Name of the Condition

• Multiple fractures of the pelvis with unstable disruption of the pelvic ring, initial encounter for closed fracture
• ICD Code: S32.811A

Summary

This condition refers to multiple fractures in the pelvic area that result in an unstable pelvic ring. It is characterized by closed fractures, which means the skin over the fracture is intact. Such injuries can be severe and may impact the structural stability of the pelvis.

Causes

• High-impact trauma such as motor vehicle accidents or falls from significant heights.
• Physical assault or crush injuries.

Risk Factors

• Participation in high-risk activities or sports.
• Osteoporosis, which can weaken bones and increase fracture risk.
• Advanced age, due to potential bone density loss.

Symptoms

• Severe pain in the hip or pelvic region.
• Difficulty or inability to walk.
• Swelling or bruising around the pelvic area.

• Signs of shock such as weakness, fainting, or confusion due to blood loss.

  Diagnosis

• Physical examination to assess pain and mobility.
• Imaging tests like X-rays, CT scans, or MRI to visualize the fracture and assess the extent of the pelvic ring disruption.

Treatment Options

• Surgical Intervention: To stabilize the pelvic ring and ensure proper alignment and healing of the fractures.
• Medication: Pain relief and possibly antibiotics if surgery is required.
• Physical Therapy: Rehabilitative exercises post-surgery to restore mobility and strength.

Prognosis and Follow-Up

• Prognosis depends on the severity of the fractures and the effectiveness of treatment. Early intervention often leads to better outcomes.
• Regular follow-ups are essential to monitor healing and adjust treatment plans as necessary.

Complications

• Possible complications include internal bleeding, infection, or long-term mobility issues if not properly managed.
• Untreated, it can lead to chronic pain or disability.

Lifestyle & Prevention

• Use of protective gear during high-risk activities.
• Regular bone health check-ups and adequate calcium and vitamin D intake to maintain bone strength.
• Fall prevention strategies for the elderly.

When to Seek Professional Help

• Immediate medical attention is necessary for anyone experiencing sudden severe pelvic pain, difficulty walking, or after a traumatic incident.

Additional Resources

• American Academy of Orthopaedic Surgeons (AAOS): www.aaos.org
• National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS): www.niams.nih.gov

Tips for Medical Coders

• Ensure that the fracture is documented as closed and it is the initial encounter.
• Confirm the unstable disruption of the pelvic ring through medical documentation.
• Pay careful attention to the correct use of the placeholder “A” indicating the initial encounter.