S62.013D Displaced fracture of distal pole of navicular [scaphoid] bone of unspecified wrist, subsequent encounter for fracture with routine healing

Name of the Condition

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

Summary

A displaced fracture of the distal pole of the navicular (scaphoid) bone in the unspecified wrist, with routine healing, indicates a break in the lower portion of this small wrist bone where fragments are shifted out of alignment, and the fracture is progressing normally without complications. This type of injury requires monitoring to ensure continued proper healing and restoration of wrist function.

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 or specific location. Follow-up imaging may be used to monitor healing progress.

Treatment Options

• Immobilization: Wearing a cast or splint for several weeks to stabilize the fracture and promote 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 considered if the fracture does not heal properly or if displacement persists.

Prognosis and Follow-Up

With proper management, most fractures of the distal pole of the navicular bone heal well, especially when routine healing is observed. Follow-up appointments are typically scheduled to monitor progress through imaging and clinical assessment. Full recovery may take several months, depending on the severity of the injury and adherence to treatment.

Complications

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

Lifestyle & Prevention

• Use protective gear during high-risk activities, such as wrist guards in sports.
• Maintain bone health through a balanced diet rich in calcium and vitamin D.
• Avoid falls by using assistive devices if balance is impaired.
• Perform wrist-strengthening exercises to improve stability.

When to Seek Professional Help

Seek immediate medical attention if you experience severe wrist pain, swelling, or deformity after an injury. Contact your healthcare provider if pain worsens, or if you notice numbness, tingling, or decreased circulation in the hand.

Tips for Medical Coders

Document the encounter as a subsequent visit for fracture care with routine healing. Include details such as the type of immobilization, follow-up imaging results, and clinical assessment of healing progress. Ensure the wrist (unspecified) and fracture characteristics (displaced, distal pole) are clearly documented to support the code.