S62.036 Nondisplaced fracture of proximal third of navicular [scaphoid] bone of unspecified wrist

Name of the Condition

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

Summary

A nondisplaced fracture of the proximal third of the navicular (scaphoid) bone in the wrist is a break in the upper portion of one of the wrist's small bones, 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 heal well with proper immobilization and follow-up care. Recovery time varies but typically ranges from 6 to 12 weeks. Regular follow-up appointments are necessary to monitor healing and adjust treatment as needed.

Complications

• Delayed union or nonunion 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 proper nutrition and exercise
• Avoid falls by using assistive devices if needed
• Warm up and stretch before physical activities

When to Seek Professional Help

Seek immediate medical attention if you experience severe pain, swelling, or deformity in the wrist, or if symptoms worsen despite treatment.

Tips for Medical Coders

Document the fracture location (proximal third of the navicular bone) and confirm that it is nondisplaced. Include details about the wrist (unspecified) and any associated injuries or treatments to support accurate coding. Ensure documentation aligns with clinical findings and imaging results.