S62.353S Nondisplaced fracture of shaft of third metacarpal bone, left hand, sequela

Name of the Condition

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

Summary

A nondisplaced fracture of the shaft of the third metacarpal bone in the left hand, sequela, refers to a healed or healing fracture of the midsection of the bone connecting the middle finger to the wrist, where the bone fragments remain aligned. The term "sequela" indicates this is a residual condition resulting from a previous fracture, with ongoing effects or complications following the initial injury.

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

• Persistent pain or discomfort in the hand.
• Swelling or tenderness around the affected area.
• Stiffness or limited mobility in the fingers or hand.
• Possible residual deformity or misalignment.
• Reduced grip strength or functional impairment.

Diagnosis

Physical examination by a healthcare provider to assess tenderness, swelling, or deformity. Imaging tests, such as X-rays, to evaluate the healing status and any residual effects of the fracture.

Treatment Options

• Pain management using over-the-counter or prescription medications.
• Physical therapy to restore mobility and strength.
• Occupational therapy to improve hand function.
• Orthotic devices or splints for support.
• Surgical intervention (if residual deformity or functional impairment is significant).

Prognosis and Follow-Up

Most nondisplaced fractures of the metacarpal shaft heal well with appropriate treatment, but residual effects may persist. Follow-up care focuses on monitoring healing progress, managing symptoms, and addressing functional limitations. Long-term outcomes depend on the severity of the initial injury and adherence to rehabilitation.

Complications

• Chronic pain or stiffness.
• Reduced range of motion.
• Persistent deformity or misalignment.
• Arthritis or joint degeneration.
• Nerve or tendon damage (rare).

Lifestyle & Prevention

• Use protective gear during high-risk activities.
• Maintain bone health through proper nutrition and exercise.
• Avoid repetitive stress on the hand.
• Practice safe techniques in manual labor or sports.

When to Seek Professional Help

Seek medical attention if you experience worsening pain, swelling, or functional impairment, or if you notice signs of infection (e.g., redness, warmth, or drainage) at the fracture site.

Tips for Medical Coders

Document the sequela status clearly, including the history of the initial fracture and any residual effects. Ensure the code S62.353S is used only when the condition is a direct result of a prior fracture and is being reported as a residual effect. Include details about the affected hand (left) and the specific bone (third metacarpal) to support accurate coding.