Name of the Condition

• 2-Part Nondisplaced Fracture of Surgical Neck of Right Humerus
• ICD Code: S42.224D

Summary

• This condition involves a fracture in the upper part of the arm bone (humerus) near the shoulder, specifically at the surgical neck. The fracture is in two parts but has not moved out of place (nondisplaced). The "subsequent encounter" indicates follow-up care for continued healing with no complications.

Causes

• Typically caused by direct trauma or impact to the area, such as a fall onto an outstretched arm or a direct blow to the shoulder.

Risk Factors

• Older age due to decreased bone density.
• Participation in contact sports or high-risk activities.
• Osteoporosis, which weakens bones.
• Previous history of fractures.

Symptoms

• Pain and tenderness around the shoulder.
• Swelling and bruising near the fracture site.
• Limited range of motion in the shoulder.
• Difficulty lifting the arm.

Diagnosis

• Physical examination checking for pain and range of motion.
• Imaging tests such as X-rays to visualize the fracture.
• CT scans or MRIs may be used for a more detailed assessment if needed.

Treatment Options

• Immobilization using a sling or shoulder brace to prevent movement and allow healing.
• Pain management with over-the-counter painkillers or prescription medications.
• Physical therapy to restore mobility and strength after the bone has healed sufficiently.

Prognosis and Follow-Up

• With proper treatment and follow-up, patients can expect good outcomes and recovery of shoulder function.
• Regular follow-up is crucial to monitor healing through imaging tests and physical assessments.

Complications

• Delayed healing or nonunion if the fracture does not heal properly.
• Frozen shoulder or decreased range of motion without proper physical therapy.
• Arthritis may develop in the joint later if the fracture is not treated effectively.

Lifestyle & Prevention

• Engaging in weight-bearing exercises to maintain bone strength.
• Wearing appropriate protective gear during high-risk sports or activities.
• Ensuring adequate calcium and vitamin D intake to support bone health.

When to Seek Professional Help

• If you experience severe pain, swelling, numbness, or an inability to move the arm after an injury.
• Signs of circulation problems, such as increased pain, swelling, or bluish discoloration of the hand.

Additional Resources

• American Academy of Orthopaedic Surgeons (AAOS)
• National Osteoporosis Foundation
• Patient support groups for individuals recovering from bone fractures.

Tips for Medical Coders

• Ensure the correct laterality is coded; this code is specific to the right humerus.
• Be mindful that this code is for a subsequent encounter with routine healing.
• Avoid coding complications unless clearly documented in the patient record.