S42.252 Displaced fracture of greater tuberosity of left humerus

Name of the Condition

• Displaced fracture of greater tuberosity of left humerus (ICD-10 Code: S42.252)

Summary

This condition involves a displaced fracture of the greater tuberosity, a bony prominence on the upper end of the left humerus (upper arm bone) near the shoulder joint. The fracture is characterized by the separation of the bone fragment from its normal anatomical position, which may affect shoulder function due to its role as a muscle and ligament attachment site.

Causes

Typically results from direct trauma to the shoulder, such as a fall onto the shoulder, a direct blow, or forceful muscle contraction (e.g., during sports or lifting). Low-energy trauma may also cause the injury in individuals with weakened bones.

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.
• Advanced age, which may reduce bone integrity.
• Previous shoulder injuries or conditions that compromise bone strength.

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: Using a sling or brace to support the arm while the bone heals.
• Pain Management: Medications to reduce discomfort and inflammation.
• Surgical Intervention: May be required for severe displacement or associated injuries.
• Physical Therapy: To restore strength and mobility after healing.

Prognosis and Follow-Up

Most fractures heal with appropriate treatment, but recovery time depends on fracture severity and patient factors. Follow-up imaging and clinical evaluations monitor healing progress. Return to normal activities varies but may take several weeks to months.

Complications

• Nonunion or malunion of the fracture.
• Shoulder stiffness or reduced range of motion.
• Nerve or blood vessel injury (rare).
• Chronic pain or arthritis in the shoulder joint.

Lifestyle & Prevention

• Use protective gear during high-risk activities.
• Maintain bone health through diet and exercise.
• Avoid falls by modifying home environments (e.g., removing tripping hazards).
• Strengthen shoulder muscles to improve stability.

When to Seek Professional Help

Seek immediate care for severe pain, visible deformity, inability to move the arm, or signs of infection (e.g., fever, increased swelling). Follow up with a healthcare provider if symptoms worsen or do not improve with initial treatment.

Tips for Medical Coders

Document the side (left), displacement, and any associated injuries or treatments. Ensure the fracture is confirmed via imaging and note the encounter type (e.g., initial, follow-up) for accurate coding.