S62.163S Displaced fracture of pisiform, unspecified wrist, sequela

Name of the Condition

• Displaced fracture of pisiform, unspecified wrist, sequela

Summary

This condition represents a displaced fracture of the pisiform bone in the wrist that has reached the sequela stage, indicating residual effects following the acute phase of injury. The pisiform is a small, pea-shaped carpal bone on the palmar (palm) side of the wrist, near the base of the pinky finger. Displacement means the bone fragments have shifted from their normal position, and the sequela stage implies ongoing consequences such as chronic pain, limited mobility, or other long-term changes after the initial fracture has healed.

Causes

The underlying cause is a prior traumatic event that resulted in a displaced fracture of the pisiform. This could include falls, direct blows to the wrist, or high-impact injuries. The sequela stage arises as a consequence of the original injury and its healing process.

Risk Factors

• History of wrist trauma or fractures.
• Activities or occupations involving repetitive wrist stress.
• Pre-existing conditions affecting bone healing or joint stability.

Symptoms

• Chronic pain or discomfort in the palmar side of the wrist.
• Reduced range of motion or stiffness in the wrist or hand.
• Possible swelling or tenderness at the injury site.
• Functional limitations in daily activities requiring wrist use.

Diagnosis

Evaluation includes a review of the patient’s medical history, focusing on the initial injury and healing timeline. Physical examination assesses wrist mobility, pain patterns, and any residual deformity. Imaging, such as X-rays or MRI, may be used to confirm the sequela and rule out other conditions.

Treatment Options

Management focuses on symptom relief and functional improvement. Options may include physical therapy to restore mobility, pain management strategies, and adaptive devices to support wrist function. In some cases, surgical intervention may be considered for persistent instability or pain.

Prognosis and Follow-Up

Prognosis depends on the severity of the original injury and the extent of residual effects. Most patients experience improved function with appropriate treatment, though some may have permanent limitations. Regular follow-up ensures symptoms are monitored and treatment is adjusted as needed.

Complications

Potential complications include chronic pain, persistent wrist stiffness, or reduced grip strength. Rarely, nerve irritation or arthritis may develop in the affected area.

Lifestyle & Prevention

• Avoid repetitive or high-impact wrist activities to reduce strain.
• Use ergonomic tools or supports during daily tasks.
• Engage in exercises to maintain wrist flexibility and strength, as recommended by a healthcare provider.

When to Seek Professional Help

Seek care if symptoms worsen, new pain or swelling occurs, or functional limitations impact daily life. Prompt evaluation is important if signs of infection or nerve compression develop.

Tips for Medical Coders

This code is used for a displaced fracture of the pisiform in the sequela stage. Document the residual effects of the prior injury, including any chronic symptoms or functional limitations. Ensure the diagnosis clearly reflects the sequela status and specify the affected wrist (unspecified in this code).