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

Name of the Condition

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

Summary

This condition represents a displaced fracture of the triquetrum bone in the left wrist, classified as a sequela. The triquetrum is a small carpal bone in the wrist joint, and a displaced fracture means the broken bone fragments are not properly aligned. The term "sequela" indicates this is a residual effect or complication following the initial injury. This condition may affect wrist function and stability, requiring ongoing management to address long-term consequences.

Causes

Typically results from prior trauma to the left wrist, such as a fall, direct blow, or twisting injury. The sequela arises as a complication of the original fracture, where incomplete healing or malalignment leads to persistent symptoms or functional impairment.

Risk Factors

• History of wrist trauma or prior fractures.
• Inadequate initial treatment or nonunion of the original fracture.
• Underlying conditions affecting bone healing, such as osteoporosis or diabetes.

Symptoms

• Chronic pain or discomfort in the left wrist.
• Reduced range of motion or stiffness.
• Persistent swelling or deformity.
• Weakness or instability during wrist movement.
• Possible numbness or tingling if nerve involvement is present.

Diagnosis

Clinical evaluation to assess chronic symptoms, wrist function, and prior injury history. Imaging studies, such as X-rays or CT scans, to evaluate bone alignment, healing status, and any residual displacement. Additional tests may be used to rule out associated complications like arthritis or nerve damage.

Treatment Options

• Rehabilitation: Physical therapy to improve strength, flexibility, and function.
• Pain management: Medications or injections to alleviate chronic discomfort.
• Surgical intervention: Considered for severe malalignment or persistent instability, such as osteotomy or fusion.
• Assistive devices: Braces or splints to support the wrist during daily activities.

Prognosis and Follow-Up

Prognosis depends on the extent of residual displacement and functional impact. Most patients experience improved symptoms with rehabilitation, though some may have permanent limitations. Regular follow-up with a healthcare provider is recommended to monitor healing and adjust treatment as needed.

Complications

• Chronic pain or arthritis in the wrist joint.
• Persistent instability or weakness.
• Nerve compression or damage.
• Reduced grip strength or dexterity.

Lifestyle & Prevention

• Avoid high-impact activities that stress the wrist.
• Use protective gear during sports or work.
• Maintain bone health through proper nutrition and exercise.
• Follow post-injury care guidelines to minimize long-term effects.

When to Seek Professional Help

Seek care if chronic wrist pain worsens, mobility decreases significantly, or new symptoms like numbness or swelling develop. Prompt evaluation is important to address complications and optimize recovery.

Tips for Medical Coders

This code (S62.112S) is used for a displaced triquetrum fracture of the left wrist with sequela. Documentation should specify the residual effects of the original injury, such as chronic pain, functional impairment, or malalignment. Ensure the sequela is clearly linked to the prior fracture and that the left wrist and displacement are documented. Avoid using this code for acute fractures or initial encounters.