S62.112 Displaced fracture of triquetrum [cuneiform] bone, left wrist

Name of the Condition

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

Summary

This condition involves a break in the triquetrum bone of the left 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 left 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 wrist 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 wrist and allow healing.
• Reduction: Manual or surgical realignment of displaced bone fragments if necessary.
• Pain management: Medications to reduce discomfort and inflammation.
• Rehabilitation: Physical therapy to restore strength and range of motion after healing.

Prognosis and Follow-Up

Most displaced fractures of the triquetrum heal with proper treatment, but recovery time depends on severity and alignment. Follow-up imaging may be needed to ensure proper healing. Complications like arthritis or reduced mobility can occur if the fracture does not heal correctly.

Complications

• Chronic pain or stiffness in the wrist.
• Post-traumatic arthritis due to joint damage.
• Nerve or tendon injury from displaced bone fragments.
• Delayed union or nonunion of the fracture.

Lifestyle & Prevention

• Use protective gear during high-risk activities.
• Maintain bone health through proper nutrition and exercise.
• Avoid falls by using assistive devices if balance is impaired.
• Warm up and stretch before physical activities to reduce injury risk.

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. Persistent pain, numbness, or tingling may indicate nerve involvement and require evaluation.

Tips for Medical Coders

Document the side (left wrist), displacement status, and any associated injuries. Ensure clinical notes specify the fracture type and treatment provided to support accurate coding. Verify that the diagnosis aligns with the ICD-10-CM code S62.112.