S62.035 Nondisplaced fracture of proximal third of navicular [scaphoid] bone of left wrist

Name of the Condition

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

Summary

A nondisplaced fracture of the proximal third of the navicular (scaphoid) bone in the left wrist is a break in the upper portion of the scaphoid bone where the bone fragments remain in their normal alignment. This type of fracture typically results from trauma and requires 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

• Pain and tenderness in the wrist, particularly on the thumb side
• Swelling and bruising around the wrist area
• Decreased range of motion or difficulty gripping objects
• Possible numbness or tingling if nerves are affected

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
• Follow-up imaging to monitor healing progress
• Surgical intervention if the fracture does not heal properly or shows signs of displacement

Prognosis and Follow-Up

Most nondisplaced fractures of the scaphoid bone heal well with proper immobilization and follow-up care. Healing time may vary, typically ranging from 6 to 12 weeks. Regular follow-up appointments are necessary to monitor progress and adjust treatment as needed. Physical therapy may be recommended to restore strength and mobility after the fracture heals.

Complications

• Delayed union or nonunion of the fracture
• Avascular necrosis (loss of blood supply to the bone)
• Arthritis in the wrist joint
• Nerve or ligament damage

Lifestyle & Prevention

• Use protective gear during high-risk activities
• Maintain bone health through proper nutrition and exercise
• Avoid falls by using assistive devices if needed
• Practice proper wrist positioning during activities

When to Seek Professional Help

Seek immediate medical attention if you experience severe pain, swelling, or deformity in the wrist after an injury. Contact your healthcare provider if symptoms worsen or do not improve with initial treatment.

Tips for Medical Coders

Document the specific location (proximal third of the navicular bone) and laterality (left wrist) to accurately assign this code. Ensure the fracture is confirmed as nondisplaced, as this distinguishes it from displaced fractures. Include details of the injury mechanism and any imaging results to support the diagnosis.