S42.414A Nondisplaced simple supracondylar fracture without intercondylar fracture of right humerus, initial encounter for closed fracture

ICD10CM code

#### Name of the Condition
- Nondisplaced Simple Supracondylar Fracture without Intercondylar Fracture of Right Humerus

#### Summary
- This condition is a type of fracture where the bone breaks at the distal (lower) end of the humerus, near the elbow, without the broken bone pieces being displaced or affecting the intercondylar region. It typically occurs due to a fall on an outstretched arm.

#### Causes
- The most common cause is a fall-related injury, particularly falling onto an outstretched hand or direct trauma to the elbow.

#### Risk Factors
- Active children, typically between the ages of 5 and 7, are most at risk due to high levels of physical activity and developing coordination skills. Other risk factors include participation in contact sports and previous elbow injuries.

#### Symptoms
- Symptoms may include pain at the elbow, swelling, tenderness, and difficulty moving the arm. The fracture may also cause the elbow to appear slightly bent or deformed.

#### Diagnosis
- Diagnosis is primarily done through physical examination and confirmed with imaging tests such as X-rays to accurately assess the fracture's location and condition.

#### Treatment Options
- Treatment usually involves immobilization with a cast or splint to allow the bone to heal properly. Pain relief with NSAIDs or other analgesics is typical. Physical therapy may be recommended post-healing to restore full movement and strength.

#### Prognosis and Follow-Up
- Prognosis is generally excellent with proper treatment, and most children recover fully without long-term issues. However, regular follow-ups are necessary to ensure proper healing and to begin necessary rehabilitation exercises.

#### Complications
- Potential complications include reduced range of motion, improper bone healing (malunion), or nerve and blood vessel damage if left untreated.

#### Lifestyle & Prevention
- Encourage children to wear protective gear during sports, supervise during high-risk activities, and teach safe practices to prevent falls and injuries.

#### When to Seek Professional Help
- Seek immediate medical attention if there is severe pain, swelling, inability to move the elbow or fingers, or if the arm looks deformed after an injury.

#### Additional Resources
- American Academy of Orthopaedic Surgeons (AAOS)
- Pediatric Orthopaedic Society of North America (POSNA)
- Local physical therapy services specializing in post-fracture rehabilitation

#### Tips for Medical Coders
- Ensure accurate coding by confirming the side and displacement status of the fracture: "right humerus" and "nondisplaced."
- Avoid common errors such as omitting the fracture type or side which may lead to incorrect coding of the condition.

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