S62.032 Displaced fracture of proximal third of navicular [scaphoid] bone of left wrist

Name of the Condition

Displaced fracture of proximal third of navicular [scaphoid] bone of left wrist

Summary

A displaced fracture of the proximal third of the navicular (scaphoid) bone in the left 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) or other medications
• Surgical intervention if the fracture is severely displaced or unstable, involving realignment and fixation with pins, screws, or plates
• Physical therapy to restore strength and range of motion after healing

Prognosis and Follow-Up

Prognosis depends on the severity of the fracture and treatment adherence. Most fractures heal within 6–12 weeks with proper immobilization, but displaced fractures may require longer recovery or surgery. Follow-up imaging is often needed to confirm healing. Complications like nonunion or arthritis can affect long-term outcomes.

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 stiffness

Lifestyle & Prevention

• Use wrist guards during high-risk activities like sports or falls
• Maintain bone health through adequate calcium and vitamin D intake
• Avoid repetitive wrist stress or overuse
• Practice safe falling techniques to reduce injury risk

When to Seek Professional Help

Seek immediate medical attention if you experience severe wrist pain, swelling, deformity, or inability to move the wrist after an injury. Persistent pain, numbness, or tingling also warrants evaluation.

Tips for Medical Coders

Document the specific location (proximal third of the navicular bone) and laterality (left wrist) to support accurate coding. Note displacement status and any associated injuries (e.g., open vs. closed fracture) for complete code assignment. Ensure clinical documentation aligns with the fracture’s characteristics to justify the code.