S62.360A Nondisplaced fracture of neck of second metacarpal bone, right hand, initial encounter for closed fracture

Name of the Condition

• Nondisplaced fracture of neck of second metacarpal bone, right hand, initial encounter for closed fracture

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 (one of the bones in the hand) where the bone fragments remain aligned. This injury occurs during an initial encounter for a closed fracture, meaning the skin is intact and there is no open wound. It typically results from trauma or impact to the hand.

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. Follow-up care may include monitoring for proper healing and rehabilitation to restore function. Long-term outcomes depend on the severity of the injury and adherence to treatment plans.

Complications

• Delayed healing or nonunion.
• Stiffness or reduced range of motion.
• Chronic pain.
• Infection (if the fracture becomes open).

Lifestyle & Prevention

• Use protective gear during sports or 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 worsens, swelling increases, or movement becomes severely limited. Immediate care is needed if the fracture is open or if there are signs of infection.

Tips for Medical Coders

Document the specific location (neck of second metacarpal), laterality (right hand), and encounter type (initial for closed fracture) to ensure accurate coding. Include details on fracture alignment (nondisplaced) and absence of open wounds to support the code selection.