S62.011 Displaced fracture of distal pole of navicular [scaphoid] bone of right wrist

Name of the Condition

• Displaced fracture of distal pole of navicular [scaphoid] bone of right wrist

Summary

A displaced fracture of the distal pole of the navicular (scaphoid) bone in the right wrist involves a break in the small bone near the base of the thumb, with the bone fragments shifted out of their normal alignment. This type of fracture can disrupt wrist stability and may require specific management to ensure proper healing.

Causes

Typically results from a fall onto an outstretched hand (FOOSH). Can also occur due to direct trauma to the wrist, such as a blow or impact. May involve twisting injuries or high-force events.

Risk Factors

• Participation in contact sports or activities with a high risk of falls.
• Osteoporosis or weakened bone structure, particularly in older adults.
• Previous wrist injuries or fractures.

Symptoms

• Pain and tenderness in the wrist, especially at the base of the thumb.
• Swelling and bruising around the wrist area.
• Decreased range of motion or difficulty gripping objects.
• Possible deformity if the fracture is significantly displaced.

Diagnosis

Physical examination to assess pain, swelling, and wrist mobility. Imaging tests, such as X-rays, CT scans, or MRI, to visualize the fracture and confirm displacement.

Treatment Options

• Immobilization: Wearing a cast or splint for several weeks to stabilize the bone.
• Surgical intervention: May be required if the fracture is unstable or severely displaced.
• Pain management: Medications to reduce discomfort during healing.

Prognosis and Follow-Up

Healing depends on the severity of displacement and adherence to treatment. Regular follow-up with imaging may be needed to monitor bone alignment. Physical therapy is often recommended to restore function.

Complications

• Nonunion or delayed healing of the fracture.
• Avascular necrosis (loss of blood supply to the bone).
• Chronic pain or reduced wrist mobility.

Lifestyle & Prevention

• Use protective gear during high-risk activities.
• Strengthen wrist muscles through exercise.
• Avoid falls by improving balance and coordination.

When to Seek Professional Help

Seek immediate care if pain is severe, swelling worsens, or there is obvious deformity. Persistent numbness or tingling may indicate nerve involvement.

Tips for Medical Coders

Document the specific location (distal pole) and displacement status. Include details about the right wrist and any associated injuries. Ensure clinical notes support the diagnosis for accurate coding.