • Osteoporosis

Factors Influencing Duration

Duration depends on whether single or multiple ribs are fractured, whether injury occurred to other organs, and whether there is underlying illness (e.g., COPD, emphysema, osteoporosis). Recovery from the pain of simple rib fractures may take longer than expected for bone healing in another part of the body.

Medical Codes

ICD-9-CM:
807.00 - Closed Fracture of Rib(s), Unspecified
807.01 - Closed Fracture of Rib(s), One Rib
807.02 - Closed Fracture of Rib(s), Two Ribs
807.03 - Closed Fracture of Rib(s), Three Ribs
807.04 - Closed Fracture of Rib(s), Four Ribs
807.05 - Closed Fracture of Rib(s), Five Ribs
807.06 - Closed Fracture of Rib(s), Six Ribs
807.07 - Closed Fracture of Rib(s), Seven Ribs
807.08 - Closed Fracture of Rib(s), Eight or More Ribs
807.09 - Closed Fracture of Ribs, Multiple Ribs, Unspecified
807.10 - Open Fracture of Rib(s), Unspecified
807.11 - Open Fracture of Rib(s), One Rib
807.12 - Open Fracture of Rib(s), Two Ribs
807.13 - Open Fracture of Rib(s), Three Ribs
807.14 - Open Fracture of Rib(s), Four Ribs
807.15 - Open Fracture of Rib(s), Five Ribs
807.16 - Open Fracture of Rib(s), Six Ribs
807.17 - Open Fracture of Rib(s), Seven Ribs
807.18 - Open Fracture of Rib(s), Eight or More Ribs
807.19 - Open Fracture of Rib(s), Multiple Ribs, Unspecified

Complications

Individuals over age 45 with more than four rib fractures are at increased risk for pulmonary complications or spleen or liver lacerations sustained in conjunction with traumatic rib fracture. Pulmonary complications may include laceration of the lung tissue (parenchyma) by fracture fragments, introduction of air into the pleural cavity surrounding the lungs (pneumothorax), and bleeding into the pleural cavity surrounding the lungs (hemothorax), often from a lacerated artery. These types of complications may require chest surgery (thoracotomy). Although rare, penetration of the heart has been reported, resulting in pericardial or aortic hemorrhage. Individuals with chronic underlying respiratory illnesses such as COPD, emphysema, or asthma may need to be hospitalized for respiratory support and management.

Other complications of severe rib fractures with multiple trauma include damage to organs such as the spleen, liver, heart, major blood vessels, or bones in the chest cavity. Pulmonary contusions occurs in 20% to 40% of individuals with rib fractures, and the incidence of liver injury associated with rib fracture is 10.7%, and spleen injury is 11.3% (Nadalo). Though rare, nonunion (failed union) of the fracture may occur.

Source: Medical Disability Advisor






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