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

Name of the Condition

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

Summary

A nondisplaced fracture of the shaft of the fourth metacarpal bone in the left hand, sequela, refers to a healed or healing break in the midsection of the bone connecting the ring 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 after the acute phase has resolved.

Causes

This condition arises as a consequence of a prior fracture of the fourth metacarpal bone in the left hand. The original injury may have resulted from direct trauma, such as a fall or blow to the hand, sports-related injuries, or repetitive stress.

Risk Factors

• History of prior fracture to the fourth metacarpal bone.
• Inadequate healing or malunion of the original fracture.
• Underlying conditions affecting bone health, such as osteoporosis.

Symptoms

• Persistent pain or discomfort in the left hand.
• Reduced mobility or stiffness in the ring finger or hand.
• Possible residual swelling or tenderness at the fracture site.
• Functional limitations, such as difficulty gripping or performing fine motor tasks.

Diagnosis

Physical examination to assess residual tenderness, mobility, or deformity. Imaging tests, such as X-rays, to evaluate the healed fracture and identify any malunion or complications. Review of prior medical records to confirm the history of the original fracture.

Treatment Options

• Pain management with over-the-counter or prescription medications.
• Physical therapy to improve mobility, strength, and function.
• Occupational therapy to assist with daily activities.
• Orthotic devices or splints for support, if needed.
• Surgical intervention may be considered for significant malunion or functional impairment.

Prognosis and Follow-Up

Most patients experience gradual improvement with appropriate treatment, though some residual symptoms may persist. Regular follow-up with a healthcare provider is important to monitor healing and address any ongoing issues. Prognosis depends on the severity of the original injury and the effectiveness of rehabilitation.

Complications

• Chronic pain or discomfort.
• Reduced range of motion or stiffness.
• Malunion or nonunion of the fracture.
• Functional limitations affecting daily activities.

Lifestyle & Prevention

• Avoid activities that place excessive stress on the left hand.
• Use protective gear during sports or high-risk activities.
• Engage in exercises to maintain hand strength and flexibility.
• Follow post-fracture care recommendations to support proper healing.

When to Seek Professional Help

Seek medical attention if you experience worsening pain, new swelling, or significant functional impairment. Consult a healthcare provider if symptoms do not improve with conservative measures or if you notice changes in hand mobility or sensation.

Tips for Medical Coders

Document the sequela status clearly, including the history of the original fracture and any residual effects. Ensure the code S62.355S is used only when the condition is a direct result of a prior fracture and the acute phase has resolved. Include details about ongoing symptoms, treatment, and functional limitations to support accurate coding.