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Other intraarticular fracture of lower end of left radius, initial encounter for open fracture type IIIA, IIIB, or IIIC
ICD10CM code
Name of the Condition
- Other intraarticular fracture of lower end of left radius, initial encounter for open fracture type IIIA, IIIB, or IIIC
- Often referred to as an open or compound fracture of the distal radius with articular involvement.
Summary
- This condition involves a fracture that affects the joint surface at the lower end of the left radius, a bone in the forearm near the wrist. Since it is an open (compound) fracture, the bone breaks the skin, and it can be classified as type IIIA, IIIB, or IIIC, indicating varying degrees of soft tissue damage and potential involvement of vital structures like nerves and blood vessels.
Causes
- Typically caused by high-impact trauma such as falls, car accidents, or sports injuries that apply excessive force to the wrist.
Risk Factors
- Engaging in high-impact sports, underlying osteoporosis, previous wrist injuries, and occupations involving manual labor increase the risk of such fractures.
Symptoms
- Severe pain at the wrist, visible deformity, swelling, loss of wrist and hand function, and potential exposure of the bone due to the open fracture.
Diagnosis
- Physical examination, assessment of neurovascular status, and imaging tests such as X-rays and CT scans to examine the extent of the fracture and associated injuries.
Treatment Options
- Surgical intervention is typically required to clean the wound, realign the bones, and stabilize the fracture using plates, screws, or external fixation devices.
- Antibiotics to prevent infection and pain management are crucial components of treatment.
Prognosis and Follow-Up
- Prognosis depends on the severity of the fracture and timely treatment. Regular follow-up is necessary to ensure proper healing and to monitor for infections or complications.
- Physical therapy may be recommended to restore function and strength.
Complications
- Potential complications include infection, nonunion or delayed union of the fracture, joint stiffness, and loss of function.
Lifestyle & Prevention
- Protective gear while engaging in risky activities and maintaining bone health through adequate nutrition and exercise can reduce the risk.
- Avoiding situations with a high risk of falls or trauma can also prevent fractures.
When to Seek Professional Help
- Immediate medical attention is required for open fractures, visible bone exposure, significant pain, or loss of limb function.
Additional Resources
Tips for Medical Coders
- Ensure specificity by noting that it is an "initial encounter" for the open fracture type IIIA, IIIB, or IIIC.
- Double-check the affected side (left radius) and ensure proper classification as an intraarticular fracture to avoid miscoding.