S62.355 Nondisplaced fracture of shaft of fourth metacarpal bone, left hand

Name of the Condition

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

Summary

A nondisplaced fracture of the shaft of the fourth metacarpal bone in the left hand refers to a break in the midsection of the bone that connects the ring 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 progress, often with repeat imaging to confirm bone alignment. Full recovery may take several weeks, depending on the individual's health and adherence to treatment.

Complications

• Delayed healing or nonunion if the fracture is not properly immobilized.
• Stiffness or reduced range of motion in the hand or fingers.
• Chronic pain in rare cases.

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.

When to Seek Professional Help

Seek immediate medical attention if there is severe pain, swelling, or inability to move the hand, or if the hand appears deformed. Persistent pain or difficulty with daily activities after initial treatment also warrants evaluation.

Tips for Medical Coders

Document the specific location (fourth metacarpal bone, left hand) and confirm the fracture is nondisplaced. Include details of the injury mechanism, imaging results, and treatment provided to support code assignment. Ensure documentation aligns with the clinical findings for accurate coding.