S62.111 Displaced fracture of triquetrum [cuneiform] bone, right wrist

Name of the Condition

• Displaced fracture of triquetrum [cuneiform] bone, right wrist

Summary

This condition involves a break in the triquetrum bone of the right wrist, with displacement of bone fragments. The triquetrum is one of the small carpal bones that form the wrist joint, and a displaced fracture means the broken pieces are no longer aligned properly. This type of injury typically results from trauma and may affect wrist function and stability.

Causes

Usually caused by direct trauma to the wrist, such as a fall onto an outstretched hand, a blow to the wrist, or a twisting injury. High-impact activities or accidents may also lead to fractures in this area.

Risk Factors

• Participation in contact sports or activities with a high risk of falls.
• Osteoporosis or weakened bone structure, especially in older adults.
• Previous wrist injuries or fractures.

Symptoms

• Pain, swelling, and tenderness in the right wrist.
• Bruising or discoloration around the injury site.
• Limited range of motion or difficulty moving the hand or fingers.
• Visible deformity in severe cases.

Diagnosis

Physical examination to assess pain, swelling, and mobility. Imaging tests, such as X-rays, CT scans, or MRIs, to confirm the fracture and evaluate its extent and displacement.

Treatment Options

• Immobilization: Using a cast, splint, or brace to stabilize the area and promote healing.
• Pain management: Medications like NSAIDs to reduce pain and inflammation.
• Physical therapy: To restore strength and mobility after initial healing.
• Surgery: May be required for severe displacement or unstable fractures to realign and fix the bone.

Prognosis and Follow-Up

Most displaced fractures of the triquetrum heal with proper treatment, but recovery time depends on the severity of the injury and treatment approach. Follow-up imaging may be needed to ensure proper healing. Rehabilitation is often necessary to restore full wrist function.

Complications

• Chronic pain or stiffness in the wrist.
• Arthritis or reduced range of motion due to improper healing.
• Nerve or tendon damage in severe cases.

Lifestyle & Prevention

• Use protective gear during high-risk activities.
• Maintain bone health through a balanced diet and exercise.
• Avoid falls by using assistive devices if needed, especially in older adults.

When to Seek Professional Help

Seek immediate medical attention if you experience severe wrist pain, swelling, or deformity after an injury, or if symptoms worsen despite initial care.

Tips for Medical Coders

Document the specific bone (triquetrum) and side (right wrist) affected, as well as the displacement status. Ensure clinical notes support the diagnosis and any associated treatments or complications.