S62.351 Nondisplaced fracture of shaft of second metacarpal bone, left hand

Name of the Condition

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

Summary

A nondisplaced fracture of the shaft of the second metacarpal bone in the left 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 (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 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 nondisplaced fractures heal well with proper immobilization and care. Follow-up appointments are typically scheduled to monitor healing and adjust treatment as needed. Full recovery may take several weeks, depending on the severity and individual healing response.

Complications

• Delayed healing or nonunion.
• Stiffness or reduced range of motion in the hand.
• Chronic pain.
• Infection (if the fracture is open, though not applicable to nondisplaced closed fractures).

Lifestyle & Prevention

• Use protective gear during sports or high-risk activities.
• Maintain bone health through adequate calcium and vitamin D intake.
• Avoid repetitive hand stress or overuse.
• Practice safe techniques for manual labor or exercise to reduce injury risk.

When to Seek Professional Help

Seek immediate medical attention if there is severe pain, swelling, or inability to move the hand; if the hand appears deformed; or if there are signs of infection, such as redness, warmth, or pus.

Tips for Medical Coders

Document the specific location (second metacarpal bone, left hand) and confirm the fracture is nondisplaced. Ensure the encounter type and fracture status (e.g., closed) are clearly recorded to support accurate coding. Verify that imaging or clinical notes confirm the diagnosis to meet documentation requirements.