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

Name of the Condition

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

Summary

A nondisplaced fracture of the neck of the second metacarpal bone in the right hand, sequela, refers to a residual condition resulting from a previous fracture of this bone. The term "sequela" indicates a complication or condition that follows the initial injury, where the bone fragments remain aligned but may have persistent effects such as limited mobility, pain, or deformity. This condition arises after the acute phase of the fracture has resolved.

Causes

The sequela results from a prior nondisplaced fracture of the neck of the second metacarpal bone in the right hand, typically caused by trauma or impact to the hand. The residual effects may persist due to incomplete healing, joint stiffness, or soft tissue damage from the original injury.

Risk Factors

• History of prior hand fractures or injuries.
• Inadequate rehabilitation or immobilization during initial healing.
• Underlying conditions affecting bone or soft tissue healing, such as diabetes or vascular disease.

Symptoms

• Chronic pain or discomfort in the hand.
• Reduced range of motion or stiffness in the fingers or wrist.
• Mild swelling or tenderness around the affected area.
• Possible residual deformity or functional limitation.

Diagnosis

Physical examination to assess residual pain, stiffness, or deformity. Imaging tests, such as X-rays, to evaluate bone healing and alignment. Review of prior medical records to confirm the history of the initial fracture and its treatment.

Treatment Options

• Pain management with over-the-counter or prescription medications.
• Physical therapy to improve mobility and strength.
• Occupational therapy to address functional limitations.
• Orthotic devices or splints to support the hand during daily activities.
• Surgical intervention may be considered for persistent functional impairment.

Prognosis and Follow-Up

The prognosis depends on the extent of residual damage and adherence to rehabilitation. Most patients experience improvement with therapy, though some may have long-term limitations. Regular follow-up with a healthcare provider is recommended to monitor healing and adjust treatment as needed.

Complications

• Chronic pain or arthritis in the affected joint.
• Persistent stiffness or reduced mobility.
• Nerve or tendon irritation from scar tissue.
• Delayed union or nonunion of the original fracture site.

Lifestyle & Prevention

• Avoid activities that stress the hand or risk re-injury.
• Use ergonomic tools or adaptive devices to reduce strain.
• Maintain a healthy lifestyle to support overall bone and tissue health.
• Follow prescribed rehabilitation exercises to optimize recovery.

When to Seek Professional Help

Seek medical attention if symptoms worsen, new pain or swelling develops, or functional limitations interfere with daily activities. Prompt evaluation is important to address complications or adjust treatment plans.

Tips for Medical Coders

This code (S62.360S) is used for a sequela of a nondisplaced fracture of the neck of the second metacarpal bone in the right hand. Documentation should clearly indicate the residual effects of the prior fracture, such as chronic pain, stiffness, or functional impairment, and link them to the original injury. Ensure the sequela is not confused with an acute fracture or other conditions affecting the hand.