S62.310 Displaced fracture of base of second metacarpal bone, right hand

Name of the Condition

• Displaced fracture of base of second metacarpal bone, right hand

Summary

A displaced fracture of the base of the second metacarpal bone in the right hand is a break in the proximal portion of the second metacarpal, where the bone fragments are misaligned. This injury typically results from trauma or direct impact to the hand, leading to pain, swelling, and potential functional impairment.

Causes

Direct trauma, such as a fall or blow to the hand. Sports-related injuries or accidents involving the hand. Repetitive stress or overuse in certain activities.

Risk Factors

• Participation in contact sports or high-impact activities.
• Reduced bone density or osteoporosis.
• Occupational hazards involving manual labor or repetitive hand movements.

Symptoms

• Pain and swelling in the right hand.
• Tenderness or bruising around the affected area.
• Difficulty moving the fingers or gripping objects.
• Possible visible deformity or misalignment.

Diagnosis

Physical examination by a healthcare provider to assess tenderness, swelling, or deformity. Imaging tests, such as X-rays, to confirm the fracture and evaluate its extent and displacement.

Treatment Options

• Immobilization with a cast or splint to promote healing.
• Pain management using over-the-counter or prescription medications.
• Physical therapy to restore mobility and strength.
• Surgery may be required for severe or unstable fractures to realign the bone.

Prognosis and Follow-Up

Most fractures heal well with appropriate treatment, but recovery time depends on the severity of the injury. Follow-up appointments are necessary to monitor healing and adjust treatment as needed.

Complications

• Nonunion or delayed healing.
• Chronic pain or stiffness.
• Nerve or tendon damage.
• Infection (if surgery is performed).

Lifestyle & Prevention

• Use protective gear during sports or high-risk activities.
• Maintain bone health through proper nutrition and exercise.
• Avoid repetitive hand movements that may increase stress on the metacarpals.

When to Seek Professional Help

Seek immediate medical attention if you experience severe pain, swelling, deformity, or inability to move the hand after an injury.

Tips for Medical Coders

Document the specific location (base of the second metacarpal), displacement status, and laterality (right hand) to ensure accurate coding. Include details about the mechanism of injury and any imaging results to support the diagnosis.