S62.033 Displaced fracture of proximal third of navicular [scaphoid] bone of unspecified wrist

Name of the Condition

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

Summary

A displaced fracture of the proximal third of the navicular (scaphoid) bone in the unspecified 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 analgesics
• Surgical intervention if the fracture is severely displaced or unstable, involving realignment and fixation of the bone fragments

Prognosis and Follow-Up

Prognosis depends on the severity of the fracture and adherence to treatment. Most fractures heal within 6–12 weeks with proper immobilization. Follow-up imaging may be required to monitor healing. Physical therapy is often recommended to restore strength and range of motion.

Complications

• Nonunion or delayed healing of the fracture
• Avascular necrosis (loss of blood supply to the bone)
• Arthritis in the wrist joint
• Nerve or tendon damage

Lifestyle & Prevention

• Use protective gear during high-risk activities
• Maintain bone health through adequate calcium and vitamin D intake
• Avoid falls by using assistive devices if balance is impaired

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.

Tips for Medical Coders

Use this code for a displaced fracture of the proximal third of the navicular (scaphoid) bone in the unspecified wrist. Ensure documentation specifies the displacement and location (proximal third) to support code assignment. Differentiate from non-displaced fractures or fractures of other wrist bones.