S62.350G Nondisplaced fracture of shaft of second metacarpal bone, right hand, subsequent encounter for fracture with delayed healing

Name of the Condition

• Nondisplaced fracture of shaft of second metacarpal bone, right hand, subsequent encounter for fracture with delayed healing

Summary

A nondisplaced fracture of the shaft of the second metacarpal bone in the right hand, with delayed healing, refers to a break in the midsection of the bone connecting the index finger to the wrist where fragments remain aligned but healing progresses slower than expected. This condition is documented during a subsequent encounter, indicating ongoing management of the fracture.

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.
• Poor blood supply to the fracture site.
• Smoking or other factors that impair healing.

Symptoms

• Persistent pain and swelling in the hand.
• Tenderness or bruising around the affected area.
• Difficulty moving the fingers or hand.
• Possible deformity or misalignment (less common with nondisplaced fractures).

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 healing progress. Comparison with prior imaging to document delayed union.

Treatment Options

• Prolonged 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.
• Surgical intervention, such as bone grafting or fixation, if healing does not progress.

Prognosis and Follow-Up

Healing may take longer than typical fractures, requiring extended monitoring. Regular follow-up visits and imaging are necessary to assess progress. Most patients achieve full recovery with appropriate treatment, though some may experience residual stiffness or weakness.

Complications

• Nonunion (failure of the fracture to heal).
• Malunion (healing in an abnormal position).
• Chronic pain or stiffness.
• Reduced hand function.

Lifestyle & Prevention

• Avoid high-impact activities until cleared by a healthcare provider.
• Use protective gear during sports or manual labor.
• Maintain bone health through proper nutrition and exercise.
• Follow rehabilitation guidelines to optimize healing.

When to Seek Professional Help

Seek care if pain worsens, swelling increases, or mobility declines. Contact a provider if signs of infection (e.g., redness, fever) or new deformity appear.

Tips for Medical Coders

Document the fracture type (nondisplaced), location (shaft of second metacarpal, right hand), and encounter type (subsequent with delayed healing). Include clinical notes confirming delayed healing, such as imaging reports or provider assessments, to support code assignment.