S62.021 Displaced fracture of middle third of navicular [scaphoid] bone of right wrist

Name of the Condition

• Displaced fracture of middle third of navicular [scaphoid] bone of right wrist (ICD Code: S62.021).

Summary

This condition involves a break in the middle third of the scaphoid bone, a small bone in the wrist near the base of the thumb, on the right side. The fracture is displaced, meaning the bone fragments have shifted from their normal position.

Causes

Displaced scaphoid fractures are commonly caused by a fall onto an outstretched hand, direct trauma to the wrist, or severe twisting injuries.

Risk Factors

• Participation in contact sports or activities with a high risk of falls.
• Osteopenia or osteoporosis, which weakens bone structure.
• Previous wrist injuries or conditions that compromise bone strength.

Symptoms

• Pain and tenderness at the base of the thumb.
• Swelling in the wrist.
• Limited wrist movement.
• Difficulty gripping objects.

Diagnosis

Diagnosis typically involves a physical examination, assessment of wrist mobility, and imaging tests such as X-rays, CT scans, or MRIs to confirm the fracture and assess displacement.

Treatment Options

• Immobilization with a cast or splint to stabilize the bone.
• Pain management with medications.
• Surgical intervention in some cases to realign and stabilize the bone using screws or pins.

Prognosis and Follow-Up

Healing time depends on the severity of the fracture and treatment. Regular follow-up appointments are necessary to monitor healing and ensure proper recovery. Physical therapy may be recommended to restore wrist function.

Complications

• Nonunion (failure of the bone to heal).
• Avascular necrosis (loss of blood supply to the bone).
• Arthritis in the wrist joint.
• Persistent pain or stiffness.

Lifestyle & Prevention

• Use protective gear during high-risk activities.
• Maintain bone health through proper nutrition and exercise.
• Avoid falls by using assistive devices if needed.

When to Seek Professional Help

Seek immediate medical attention if you experience severe wrist pain, swelling, or inability to move the wrist after an injury.

Tips for Medical Coders

Document the specific location (middle third of the scaphoid bone) and laterality (right wrist) to ensure accurate coding. Note whether the fracture is open or closed, as this may impact code selection. Include details about displacement and any associated injuries for comprehensive documentation.