S42.251 Displaced fracture of greater tuberosity of right humerus

Name of the Condition

• Displaced fracture of greater tuberosity of right humerus (ICD-10 Code: S42.251)

Summary

This condition involves a displaced fracture of the greater tuberosity, a bony prominence on the upper end of the right humerus (upper arm bone) near the shoulder joint. The fracture is characterized by the separation of the bone fragment from its normal anatomical position.

Causes

Typically results from direct trauma to the shoulder, such as a fall onto an outstretched hand, a direct blow to the shoulder, or a forceful contraction of the rotator cuff muscles during activities like lifting or throwing.

Risk Factors

• Participation in contact sports or activities with a high risk of shoulder injury.
• Osteoporosis or weakened bone density, which increases susceptibility to fractures.
• Previous shoulder injuries or conditions that compromise bone integrity.

Symptoms

• Acute pain localized to the shoulder or upper arm.
• Swelling, bruising, and tenderness over the fracture site.
• Difficulty moving the shoulder or lifting the arm.
• Possible visible deformity or prominence at the shoulder.

Diagnosis

Physical examination to assess pain, swelling, and range of motion. Imaging tests, such as X-rays, to confirm the fracture and evaluate displacement. CT scans may be used for detailed assessment of complex fractures.

Treatment Options

• Immobilization: Use of a sling or brace to support the arm and allow healing.
• Pain Management: Medications to alleviate discomfort and inflammation.
• Surgical Intervention: May be required for severely displaced fractures to realign and stabilize the bone with hardware.

Prognosis and Follow-Up

Recovery depends on fracture severity and treatment. Most patients regain full function with proper immobilization and rehabilitation. Follow-up imaging and physical therapy are often recommended to monitor healing and restore mobility.

Complications

• Nonunion or malunion of the fracture.
• Rotator cuff injury or impingement due to displaced bone fragments.
• Chronic pain or reduced shoulder mobility.

Lifestyle & Prevention

• Engage in strength training to support shoulder muscles and bones.
• Use proper techniques during sports or physical activities to avoid injury.
• Maintain bone health through adequate nutrition and exercise, especially in older adults.

When to Seek Professional Help

Seek immediate medical attention for severe pain, visible deformity, inability to move the arm, or signs of nerve or vascular compromise (e.g., numbness, discoloration).

Tips for Medical Coders

Document the side (right), displacement, and anatomical location (greater tuberosity) clearly. Ensure clinical notes specify the fracture type and any associated injuries to support accurate coding.