S62.328 Displaced fracture of shaft of other metacarpal bone

Name of the Condition

• Displaced fracture of shaft of other metacarpal bone

Summary

A displaced fracture of the shaft of another metacarpal bone involves a break in the middle portion of one of the hand bones, excluding the thumb, where the bone fragments are 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 within 6–8 weeks with proper immobilization and care. Follow-up appointments monitor healing progress, and physical therapy may be recommended to restore full function. Long-term outcomes depend on the severity of the fracture and adherence to treatment.

Complications

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

Lifestyle & Prevention

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

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 metacarpal bone involved (excluding the thumb) and confirm displacement. Include details of the injury mechanism, imaging results, and treatment provided to support code assignment. Ensure documentation aligns with clinical findings to justify the displaced fracture classification.