S42.261 Displaced fracture of lesser tuberosity of right humerus

Name of the Condition

• Displaced fracture of lesser tuberosity of right humerus (ICD Code: S42.261)

Summary

This condition involves a displaced fracture of the lesser tuberosity, a bony prominence on the front of the right humerus near the shoulder joint. The fracture is characterized by the separation of bone fragments, which may affect the attachment of the subscapularis tendon and surrounding structures.

Causes

Displaced fractures of the lesser tuberosity typically result from direct trauma, such as a fall onto the shoulder or a forceful pull on the arm. High-impact injuries, including motor vehicle accidents or sports-related collisions, may also cause this type of fracture.

Risk Factors

• Advanced age and osteoporosis, which reduce bone density.
• Participation in contact sports or activities with a high risk of falls.
• Previous fractures or bone disorders that weaken the skeletal structure.

Symptoms

• Intense pain in the shoulder or upper arm.
• Swelling, bruising, and visible deformity at the fracture site.
• Inability to move the arm or bear weight.
• Numbness or tingling in the hand or fingers if nerve involvement occurs.

Diagnosis

Physical examination to assess pain, range of motion, and deformity. Imaging tests, including X-rays, to visualize the fracture pattern and displacement. CT scans or MRIs may be used for detailed assessment of complex fractures or soft tissue damage.

Treatment Options

• Immobilization with a sling or brace to stabilize the fracture.
• Pain management with medications.
• Surgical intervention to realign and fixate bone fragments if the fracture is significantly displaced or unstable.

Prognosis and Follow-Up

Recovery time varies depending on the severity of the fracture and treatment approach. Physical therapy may be recommended to restore strength and mobility. Follow-up imaging and clinical evaluations are typically performed to monitor healing progress.

Complications

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

Lifestyle & Prevention

• Engage in regular weight-bearing exercise to maintain bone density.
• Use protective gear during high-risk activities.
• Ensure proper nutrition, including adequate calcium and vitamin D intake.
• Avoid falls by modifying the home environment to reduce tripping hazards.

When to Seek Professional Help

Seek immediate medical attention if you experience severe pain, swelling, or deformity after an injury, or if you cannot move your arm. Prompt evaluation is important to prevent complications and ensure proper treatment.

Tips for Medical Coders

Document the specific location (lesser tuberosity), laterality (right), and displacement status to accurately assign this code. Ensure clinical documentation supports the diagnosis and any associated treatments or complications.