S62.032D Displaced fracture of proximal third of navicular [scaphoid] bone of left wrist, subsequent encounter for fracture with routine healing

Name of the Condition

Displaced fracture of proximal third of navicular [scaphoid] bone of left wrist, subsequent encounter for fracture with routine healing

Summary

A displaced fracture of the proximal third of the navicular (scaphoid) bone in the left wrist, with routine healing, indicates a break where bone fragments have shifted out of alignment, and the fracture is progressing normally during follow-up care. This condition requires monitoring 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
• Physical therapy to restore strength and mobility once healing allows
• Surgical intervention if displacement is severe or healing is delayed

Prognosis and Follow-Up

With proper treatment, most fractures in this area heal within 6–12 weeks. Routine follow-up ensures healing progresses as expected, and imaging may be repeated to confirm bone union. Long-term monitoring may be needed to assess for arthritis or other complications.

Complications

• Nonunion or delayed healing of the fracture
• Avascular necrosis (loss of blood supply to the bone)
• Post-traumatic arthritis in the wrist
• Nerve or ligament damage affecting wrist function

Lifestyle & Prevention

• Use protective gear during high-risk activities, such as wrist guards in sports
• Maintain bone health through adequate calcium and vitamin D intake
• Avoid falls by using assistive devices if balance is impaired
• Strengthen wrist muscles through targeted exercises

When to Seek Professional Help

Seek immediate care if pain worsens, swelling increases, or new numbness/tingling develops. Follow up with a healthcare provider if healing stalls or symptoms persist beyond expected timelines.

Tips for Medical Coders

Document the fracture's displacement, location (proximal third of the left navicular bone), and the subsequent encounter status with routine healing. Ensure clinical notes specify the fracture's alignment and healing progress to support accurate coding.