S62.350A Nondisplaced fracture of shaft of second metacarpal bone, right hand, initial encounter for closed fracture

Name of the Condition

• Nondisplaced fracture of shaft of second metacarpal bone, right hand, initial encounter for closed fracture

Summary

A nondisplaced fracture of the shaft of the second metacarpal bone in the right hand is a break in the middle portion 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 is classified as a closed fracture (no open wound) during the initial encounter.

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, though recovery time varies. Follow-up appointments monitor healing progress, and physical therapy may be recommended to restore full function. Complications are rare but may include stiffness or reduced mobility if not properly managed.

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 hand stress or overuse.

When to Seek Professional Help

Seek immediate medical attention if severe pain, swelling, or deformity occurs after an injury. Consult a healthcare provider if symptoms worsen or do not improve with initial care.

Tips for Medical Coders

Document the specific metacarpal bone (second), location (shaft), laterality (right hand), and encounter type (initial for closed fracture) to ensure accurate coding. Include details on fracture displacement (nondisplaced) and whether the fracture is open or closed to support code selection.