Name of the Condition

• Nondisplaced fracture of neck of right radius, initial encounter for closed fracture
• Medical term: S52.134A

Summary

A nondisplaced fracture of the neck of the right radius refers to a break in the radial bone near the elbow, where the bone fragments remain properly aligned. This fracture occurs when the forearm experiences impact or trauma but does not shift out of place.

Causes

Common causes include falling onto an outstretched hand, direct trauma to the arm, or twisting injuries often sustained in sports or accidents.

Risk Factors

• Engaging in high-contact sports or activities
• Osteoporosis or weakened bones
• Advanced age
• Occupations or activities with an increased risk of falling or collisions

Symptoms

• Pain and tenderness in the elbow or forearm
• Swelling and bruising
• Limited range of motion in the arm or difficulty rotating the forearm
• Pain during wrist extension or forearm rotation

Diagnosis

• Physical examination to assess pain, swelling, and range of motion
• Imaging tests such as X-rays to visualize the fracture and confirm nondisplacement

Treatment Options

• Immobilization using a cast or splint to allow for bone healing
• Pain management with medications like NSAIDs
• Physical therapy to restore movement and strength after the bone heals

Prognosis and Follow-Up

• With appropriate treatment, most patients recover full function within weeks to months.
• Regular follow-up appointments are crucial to ensure proper healing and return of function.

Complications

• Improper healing or alignment if not adequately immobilized
• Reduced range of motion or chronic pain
• Rarely, complications such as radial nerve injury

Lifestyle & Prevention

• Engaging in weight-bearing exercises to strengthen bones
• Preventive measures to avoid falls, such as adequate lighting and handrails
• Wearing protective gear during sports

When to Seek Professional Help

• Increased pain or swelling not relieved by medication
• Numbness or tingling in the hand or fingers
• If the arm appears deformed or bone protrudes through the skin

Additional Resources

• American Academy of Orthopaedic Surgeons (AAOS)
• National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

Tips for Medical Coders

• Ensure accuracy by noting it's a closed, nondisplaced fracture of the right radius.
• Double-check laterality as errors can occur in documenting whether it’s the left or right arm.
• Understand the nuances of initial encounters versus follow-up visits for accurate coding.