S62.013 Displaced fracture of distal pole of navicular [scaphoid] bone of unspecified wrist

Name of the Condition

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

Summary

A displaced fracture of the distal pole of the navicular (scaphoid) bone in the unspecified wrist involves a break in the lower portion of this small, critical wrist bone, 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 activities that stress the wrist.

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 that may compromise bone integrity.

Symptoms

• Pain and tenderness localized to the wrist, especially near 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 wrist and promote healing.
• Surgical intervention: May be required for severely displaced fractures or those that fail to heal with immobilization.
• Pain management: Medications to reduce discomfort and inflammation.
• Rehabilitation: Physical therapy to restore strength and range of motion after healing.

Prognosis and Follow-Up

Prognosis depends on the severity of the fracture and adherence to treatment. Most fractures heal with proper immobilization, but displaced fractures may require longer recovery times. Follow-up imaging is often needed to monitor healing progress. Complications like nonunion or arthritis may occur if treatment is delayed or inadequate.

Complications

• Nonunion (failure of the bone to heal).
• Avascular necrosis (loss of blood supply to the bone).
• Post-traumatic arthritis in the wrist.
• Chronic 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 targeted exercises.

When to Seek Professional Help

Seek immediate medical attention if you experience severe wrist pain, swelling, or deformity after an injury. Persistent pain, numbness, or difficulty moving the wrist after initial treatment also warrants evaluation.

Tips for Medical Coders

Document the displacement status and unspecified wrist side clearly. Ensure clinical notes specify whether the fracture is displaced and confirm the wrist (unspecified) to support accurate coding. Include details on imaging findings and treatment approaches to justify code selection.