S62.015 Nondisplaced fracture of distal pole of navicular [scaphoid] bone of left wrist

Name of the Condition

• Nondisplaced fracture of distal pole of navicular [scaphoid] bone of left wrist

Summary

A nondisplaced fracture of the distal pole of the navicular (scaphoid) bone in the left wrist involves a small crack or break in the lower portion of this critical wrist bone, with the bone fragments remaining in their normal alignment. This type of fracture typically results from trauma and requires evaluation to ensure proper healing, as the scaphoid plays a key role in wrist stability and movement.

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 numbness or tingling if nerves are affected.

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 it is nondisplaced.

Treatment Options

• Immobilization: Wearing a cast or splint for several weeks to allow the bone to heal.
• Physiotherapy: Strengthening and rehabilitation exercises after immobilization to restore function.
• Monitoring: Regular follow-up imaging to ensure proper healing and alignment.

Prognosis and Follow-Up

Most nondisplaced scaphoid fractures heal well with appropriate immobilization and follow-up care. Healing time may vary, typically ranging from 6 to 12 weeks. Regular monitoring is important to detect any complications, such as delayed union or nonunion, which may require additional treatment.

Complications

• Delayed healing or nonunion if the fracture does not heal properly.
• Avascular necrosis (loss of blood supply) to the scaphoid bone, particularly if the fracture is not treated promptly.
• Long-term wrist stiffness or reduced range of motion.

Lifestyle & Prevention

• Use proper protective gear during sports or high-risk activities.
• Maintain bone health through adequate calcium and vitamin D intake, especially for older adults.
• Avoid falls by improving balance and using assistive devices if needed.

When to Seek Professional Help

Seek immediate medical attention if you experience severe wrist pain, swelling, or deformity after an injury. Consult a healthcare provider if symptoms persist or worsen despite initial treatment, or if you notice numbness, tingling, or decreased circulation in the hand.

Tips for Medical Coders

Document the specific location (left wrist) and the nondisplaced nature of the fracture. Include details about the mechanism of injury, clinical findings, and imaging results to support the diagnosis. Ensure the code aligns with the clinical documentation and reflects the absence of displacement.