S62.314 Displaced fracture of base of fourth metacarpal bone, right hand

Name of the Condition

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

Summary

A displaced fracture of the base of the fourth metacarpal bone in the right hand is a break in the proximal (base) portion of the fourth 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 displaced fractures to realign the bone.

Prognosis and Follow-Up

Most fractures heal within 6–8 weeks with proper immobilization and care. Follow-up appointments monitor healing progress and adjust treatment as needed. Full recovery depends on the severity of the fracture and adherence to rehabilitation.

Complications

• Nonunion or delayed healing.
• Malunion (improper bone alignment).
• Chronic pain or stiffness.
• Nerve or tendon damage.

Lifestyle & Prevention

• Use protective gear during high-risk activities.
• Maintain bone health with adequate calcium and vitamin D.
• Avoid repetitive hand stress or improper lifting techniques.

When to Seek Professional Help

Seek immediate care for severe pain, visible deformity, inability to move the hand, or signs of infection (e.g., redness, fever).

Tips for Medical Coders

Document the specific metacarpal bone (fourth) and hand (right) involved. Include details on displacement and any associated injuries. Ensure clinical documentation supports the diagnosis for accurate coding.