Name of the Condition

• Nondisplaced fracture of anterior column [iliopubic] of unspecified acetabulum, initial encounter for closed fracture
• Often referred to as a nondisplaced iliopubic column fracture or acetabular fracture.

Summary

• This condition involves a fracture in the iliopubic (anterior) part of the acetabulum, which is the concave surface of the pelvis where the femur (thigh bone) meets the pelvic bone. "Nondisplaced" indicates that the bones have cracked but remain in their proper position.

Causes

• Typically caused by high-impact trauma, such as falls, motor vehicle accidents, or sports injuries.
• Can also result from repetitive stress on the pelvic area, especially in athletes.

Risk Factors

• Advanced age, as bone density decreases.
• Participation in high-impact sports.
• Osteoporosis or other conditions that weaken bones.
• Previous fractures or bone disorders.

Symptoms

• Pain in the hip or groin area.
• Difficulty in standing or walking.
• Swelling and bruising near the pelvic region.
• Limited range of motion in the hip.

Diagnosis

• Physical examination assessing the hip's range of motion and pain response.
• Imaging tests like X-rays or CT scans to visualize the fracture and assess alignment.

Treatment Options

• Conservative management with rest, pain relief, and physical therapy, as bones remain aligned.
• Use of crutches or walkers to avoid weight-bearing activities.
• Regular follow-up to monitor healing progress and ensure the fracture remains nondisplaced.

Prognosis and Follow-Up

• Prognosis is generally good with appropriate conservative management.
• Healing typically occurs over a few months, with close monitoring by healthcare providers.
• Regular follow-ups are crucial to ensure proper bone healing and function recovery.

Complications

• Potential development of osteoarthritis in the hip joint if not properly managed.
• Chronic pain or instability in the hip.
• Prolonged immobility could lead to muscle atrophy or weakness.

Lifestyle & Prevention

• Maintaining good bone health through a balanced diet rich in calcium and vitamin D.
• Regular weight-bearing exercises to strengthen bones and muscles.
• Use protective gear during high-risk sports or activities.

When to Seek Professional Help

• Sudden, intense hip pain following trauma.
• Inability to bear weight on the leg on the affected side.
• Any signs of infection or complications, such as fever or increasing swelling.

Additional Resources

• American Academy of Orthopaedic Surgeons (AAOS)
• National Osteoporosis Foundation for bone health information

Tips for Medical Coders

• Ensure accurate ICD coding by verifying the fracture location and type (nondisplaced, closed).
• Double-check for any additional codes required for associated injuries or complications.
• Avoid common errors like misclassifying the fracture as displaced or open.