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Displaced oblique fracture of shaft of right ulna, subsequent encounter for closed fracture with delayed healing
ICD10CM code
#### Name of the Condition
- **Displaced Oblique Fracture of Shaft of Right Ulna, Subsequent Encounter for Closed Fracture with Delayed Healing**
- ICD Code: S52.231G
- Also referred to as: **Right Ulna Shaft Fracture**
#### Summary
A displaced oblique fracture of the shaft of the right ulna is a type of broken arm where the ulna bone has a fracture with an angled line and pieces that don't line up correctly. This specific code refers to a follow-up visit for a closed fracture where healing is slower than expected.
#### Causes
- High-impact trauma such as a fall, sports injury, or car accident.
- Direct blow to the forearm.
#### Risk Factors
- Participating in contact sports or high-impact activities.
- Bone density issues, such as osteoporosis.
- Previous fractures or bone injuries.
#### Symptoms
- Pain and tenderness along the forearm.
- Swelling and bruising.
- Limited range of motion or difficulty moving the wrist or hand.
- Visible deformity or bump at the fracture site.
#### Diagnosis
- Physical examination to assess swelling, bruising, and range of motion.
- Imaging tests such as X-rays to visualize the fracture and alignment.
- CT or MRI may be used for more detailed bone imaging if necessary.
#### Treatment Options
- **Immobilization:** Casting or splinting to keep the bone in position.
- **Surgery:** May be needed to realign and stabilize the fracture with plates, screws, or pins.
- **Physical Therapy:** To restore movement and strength once healing has progressed.
#### Prognosis and Follow-Up
- Delayed healing can lead to extended recovery time, but prognosis is generally good with treatment.
- Regular follow-ups with orthopedic specialists to monitor healing progress.
- Rehabilitation to regain full arm function.
#### Complications
- Nonunion or malunion of the bone.
- Chronic pain or stiffness.
- Risk of re-fracture without proper treatment or care.
#### Lifestyle & Prevention
- Adequate calcium and vitamin D intake to support bone health.
- Protective gear during high-risk activities to prevent fractures.
- Engaging in weight-bearing exercises to maintain bone strength.
#### When to Seek Professional Help
- Severe pain, swelling, or deformity following an injury.
- Lack of improvement in symptoms despite treatment.
- Fever or signs of infection near the fracture site.
#### Additional Resources
- American Academy of Orthopaedic Surgeons (AAOS) - [www.aaos.org](https://www.aaos.org)
- National Osteoporosis Foundation - [www.nof.org](https://www.nof.org)
#### Tips for Medical Coders
- Ensure the correct side (right) is specified for the ulna fracture.
- Verify that the encounter type is subsequent and note the delayed healing in coding.
- Avoid confusing with acute fracture codes or those denoting different healing stages.