S62.015A Nondisplaced fracture of distal pole of navicular [scaphoid] bone of left wrist, initial encounter for closed fracture

Name of the Condition

• Nondisplaced fracture of distal pole of navicular [scaphoid] bone of left wrist, initial encounter for closed fracture
• Commonly known as a "non-displaced scaphoid fracture" of the left wrist.

Summary

• A non-displaced scaphoid fracture involves a small crack or break in the scaphoid bone, a crucial bone in the wrist, without displacing it from its normal position. Such fractures are often caused by falls or impacts and require prompt medical attention to ensure proper healing.

Causes

• Typically results from a fall on an outstretched hand (FOOSH).
• Can also occur due to direct trauma to the wrist area.

Risk Factors

• Participation in contact sports or activities with a high risk of falling.
• Inadequate wrist protection or improper technique in sports.
• Osteoporosis or weakened bone structure in older adults.

Symptoms

• Pain and tenderness in the wrist, especially when moving or gripping.
• Swelling and bruising around the wrist.
• Decreased range of motion or difficulty using the hand.

Diagnosis

• Physical examination to assess pain and mobility.
• Imaging tests like X-rays, CT scans, or MRI to visualize the fracture.

Treatment Options

• Immobilization: Wearing a cast or splint for several weeks to allow the bone to heal.
• Physiotherapy: Strengthening and rehabilitation exercises after immobilization.
• In severe or non-healing cases, surgery may be needed to align and stabilize the bone.

Prognosis and Follow-Up

• With proper treatment, most non-displaced scaphoid fractures heal completely within 6–12 weeks.
• Regular follow-ups are crucial to monitor healing and avoid complications.

Complications

• Non-union or delayed healing if not treated promptly.
• Avascular necrosis due to poor blood supply to the scaphoid bone.
• Persistent wrist pain or stiffness, impacting functionality.

Lifestyle & Prevention

• Use of protective gear in high-risk sports or activities.
• Strengthening exercises for wrist stability.
• Maintaining bone health through diet rich in calcium and vitamin D.

When to Seek Professional Help

• Persistent wrist pain or swelling after a fall or injury.
• Limited movement or weakness in the wrist and hand.

Additional Resources

• American Academy of Orthopaedic Surgeons (AAOS): aaos.org
• National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS): niams.nih.gov

Tips for Medical Coders

• Ensure accurate laterality (left wrist) is documented.
• Verify that this is the initial encounter for the closed fracture.
• Common mistake: confusing non-displaced with displaced fractures; verify imaging results for accuracy.