S62.031 Displaced fracture of proximal third of navicular [scaphoid] bone of right wrist

Name of the Condition

• Displaced fracture of proximal third of navicular [scaphoid] bone of right wrist

Summary

A displaced fracture of the proximal third of the navicular (scaphoid) bone in the right wrist involves a break where the bone fragments have shifted out of their normal alignment. This type of fracture typically results from trauma and requires prompt evaluation to ensure proper healing and prevent complications.

Causes

Direct trauma to the wrist, such as a fall onto an outstretched hand. High-impact injuries, including sports-related accidents or motor vehicle collisions.

Risk Factors

• Participation in contact sports or activities with a high risk of wrist injury
• Osteoporosis or weakened bone density
• Previous wrist fractures or ligament damage

Symptoms

• Intense pain and swelling in the wrist, particularly on the thumb side
• Visible deformity or misalignment of the wrist
• Difficulty moving the wrist or gripping objects
• Bruising or tenderness over the scaphoid bone area

Diagnosis

Physical examination to assess pain, swelling, and wrist mobility. Imaging tests, such as X-rays, CT scans, or MRI, to confirm the fracture and evaluate displacement. Additional tests may be used to check for nerve or ligament damage.

Treatment Options

• Immobilization with a cast or splint to stabilize the bone
• Pain management with nonsteroidal anti-inflammatory drugs (NSAIDs)
• Surgical intervention to realign and fix the bone fragments, if necessary
• Physical therapy to restore strength and range of motion after healing

Prognosis and Follow-Up

Recovery depends on the severity of the fracture and treatment. Immobilization typically lasts 6–12 weeks, with follow-up imaging to monitor healing. Complications like nonunion or arthritis may require additional care. Regular follow-ups ensure proper healing and address any functional limitations.

Complications

• Nonunion (failure of the bone to heal)
• Avascular necrosis (loss of blood supply to the bone)
• Post-traumatic arthritis
• Nerve or tendon damage
• Chronic pain or reduced wrist function

Lifestyle & Prevention

• Use protective gear during high-risk activities (e.g., wrist guards in sports)
• Maintain bone health through proper nutrition and exercise
• Avoid falls by improving balance and removing tripping hazards
• Seek prompt treatment for wrist injuries to prevent displacement

When to Seek Professional Help

• Severe wrist pain or swelling after an injury
• Inability to move the wrist or bear weight
• Numbness, tingling, or coldness in the hand
• Visible deformity or misalignment of the wrist

Tips for Medical Coders

Document the fracture location (proximal third of the navicular bone), displacement status, and laterality (right wrist). Include details on the encounter type (e.g., initial, subsequent) and any complications (e.g., nonunion) to ensure accurate coding. Verify imaging results and clinical notes to confirm displacement and rule out associated injuries.