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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.

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