DVA ClaimsConditionsFracture

Making a DVA Claim for a Fracture

A fracture sustained during ADF service, or directly caused by service-related activity, is compensable under the Military Rehabilitation and Compensation Act 2004 (MRCA). This includes stress fractures from repetitive load-bearing activity — common among infantry, combat engineers, and physical training instructors.

The relevant Statement of Principles covers any acquired break in bone resulting from applied force — including impact, repetitive loading, and torsion. If your fracture happened during service, or was caused by activities your service required of you, you have a sound basis for a claim.

Fractures that don't heal correctly — non-union or malunion — can leave chronic pain and functional impairment well beyond the original injury. These outcomes are separately claimable and often carry their own impairment points on top of the fracture itself.

Why Fracture Shows Up So Often in Veterans

ADF service creates fracture risk across a wide range of activities: load-bearing marches, parachute operations, weapons handling, combat physical training, and operational deployments all generate the mechanical forces behind both acute and stress fractures. Stress fractures specifically are strongly associated with infantry and combat roles, where sustained high-load marching on hard surfaces is routine — the tibia, fibula, metatarsals, and femur are the most commonly affected sites, and many stress fractures go undiagnosed at the time, only identified years later.

What the Statement of Principles requires

DVA measures every claim against a Statement of Principles (SoP) — a legally binding document setting out the specific factors that can connect a condition to service. Here are the pathways that most often apply to fracture claims, in plain language.

Significant physical force applied to or through the bone

A trauma event applying sufficient mechanical force to cause structural failure of the bone — the primary pathway for acute fractures.

Repetitive loading causing a stress fracture

Repetitive mechanical loading of the affected bone during the relevant service period, covering load-bearing marches, physical training, and operational tempo.

Chronic loading in an abnormal direction

Repeated force applied to the bone in a direction inconsistent with normal biomechanical loading.

Smoking, where non-union has occurred

Smoking at least 5 cigarettes per day during the treatment period, relevant specifically to fractures that failed to heal.

Diabetes, where non-union has occurred

Diabetes mellitus present at the time non-union developed.

Inability to obtain appropriate clinical management

Circumstances that prevented access to timely, appropriate fracture management at the time.

This is the plain-English version. Read every factor of the Fracture Statement of Principles exactly as the Repatriation Medical Authority wrote it.

How DVA Approaches the Impairment Assessment

Impairment is assessed on the functional limitation that persists after healing, not the fracture itself — a fracture that heals fully with no residual impairment may carry no ongoing points at all. What matters is the long-term outcome: chronic pain, restricted range of motion, post-traumatic osteoarthritis, or a malunion causing lasting functional limitation. Stress fractures that leave chronic bone pain or structural change in the affected limb can attract meaningful points under GARP M, but the key is a specialist assessment that documents the current functional impairment specifically, not one that simply confirms the historical fracture occurred. Where a fracture has caused or accelerated post-traumatic osteoarthritis in the affected joint, that osteoarthritis is a separate claimable condition, and its impairment points combine with the fracture claim.

The evidence that decides it

Most initial liability decisions currently take DVA somewhere between 3 and 6 months, longer for complex or multi-condition claims. A complete, well-organised submission up front tends to shorten that wait considerably.

  • Imaging confirming the fracture — X-rays, CT, or MRI at the time of injury and on current presentation
  • Service medical records documenting when and how the injury occurred
  • An orthopaedic or specialist report assessing current functional impairment
  • Evidence of any non-union, malunion, or post-traumatic complications
  • A personal statement describing the circumstances of the injury and current functional impact
  • Physiotherapy or rehabilitation records showing ongoing treatment needs

On the PAMT list

Fracture is one of the conditions covered by Provisional Access to Medical Treatment, meaning funded treatment could begin before DVA reached a liability decision. This included:

  • Orthopaedic specialist review and management
  • Physiotherapy and rehabilitation services
  • Imaging (X-ray, CT, MRI) to assess healing and complications
  • Surgical management where clinically indicated
  • Pain management services

Questions veterans ask about Fracture

Can I claim a fracture that happened years ago during service?

Yes — what matters is establishing when and how it occurred and its current functional impact, not how much time has passed since.

What is a stress fracture, and can I claim it?

A stress fracture develops from repetitive loading rather than a single traumatic event, and it's a fully recognised, separately claimable pathway under the SoP.

My fracture healed normally. Can I still claim?

You can lodge a claim, but if it healed with no residual functional impairment, it may attract minimal or no ongoing impairment points — it's still worth having formally assessed, particularly if any symptoms have since developed.

What is a non-union fracture?

It's a fracture that failed to heal properly, and it's specifically recognised in the SoP with its own contributing factors (including smoking and diabetes), since these outcomes often carry significantly more functional impact than a normally healed break.

Related conditions

The same service exposure that causes fracture often produces related conditions that are separately claimable. It's worth having these assessed at the same time rather than as an afterthought.

Ready to Look Into a Fracture Claim?

Book a free consultation and we'll go through whether your circumstances meet the SoP factors, what evidence would strengthen your case, and what to expect next.

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This page is general information, not medical, legal, or financial advice. Statement of Principles factors, thresholds, and program details are current as at the update date above but can change — always confirm against your own determination letter and the current SoP instrument. For medical concerns, speak with a qualified health professional; for legal advice, a solicitor experienced in military compensation law.

Presumptive liability · from 1 July 2026

Fracture may be accepted without proving the link to service

Fracture is listed in Part 2 of the determination as attributable to defence service, provided the criteria below are met.

  • Qualifying service: Any defence service.
    Onset: during the qualifying service.

A diagnosis is still required, and the presumption may not apply where there is clear evidence of a cause other than service. "Onset" means when an injury was sustained, or when all the signs and symptoms of a disease were first present — not the date of diagnosis. Applies to claims made on or after 1 July 2026.

How presumptive liability works →

Dr Thomas Perkins, Veterans Health Centre

Reviewed by Dr Thomas Perkins

Founding doctor, Veterans Health Centre · former RAAF aviation medical officer · 13 years working exclusively with ADF members and veterans. Full profile →