S42.253B Displaced fracture of greater tuberosity of unspecified humerus, initial encounter for open fracture

ICD10CM code

#### Name of the Condition
- Displaced fracture of greater tuberosity of unspecified humerus, initial encounter for open fracture (ICD-10 Code: S42.253B)

#### Summary
- This condition refers to an initial visit for a displaced fracture of the greater tuberosity of the humerus (the upper arm bone near the shoulder), where the fracture is associated with an open wound.

#### Causes
- Typically occurs due to a traumatic injury, such as a fall or direct blow to the shoulder during activities like sports or accidents.

#### Risk Factors
- Engaging in high-impact sports or physical activities.
- Osteoporosis or weakened bones due to age or health conditions.
- Accidents or falls, especially in older adults.

#### Symptoms
- Acute pain in the shoulder or upper arm area.
- Swelling, bruising, and tenderness around the shoulder.
- Visible deformity and difficulty moving the shoulder.
- Open wound at the site of the fracture.

#### Diagnosis
- Physical examination to assess swelling, tenderness, and movement.
- Imaging tests, such as X-rays or CT scans, to confirm the fracture location and severity.

#### Treatment Options
- **Surgical Intervention**: Required to align and stabilize the fracture with screws or plates. Essential for open fractures to prevent infection.
- **Immobilization**: Using a sling or brace to support the arm while the bone heals.
- **Medications**: Pain management and antibiotics to prevent infection.

#### Prognosis and Follow-Up
- Generally favorable if treated promptly, but healing time can vary.
- Requires regular follow-ups to monitor healing and any complications.

#### Complications
- Potential complications include infection (especially with open fractures), improper healing, or reduced shoulder mobility.

#### Lifestyle & Prevention
- Engage in strength and balance exercises to prevent falls.
- Ensure adequate calcium and vitamin D intake for bone health.
- Use protective gear when participating in high-impact sports.

#### When to Seek Professional Help
- Severe shoulder or arm pain following an injury.
- Inability to move the shoulder or visible deformity.
- Signs of infection, such as fever, increased redness, or pus at the wound site.

#### Additional Resources
- [American Academy of Orthopaedic Surgeons (AAOS)](https://www.aaos.org/)
- [National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)](https://www.niams.nih.gov/)

#### Tips for Medical Coders
- Confirm the fracture is both displaced and open in documentation.
- Ensure correct initial encounter coding for active treatment.
- Watch for documentation specifying the humerus side if needed for additional specificity.

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