S62.171 Displaced fracture of trapezium [larger multangular], right wrist

Name of the Condition

• Displaced fracture of trapezium [larger multangular], right wrist

Summary

This condition involves a break in the trapezium bone of the right wrist, with displacement of the bone fragments. The trapezium is one of the carpal bones located at the base of the thumb, and its fracture can affect wrist and thumb mobility. Displacement means the bone fragments are no longer aligned properly, which may require specific treatment to restore function.

Causes

Typically caused by direct trauma to the wrist, such as a fall onto an outstretched hand, a blow to the thumb or wrist, or a crushing 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 at the base of the thumb.
• Bruising or discoloration around the injury site.
• Limited range of motion or difficulty moving the thumb.
• Visible deformity in severe cases.

Diagnosis

Physical examination to assess pain, swelling, and thumb 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 healing.
• Surgery: May be required for severe displacement or unstable fractures.

Prognosis and Follow-Up

Most fractures heal with proper treatment, but recovery time depends on the severity and treatment approach. Follow-up appointments are necessary to monitor healing and adjust treatment as needed. Full function may return, but some stiffness or weakness could persist.

Complications

• Nonunion or malunion of the fracture.
• Arthritis in the thumb or wrist joint.
• Nerve or tendon damage in severe cases.
• Chronic pain or reduced mobility.

Lifestyle & Prevention

• Use protective gear during high-risk activities.
• Maintain bone health through diet 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, visible deformity, inability to move the thumb, or signs of infection (e.g., fever, increased swelling).

Tips for Medical Coders

Document the specific bone (trapezium) and side (right wrist) affected, as well as the displacement status. Ensure clinical notes support the diagnosis and treatment provided. Code S62.171 is specific to the right wrist; left-sided fractures use a different code.