S62.185S Nondisplaced fracture of trapezoid [smaller multangular], left wrist, sequela

Name of the Condition

• Nondisplaced fracture of trapezoid [smaller multangular], left wrist, sequela

Summary

This condition refers to a healed or healing nondisplaced fracture of the trapezoid bone in the left wrist, with residual effects from the prior injury. The trapezoid is a small carpal bone on the radial (thumb) side of the wrist, contributing to stability and movement. Sequela indicates the condition is a late effect of the original fracture, meaning the acute injury has resolved but may leave lasting symptoms or functional changes.

Causes

The sequela arises from a prior nondisplaced fracture of the trapezoid bone in the left wrist, typically caused by trauma such as a fall onto an outstretched hand, a direct blow, or a twisting injury. The current state reflects the long-term consequences of that initial event.

Risk Factors

• Prior wrist trauma or fracture history.
• Inadequate healing or rehabilitation after the initial injury.
• Underlying conditions affecting bone or soft tissue recovery, such as poor circulation or chronic disease.

Symptoms

• Persistent pain, stiffness, or reduced range of motion in the left wrist.
• Weakness or instability during wrist or hand movements.
• Occasional swelling or discomfort with activity.
• Possible altered sensation or functional limitations in the affected area.

Diagnosis

Clinical evaluation to assess residual symptoms, wrist function, and range of motion. Imaging, such as X-rays or MRIs, may be used to evaluate bone healing and identify any persistent structural changes. Review of prior injury history and treatment records is also important.

Treatment Options

Management focuses on symptom relief and functional improvement. Options may include physical therapy to restore strength and mobility, pain management, and adaptive devices or splints to support wrist function. In some cases, further evaluation for surgical intervention may be considered if significant functional impairment persists.

Prognosis and Follow-Up

Prognosis depends on the extent of residual effects and adherence to rehabilitation. Most patients experience improved function with therapy, though some may have permanent limitations. Regular follow-up with a healthcare provider is recommended to monitor recovery and adjust treatment as needed.

Complications

• Chronic pain or stiffness in the left wrist.
• Reduced grip strength or dexterity.
• Increased risk of future wrist injuries due to altered biomechanics.
• Potential for arthritis or degenerative changes in the affected joint over time.

Lifestyle & Prevention

• Engage in regular wrist-strengthening exercises to maintain function.
• Use protective gear during activities with a high risk of wrist injury.
• Avoid repetitive stress on the left wrist and take breaks during prolonged use.
• Follow post-injury rehabilitation plans to optimize recovery.

When to Seek Professional Help

Seek care if residual symptoms worsen, new pain or swelling develops, or functional limitations interfere with daily activities. Prompt evaluation is important if signs of infection, nerve compression, or significant mobility loss occur.

Tips for Medical Coders

This code represents a sequela of a nondisplaced trapezoid fracture in the left wrist. Documentation should clearly indicate the relationship to the prior injury, including the nature of residual effects and any ongoing treatment. Ensure the sequela is linked to the original fracture event and that the left wrist and trapezoid bone are specified.