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

Name of the Condition

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

Summary

A displaced fracture of the proximal third of the navicular (scaphoid) bone in the left wrist, sequela, refers to the residual effects of a prior fracture that has healed but left lasting structural or functional changes. This condition may involve persistent misalignment, reduced mobility, or chronic pain resulting from incomplete healing or complications of the original injury.

Causes

The sequela arises from a previous displaced fracture of the proximal third of the scaphoid bone in the left wrist, typically caused by trauma such as a fall onto an outstretched hand or high-impact injury. Inadequate initial treatment, delayed healing, or complications like avascular necrosis can contribute to long-term consequences.

Risk Factors

• Prior wrist trauma or fracture history
• Incomplete or delayed treatment of the initial injury
• Underlying conditions affecting bone healing (e.g., poor circulation, metabolic disorders)

Symptoms

• Chronic pain or discomfort in the left wrist, particularly on the thumb side
• Reduced range of motion or stiffness in the wrist joint
• Persistent swelling or deformity
• Difficulty gripping or performing fine motor tasks
• Possible development of arthritis in the wrist over time

Diagnosis

Evaluation includes a physical exam to assess wrist function, pain patterns, and residual deformity. Imaging, such as X-rays or MRI, may be used to identify persistent misalignment, bone changes, or associated complications like avascular necrosis. Clinical history of the original fracture is critical for diagnosis.

Treatment Options

• Pain management with medications or physical therapy to improve function
• Orthotic devices or splints to stabilize the wrist and reduce strain
• Surgical intervention in cases of severe misalignment or functional impairment
• Rehabilitation to restore mobility and strength

Prognosis and Follow-Up

Prognosis depends on the extent of residual damage and response to treatment. Chronic pain or stiffness may persist, but most patients achieve improved function with appropriate management. Regular follow-up is recommended to monitor for complications like arthritis or further bone changes.

Complications

• Chronic wrist pain or instability
• Post-traumatic arthritis
• Avascular necrosis of the scaphoid bone
• Persistent reduced mobility or grip strength

Lifestyle & Prevention

• Avoid repetitive or high-impact wrist activities to prevent further injury
• Use ergonomic tools or supports during daily tasks
• Engage in targeted exercises to maintain wrist flexibility and strength
• Protect the wrist during sports or physical activities with appropriate gear

When to Seek Professional Help

Seek medical attention if you experience worsening pain, new swelling, or reduced wrist function, as these may indicate a new injury or complication. Regular follow-up with a healthcare provider is advised for ongoing management of sequela.

Tips for Medical Coders

This code is used for the sequela (late effect) of a displaced fracture of the proximal third of the navicular (scaphoid) bone of the left wrist. Documentation should clearly indicate the residual effects of the prior fracture, including any persistent symptoms, functional limitations, or structural changes. Ensure the code aligns with the patient’s current clinical status and history of the original injury.