S42.031 Displaced fracture of lateral end of right clavicle

Name of the Condition

• Displaced fracture of lateral end of right clavicle

Summary

A displaced fracture of the lateral end of the right clavicle is a break in the outer portion of the collarbone where the bone fragments are misaligned. This type of fracture affects the right side and involves the lateral (outer) segment of the clavicle.

Causes

Direct trauma or impact to the shoulder, such as a fall, sports injury, or motor vehicle accident, is the primary cause. The force applied to the shoulder can result in a fracture at the lateral end of the clavicle.

Risk Factors

• Participation in contact sports or high-impact activities.
• Osteoporosis or weakened bone density.
• Age-related bone fragility, particularly in older adults.
• Previous shoulder or clavicle injuries.

Symptoms

• Pain and tenderness over the lateral clavicle.
• Swelling or bruising around the shoulder.
• Visible deformity or lump at the fracture site.
• Difficulty moving the arm or shoulder due to pain.

Diagnosis

Diagnosis begins with a physical examination to assess pain, swelling, and deformity. X-rays are typically used to confirm the fracture and evaluate displacement. In some cases, additional imaging like CT or MRI may be ordered for detailed assessment.

Treatment Options

• Immobilization with a sling or brace to stabilize the fracture and promote healing.
• Pain management with analgesics or anti-inflammatory medications.
• Physical therapy to restore range of motion and strength once healing progresses.
• Surgical intervention may be required for severe displacement or unstable fractures.

Prognosis and Follow-Up

Most displaced clavicle fractures heal within 6–12 weeks with proper immobilization. Follow-up appointments monitor healing progress, and physical therapy may be recommended to regain full function. Complications are rare but can include nonunion or malunion if treatment is delayed.

Complications

• Nonunion (failure of the bone to heal).
• Malunion (healing in an incorrect position).
• Nerve or blood vessel damage near the fracture site.
• Chronic pain or limited shoulder mobility.

Lifestyle & Prevention

• Use protective gear during contact sports.
• Maintain bone health through adequate calcium and vitamin D intake.
• Avoid high-risk activities that increase fall or injury potential.
• Practice safe techniques in sports or physical activities to reduce shoulder impact.

When to Seek Professional Help

Seek immediate medical attention if you experience severe pain, visible deformity, inability to move the arm, or signs of infection (e.g., redness, fever) after an injury. Persistent pain or limited mobility after initial treatment also warrants evaluation.

Tips for Medical Coders

Document the laterality (right) and displacement of the fracture clearly. Ensure the fracture is specified as involving the lateral end of the clavicle, as this distinguishes it from midshaft or medial clavicle fractures. Include details about the fracture’s alignment and any associated injuries to support accurate coding.