S62.012D Displaced fracture of distal pole of navicular [scaphoid] bone of left wrist, subsequent encounter for fracture with routine healing

Name of the Condition

• Displaced fracture of distal pole of navicular [scaphoid] bone of left wrist, subsequent encounter for fracture with routine healing

Summary

A displaced fracture of the distal pole of the navicular (scaphoid) bone in the left 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. The "subsequent encounter for fracture with routine healing" indicates that the patient is in a follow-up phase where the fracture is healing as expected without complications.

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. Follow-up imaging may be used to monitor healing progress during the subsequent encounter phase.

Treatment Options

• Immobilization: Wearing a cast or splint for several weeks to support healing.
• Pain management: Medications to reduce discomfort and inflammation.
• Physical therapy: Exercises to restore wrist strength and range of motion once healing allows.
• Surgical intervention: May be required if the fracture does not heal properly or if displacement persists.

Prognosis and Follow-Up

With proper treatment, most displaced fractures of the distal pole of the scaphoid heal without long-term issues. Routine follow-up appointments and imaging are typically scheduled to monitor healing progress. Full recovery may take several months, depending on the severity of the fracture and adherence to treatment plans.

Complications

• Delayed healing or nonunion of the fracture.
• Avascular necrosis (loss of blood supply to the bone).
• Arthritis in the wrist joint over time.
• Persistent pain or stiffness.

Lifestyle & Prevention

• Use protective gear during high-risk activities (e.g., sports).
• Maintain bone health through adequate calcium and vitamin D intake.
• Avoid falls by using assistive devices if balance is impaired.
• Strengthen wrist muscles through regular exercise.

When to Seek Professional Help

• Severe or worsening pain that does not improve with rest or medication.
• New swelling, bruising, or deformity in the wrist.
• Numbness, tingling, or weakness in the hand or fingers.
• Signs of infection, such as redness, warmth, or fever.

Tips for Medical Coders

Document the fracture type (displaced), location (distal pole of navicular [scaphoid] bone, left wrist), and encounter type (subsequent for fracture with routine healing) clearly in the medical record. Ensure that imaging or clinical notes confirm the fracture is healing as expected to support the "routine healing" designation.