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Displaced fracture of middle third of navicular [scaphoid] bone of left wrist, initial encounter for closed fracture

ICD10CM code
#### Name of the Condition
- Displaced fracture of the middle third of the navicular [scaphoid] bone of the left wrist, initial encounter for closed fracture (ICD Code: S62.022A).

#### 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 left side. The fracture is displaced, meaning the bone has shifted from its normal position, and it is a closed fracture, indicating the skin is not broken.

#### 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
- Risk factors include participation in contact sports, activities with a high risk of falls, such as skateboarding or cycling, and osteopenia or osteoporosis, which weakens bones.

#### Symptoms
- Pain and tenderness at the base of the thumb, swelling in the wrist, limited wrist movement, and 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
- Treatment may include immobilization with a cast or splint, pain management with medications, and in some cases, surgical intervention to realign and stabilize the bone using screws or pins. The choice of treatment helps in relieving pain, ensuring proper healing, and restoring wrist function.

#### Prognosis and Follow-Up
- With appropriate treatment, the prognosis is generally good, but healing may take several weeks to months. Follow-up appointments are crucial to monitor bone healing and ensure proper recovery.

#### Complications
- Potential complications if untreated include nonunion (failure to heal), malunion (healing in wrong position), reduced wrist motion, and chronic pain.

#### Lifestyle & Prevention
- Wearing protective gear during sports or high-risk activities, maintaining bone health through adequate calcium and vitamin D intake, and practicing safe fall techniques to prevent wrist fractures.

#### When to Seek Professional Help
- Immediate medical attention is needed if there is severe wrist pain following a fall or direct wrist impact, noticeable deformity, swelling, or inability to move the wrist.

#### Additional Resources
- [American Academy of Orthopaedic Surgeons (AAOS)](https://www.aaos.org/)
- [National Institutes of Health (NIH)](https://www.nih.gov/)
- Local patient support groups or forums for individuals recovering from wrist fractures.

#### Tips for Medical Coders
- Ensure precise documentation of the fracture location (middle third), side (left), and nature (closed and displaced) for accurate coding.
- Double-check the encounter type as initial; subsequent encounters have different codes.

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