S62.350 Nondisplaced fracture of shaft of second metacarpal bone, right hand

Name of the Condition

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

Summary

A nondisplaced fracture of the shaft of the second metacarpal bone in the right hand refers to a break in the midsection of the bone that connects the index finger to the wrist, where the bone fragments remain aligned. This injury typically results from trauma or impact to the hand and does not involve significant displacement of the bone fragments.

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. Follow-up care may include monitoring for proper healing and rehabilitation to restore function. Complications are rare but may include stiffness or reduced mobility if not managed properly.

Complications

• Stiffness or reduced range of motion in the hand.
• Chronic pain or discomfort.
• Delayed healing or nonunion of the fracture.

Lifestyle & Prevention

• Use protective gear during sports or 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 is severe, swelling worsens, or movement is significantly impaired. Immediate care is needed if the hand appears deformed or if there is numbness or tingling.

Tips for Medical Coders

Document the specific location (shaft of the second metacarpal bone) and laterality (right hand) to support accurate coding. Include details about the fracture being nondisplaced and any associated injuries or treatments to ensure complete clinical documentation.