S62.352S Nondisplaced fracture of shaft of third metacarpal bone, right hand, sequela

Name of the Condition

• Nondisplaced fracture of shaft of third metacarpal bone, right hand, sequela

Summary

A nondisplaced fracture of the shaft of the third metacarpal bone in the right hand, sequela, refers to a break in the midsection of the bone connecting the middle finger to the wrist where the bone fragments remain aligned, with residual effects or complications following the healing phase of the initial injury. This condition represents the long-term consequences of the fracture, such as persistent pain, limited mobility, or other chronic changes.

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

• Chronic pain or discomfort in the hand.
• Stiffness or limited range of motion in the fingers or wrist.
• Swelling or tenderness that persists beyond the initial healing period.
• 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 evaluate the fracture site and identify residual changes. Assessment of functional limitations and any ongoing symptoms related to the sequela.

Treatment Options

• Pain management using over-the-counter or prescription medications.
• Physical therapy to restore mobility and strength.
• Occupational therapy to improve hand function.
• Surgical intervention may be considered for severe residual deformity or functional impairment.

Prognosis and Follow-Up

The prognosis depends on the severity of the sequela and the individual's response to treatment. Most patients experience improvement with therapy, though some may have persistent symptoms. Regular follow-up appointments are recommended to monitor healing and adjust treatment as needed.

Complications

• Chronic pain or arthritis in the affected joint.
• Reduced grip strength or dexterity.
• Nerve damage leading to numbness or tingling.
• Delayed union or nonunion of the fracture.

Lifestyle & Prevention

• Avoid activities that strain the hand or wrist.
• Use protective gear during sports or manual labor.
• Maintain bone health through proper nutrition and exercise.
• Follow post-injury rehabilitation guidelines to minimize long-term effects.

When to Seek Professional Help

Seek medical attention if symptoms worsen, new pain or swelling develops, or functional limitations interfere with daily activities. Prompt evaluation is important to address complications or adjust treatment plans.

Tips for Medical Coders

Document the sequela status clearly, including any residual symptoms, functional limitations, or ongoing treatment related to the fracture. Ensure the code S62.352S is used only when the condition represents a late effect of the initial injury, not during the acute or healing phases.