S62.320 Displaced fracture of shaft of second metacarpal bone, right hand

Name of the Condition

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

Summary

A displaced fracture of the shaft of the second metacarpal bone in the right hand involves a break in the middle portion of the bone, with the fragments misaligned. This injury typically results from trauma or impact to the hand, leading to a fracture that disrupts the normal alignment of the bone.

Causes

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

Risk Factors

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

Symptoms

• Pain and swelling in the hand.
• Tenderness or bruising around the affected area.
• Difficulty moving the fingers or hand.
• Possible 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.

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 well with appropriate treatment, but recovery time depends on the severity of the injury and adherence to the treatment plan. Follow-up appointments are typically scheduled to monitor healing and adjust care as needed.

Complications

• Nonunion or delayed healing of the fracture.
• Malunion, where the bone heals in an incorrect position.
• Stiffness or reduced range of motion in the hand.
• Nerve or tendon damage in severe cases.

Lifestyle & Prevention

• Use protective gear during high-risk activities.
• Maintain bone health through proper nutrition and exercise.
• Avoid repetitive stress on the hand when possible.

When to Seek Professional Help

Seek immediate medical attention if there is severe pain, visible deformity, inability to move the hand, or signs of infection (e.g., redness, fever).

Tips for Medical Coders

Document the specific bone (second metacarpal), the location (shaft), 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.