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Nondisplaced fracture of right ulna styloid process, initial encounter for closed fracture
ICD10CM code
Name of the Condition
- Nondisplaced Fracture of Right Ulna Styloid Process
Summary
- A nondisplaced fracture of the right ulna styloid process is a type of bone injury where there is a break in the ulna styloid process—a small bony protrusion of the ulna—without any displacement of the bone pieces. This condition typically occurs due to a fall or a direct blow to the wrist.
Causes
- The most common cause is trauma from falls onto an outstretched hand or direct impact to the wrist.
Risk Factors
- Participation in contact sports
- Osteoporosis or weak bone density
- Older age and reduced bone resilience
- Activities that increase risk of falls
Symptoms
- Pain and tenderness near the wrist
- Swelling and bruising around the site of injury
- Limited range of motion in the wrist
- Mild deformity or pain upon wrist movement
Diagnosis
- Physical examination by a healthcare provider
- X-ray imaging to confirm the fracture and assess its alignment
Treatment Options
- Immobilization with a splint or cast to allow bone healing
- Pain relievers for discomfort
- Physical therapy to restore motion once healing begins
- In rare cases, surgical intervention if other structures require repair
Prognosis and Follow-Up
- With appropriate treatment, the healing process is typically straightforward, taking several weeks.
- Regular follow-up appointments may be required to track healing progress through imaging and physical assessments.
Complications
- Delayed healing or non-union of the fracture
- Decreased wrist mobility
- Chronic pain or tenderness
- Potential development of arthritis in severe cases
Lifestyle & Prevention
- Ensure adequate intake of calcium and vitamin D for bone health
- Use protective gear during sports activities
- Implement fall-prevention strategies around the home
- Engage in weight-bearing exercises to maintain bone density
When to Seek Professional Help
- Persistent pain or swelling that does not improve with rest
- Numbness or tingling in the fingers
- Noticeable deformity of the wrist
- Difficulty using the wrist or hand effectively
Additional Resources
- American Academy of Orthopaedic Surgeons (AAOS) - orthoinfo.aaos.org
- National Institute for Health and Care Excellence (NICE) guidelines - nice.org.uk
Tips for Medical Coders
- Ensure the ICD code S52.614A is correctly applied to indicate a nondisplaced fracture during the initial encounter for a closed fracture.
- Avoid confusing the condition with displaced fractures or fractures involving other parts of the wrist or ulna.
- Confirm the right side is specified to avoid errors in laterality coding.