S23.428S Other sprain of sternum, sequela

Name of the Condition

• Common name: Other sternum sprain sequela
• Medical term: Other sprain of sternum, sequela

Summary

An other sprain of the sternum, sequela, refers to the residual effects or chronic changes resulting from a previous sternum sprain. This condition involves persistent symptoms or structural alterations in the sternum’s ligamentous support after the initial injury has healed. It may manifest as ongoing pain, reduced mobility, or other lasting effects from the original sprain.

Causes

Other sternum sprains, sequela, arise from prior trauma or overstretching of the sternum’s ligaments, such as from falls, sports injuries, or repetitive chest movements. The sequela develop as a result of incomplete healing, scar tissue formation, or chronic stress on the affected area following the initial injury.

Risk Factors

• History of a previous sternum sprain or chest injury.
• Inadequate rehabilitation or rest after the initial injury.
• Engaging in activities that strain the chest before full recovery.
• Underlying conditions affecting tissue healing (e.g., poor circulation).

Symptoms

• Chronic or recurrent pain in the sternum area.
• Persistent tenderness or stiffness.
• Reduced range of motion in the chest or upper body.
• Possible visible or palpable changes in the sternum’s contour.

Diagnosis

Diagnosis involves a physical examination to assess pain, tenderness, and mobility. Imaging, such as X-rays or MRI, may be used to evaluate residual soft tissue damage or structural changes. A review of the patient’s medical history, including the initial injury, helps confirm the sequela.

Treatment Options

• Physical therapy to improve strength and mobility.
• Pain management with medications or modalities (e.g., heat/cold therapy).
• Activity modification to avoid aggravating movements.
• In some cases, bracing or supportive devices for stability.

Prognosis and Follow-Up

Prognosis depends on the severity of the initial injury and adherence to treatment. Most patients experience improvement with therapy, though some may have lasting mild symptoms. Regular follow-up ensures management of chronic pain or functional limitations.

Complications

• Chronic pain that persists despite treatment.
• Reduced chest or upper body function.
• Increased risk of re-injury if not properly managed.

Lifestyle & Prevention

• Avoid high-impact activities that strain the chest until fully healed.
• Engage in gradual, guided rehabilitation after injury.
• Use proper protective gear during sports or high-risk activities.
• Maintain overall physical fitness to support tissue health.

When to Seek Professional Help

Seek care if symptoms worsen, new pain develops, or there are signs of infection (e.g., redness, fever). Persistent or severe limitations in movement or daily activities also warrant evaluation.

Tips for Medical Coders

Use S23.428S for cases where the condition is a sequela of another sternum sprain. Document the relationship to the initial injury and any residual effects clearly. Ensure the sequela is linked to a prior sternum sprain and not an acute injury.