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Displaced fracture of neck of second metacarpal bone, left hand, subsequent encounter for fracture with malunion
ICD10CM code
#### Name of the Condition
- Displaced fracture of the neck of the second metacarpal bone, left hand, subsequent encounter for fracture with malunion.
- ICD Code: S62.331P
#### Summary
- This condition refers to a fracture where the neck of the second metacarpal bone in the left hand is displaced and has not healed properly (malunion) during a subsequent medical encounter.
#### Causes
- Commonly caused by trauma or impact, such as falling onto a hand or direct blows to the hand during sports or accidents.
#### Risk Factors
- Activities involving high impact or repetitive stress on the hands, such as contact sports or manual labor.
- Poor initial management of the primary fracture.
#### Symptoms
- Pain and deformity in the affected area.
- Swelling, bruising, and potential difficulty in moving the fingers.
- Visible misalignment or abnormal hand position.
#### Diagnosis
- Physical examination and patient history for symptoms.
- Imaging tests like X-rays are crucial to confirm fracture displacement and malunion.
#### Treatment Options
- Corrective surgery to realign and fix the malunion may be necessary.
- Physical therapy to restore movement and function post-surgery.
#### Prognosis and Follow-Up
- Prognosis varies; early intervention usually results in better outcomes.
- Follow-up visits are essential to monitor healing and hand functionality.
#### Complications
- Persistent pain, limited motion, or permanent hand deformity if untreated.
- Possible development of arthritis in the affected joint.
#### Lifestyle & Prevention
- Use protective gear during high-risk activities.
- Ensure proper initial fracture care and adhere to follow-up appointments for fracture healing.
#### When to Seek Professional Help
- Seek immediate medical attention if severe pain, visible deformity, or loss of function occurs.
#### Additional Resources
- American Society for Surgery of the Hand (ASSH): [assh.org](https://www.assh.org)
- National Institutes of Health (NIH): [nih.gov](https://www.nih.gov)
#### Tips for Medical Coders
- Ensure accurate capturing of the "subsequent encounter" and "malunion" as part of the coding.
- Avoid confusion with initial or non-displaced fracture codes to maintain accurate patient records.