S62.347 Nondisplaced fracture of base of fifth metacarpal bone, left hand

Name of the Condition

• Nondisplaced fracture of base of fifth metacarpal bone, left hand

Summary

A nondisplaced fracture of the base of the fifth metacarpal bone in the left hand involves a small break or crack in the bone that connects to the little finger, where the bone fragments remain in proper alignment. This type of injury typically results from trauma or direct impact to the hand.

Causes

Direct trauma, such as a fall onto the hand or a blow to the area, is the primary cause. Sports-related injuries, accidents, or repetitive stress may also lead to this fracture.

Risk Factors

• Participation in activities with a risk of hand trauma, such as contact sports or manual labor.
• Reduced bone density, which can increase susceptibility to fractures.
• Inadequate hand protection during high-risk activities.

Symptoms

• Pain and tenderness at the base of the fifth metacarpal bone.
• Swelling and bruising around the affected area.
• Difficulty or pain when moving the little finger.

Diagnosis

Physical examination by a healthcare provider to assess tenderness, swelling, or deformity. Imaging tests, such as X-rays, are used to confirm the fracture and verify that the bone fragments are properly aligned.

Treatment Options

• Immobilization with a splint or cast: To keep the bones in place while 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 nondisplaced fractures heal well with proper immobilization and care. Follow-up appointments are typically scheduled to monitor healing and ensure the bone remains aligned. Full recovery may take several weeks, with gradual return to normal activities as tolerated.

Complications

• Delayed healing or nonunion if the fracture is not properly immobilized.
• Chronic pain or stiffness 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 medical attention if pain worsens, swelling increases, or there is difficulty moving the finger. Immediate care is needed if the hand appears deformed or if there is numbness or tingling.

Tips for Medical Coders

Document the specific location (base of fifth metacarpal, left hand) and confirm the fracture is nondisplaced. Include details about the encounter type and any associated injuries to ensure accurate coding. Verify that the diagnosis aligns with clinical findings and imaging results.