S62.358 Nondisplaced fracture of shaft of other metacarpal bone

Name of the Condition

• Nondisplaced fracture of shaft of other metacarpal bone

Summary

A nondisplaced fracture of the shaft of another metacarpal bone refers to a break in the middle portion of one of the hand bones (excluding the thumb), where the bone fragments remain aligned. This injury typically results from trauma or impact to the hand, with the fracture maintaining its normal position.

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 factors.

Complications

• Delayed healing or nonunion.
• Stiffness or reduced range of motion.
• Chronic pain.
• Infection (if surgery is performed).

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 improper ergonomics.

When to Seek Professional Help

Seek immediate medical attention if pain is severe, swelling worsens, or there is difficulty moving the hand. Persistent symptoms after initial treatment may require reevaluation.

Tips for Medical Coders

Document the specific metacarpal bone involved (e.g., third, fourth, or fifth) and confirm the fracture is nondisplaced. Include details on trauma mechanism, imaging results, and treatment provided to support code assignment. Ensure documentation aligns with the clinical findings for accurate coding.