S62.360 Nondisplaced fracture of neck of second metacarpal bone, right hand

Name of the Condition

• Nondisplaced fracture of neck of second metacarpal bone, right hand

Summary

A nondisplaced fracture of the neck of the second metacarpal bone in the right hand is a break in the midsection of the second metacarpal bone where the bone fragments remain aligned. This injury typically results from trauma or impact to the hand, with the fracture not causing 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.

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 fractures heal well with appropriate treatment, though recovery time may vary. Follow-up care typically includes monitoring for healing progress and assessing functional recovery. Physical therapy may be recommended to restore full range of motion and strength.

Complications

• Delayed healing or nonunion.
• Chronic pain or stiffness.
• Nerve or tendon damage.
• Infection (if surgery is performed).

Lifestyle & Prevention

• Use protective gear during high-risk activities.
• Maintain bone health through proper nutrition and exercise.
• Avoid repetitive hand stress or overuse.

When to Seek Professional Help

Seek medical attention if pain is severe, swelling worsens, or there is difficulty moving the hand. Immediate care is needed if the hand appears deformed or if there is numbness or tingling.

Tips for Medical Coders

Document the specific location (neck of second metacarpal bone) and laterality (right hand) to support accurate coding. Include details on fracture type (nondisplaced) and any associated injuries or treatments for complete coding.