Name of the Condition

• Nondisplaced Transverse Fracture of Right Acetabulum
• ICD Code: S32.454A

Summary

A nondisplaced transverse fracture of the right acetabulum refers to a specific type of broken bone where the fracture line crosses the acetabulum, the socket portion of the hip joint, without displacing the bone pieces. This injury typically results from high-energy trauma.

Causes

• High-impact injuries such as car accidents or falls from a significant height.
• Direct trauma to the hip area.

Risk Factors

• Participation in high-impact sports or activities.
• Osteoporosis, which may weaken bones and make them more susceptible to fractures.
• Older age, which is generally associated with reduced bone density.

Symptoms

• Severe hip or groin pain.
• Limited range of motion in the hip joint.
• Swelling or bruising around the hip area.
• Difficulty bearing weight on the affected leg.

Diagnosis

• Physical examination to assess pain, swelling, and range of motion.
• Imaging tests such as X-rays or CT scans to visualize the fracture and determine its extent.

Treatment Options

• Conservative Management: Rest, pain management with medications, and physical therapy to restore hip function.
• Close Monitoring: Regular follow-up to ensure proper healing and to monitor for displacement.
• Surgery is rarely needed unless the fracture becomes displaced.

Prognosis and Follow-Up

• Prognosis is generally good with appropriate conservative management.
• Regular follow-up appointments are crucial to monitor healing progress and prevent complications.

Complications

• Possible joint instability if the fracture heals improperly.
• Development of post-traumatic arthritis in the hip joint.

Lifestyle & Prevention

• Maintain bone health through a diet rich in calcium and vitamin D.
• Engage in regular weight-bearing exercises to strengthen bones.
• Use protective gear during high-risk activities.

When to Seek Professional Help

• Persistent or severe hip pain following trauma.
• Inability to move the hip or bear weight on the affected side.
• Noticeable swelling or bruising after an injury.

Additional Resources

• American Academy of Orthopaedic Surgeons (AAOS): orthoinfo.aaos.org
• National Osteoporosis Foundation: nof.org

Tips for Medical Coders

• Ensure that the coding reflects that this is an initial encounter for a closed fracture.
• Avoid misclassification by correctly identifying the side (right) and nature (nondisplaced) of the fracture.