S62.014S Nondisplaced fracture of distal pole of navicular [scaphoid] bone of right wrist, sequela

Name of the Condition

• Nondisplaced fracture of distal pole of navicular [scaphoid] bone of right wrist, sequela

Summary

A sequela of a nondisplaced fracture of the distal pole of the navicular (scaphoid) bone in the right wrist refers to the residual effects or complications that persist after the initial injury has healed. This condition involves the distal portion of the scaphoid, a small bone critical for wrist stability and movement, and may include ongoing symptoms or functional limitations resulting from the prior fracture.

Causes

The sequela arises from a previous nondisplaced fracture of the distal pole of the scaphoid bone in the right wrist. The original injury typically resulted from trauma, such as a fall onto an outstretched hand (FOOSH), direct impact, or twisting forces. The residual effects are a consequence of the healing process or incomplete recovery from the initial fracture.

Risk Factors

• Prior wrist trauma or fracture history, particularly involving the scaphoid bone.
• Inadequate healing or malunion of the original fracture.
• Underlying conditions affecting bone or soft tissue recovery, such as poor circulation or arthritis.
• Activities that place repetitive stress on the wrist, potentially exacerbating residual symptoms.

Symptoms

• Persistent pain or discomfort in the wrist, especially near the base of the thumb.
• Reduced range of motion or stiffness in the wrist joint.
• Weakness or difficulty gripping objects.
• Possible swelling or tenderness at the fracture site.
• Numbness or tingling if nerve involvement persists.

Diagnosis

Evaluation includes a detailed patient history focusing on the original injury and recovery. Physical examination assesses wrist mobility, pain, and functional limitations. Imaging, such as X-rays or MRI, may be used to evaluate residual bone changes or soft tissue involvement. Functional assessments help determine the impact on daily activities.

Treatment Options

Management focuses on symptom relief and restoring function. This may include physical therapy to improve strength and mobility, pain management strategies, and activity modification. In some cases, further evaluation for surgical intervention or additional rehabilitation may be necessary if symptoms persist.

Prognosis and Follow-Up

Prognosis depends on the extent of residual effects and adherence to treatment. Most patients experience improvement with appropriate care, though some may have long-term limitations. Regular follow-up ensures symptoms are monitored, and treatment plans are adjusted as needed to optimize recovery.

Complications

• Chronic pain or stiffness in the wrist.
• Reduced grip strength or functional impairment.
• Increased risk of future wrist injuries due to altered mechanics.
• Possible progression to arthritis in the scaphoid or surrounding joints.

Lifestyle & Prevention

• Avoid activities that stress the wrist, especially those involving heavy lifting or repetitive motions.
• Use wrist supports or braces during high-risk activities to minimize strain.
• Engage in exercises that maintain wrist flexibility and strength under guidance.
• Maintain overall bone health through proper nutrition and lifestyle choices.

When to Seek Professional Help

Seek medical attention if symptoms worsen, new pain or swelling develops, or functional limitations interfere with daily activities. Prompt evaluation is important if numbness, tingling, or signs of infection (e.g., redness, warmth) occur.

Tips for Medical Coders

This code is used for the sequela of a nondisplaced fracture of the distal pole of the navicular (scaphoid) bone in the right wrist. Documentation should clearly indicate the relationship to the prior fracture and the nature of the residual effects. Ensure the encounter is coded as a sequela (S code) when the condition is a late effect of the original injury.