S42.034A Nondisplaced fracture of lateral end of right clavicle, initial encounter for closed fracture

Name of the Condition

• Nondisplaced fracture of lateral end of right clavicle, initial encounter for closed fracture
• Medical term: Lateral clavicle fracture

Summary

A nondisplaced fracture of the lateral end of the right clavicle is a break in the outer portion of the collarbone where the bone fragments remain aligned. This specific type involves the right side and occurs when the skin is intact, categorizing it as a closed fracture.

Causes

Common causes include trauma to the shoulder region, such as falls on an outstretched arm, direct blows to the shoulder, or accidents like motor vehicle collisions.

Risk Factors

• Participating in contact sports
• Poor bone health or osteoporosis
• Previous shoulder injuries
• Young age, particularly in active children and adolescents

Symptoms

• Pain at the fracture site
• Swelling and tenderness over the collarbone
• Limited shoulder movement
• Bruising or discoloration around the shoulder

Diagnosis

Diagnosis begins with a physical examination to assess pain, swelling, and deformity. Imaging tests, chiefly X-rays, confirm the fracture type and location.

Treatment Options

• Immobilization: Using a sling or figure-eight bandage to keep the shoulder stable.
• Pain management: Analgesics or anti-inflammatory medication
• Follow-up care: Monitoring for healing progress and potential complications

Prognosis and Follow-Up

Most nondisplaced clavicle fractures heal well with conservative treatment. Follow-up appointments monitor healing and functional recovery, typically within 6–8 weeks.

Complications

• Delayed union or nonunion of the fracture
• Nerve or blood vessel injury near the fracture site
• Persistent pain or limited 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 likelihood

When to Seek Professional Help

Seek immediate medical attention for severe pain, visible deformity, or inability to move the arm. Follow up with a healthcare provider if symptoms worsen or do not improve.

Tips for Medical Coders

Document the fracture location (lateral end of right clavicle), displacement status (nondisplaced), encounter type (initial), and fracture type (closed). Ensure clinical notes support the diagnosis and treatment provided.