Name of the Condition

• Multiple fractures of pelvis without disruption of pelvic ring, sequela (ICD-10 Code S32.82XS).

Summary

• This condition involves several fractures in the pelvic bones that do not disrupt the pelvic ring structure. The term "sequela" refers to the after-effects or complications resulting from the initial injury.

Causes

• This condition typically results from high-impact trauma, such as car accidents, falls from significant heights, or sports injuries.

Risk Factors

• Individuals at higher risk include those with osteoporosis, the elderly, and those involved in high-risk activities or sports. Lifestyle choices leading to reduced bone density can also be risk factors.

Symptoms

• Symptoms can include chronic pelvic pain, discomfort during physical activity or sitting, weakness in the pelvic region, and limited range of motion.

Diagnosis

• Diagnosis is usually confirmed through imaging techniques like X-rays, CT scans, or MRIs to assess the extent of fractures and healing progress.

Treatment Options

• Treatments may include physical therapy to improve mobility and strength, pain management, and surgical interventions if necessary. The focus is on managing ongoing symptoms and facilitating recovery from the initial trauma.

Prognosis and Follow-Up

• Prognosis varies based on the severity of the initial fractures and the patient’s overall health. Regular follow-up appointments are essential to monitor healing and address any complications.

Complications

• Potential complications include chronic pain, reduced mobility, and arthritis in the pelvic joints if untreated.

Lifestyle & Prevention

• Maintaining bone health through a balanced diet rich in calcium and vitamin D, regular weight-bearing exercises, and avoiding smoking and excessive alcohol consumption can help prevent fractures.

When to Seek Professional Help

• Seek medical attention if there is persistent or worsening pelvic pain, difficulty moving, or symptoms of complications such as numbness or tingling in the lower limbs.

Additional Resources

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

Tips for Medical Coders

• Ensure the condition is coded as "sequela" (S32.82XS), indicating the long-term consequences of a previous pelvic fracture.
• Verify documentation for specificity, such as fractures being without pelvic ring disruption, to prevent miscoding.