S62.361 Nondisplaced fracture of neck of second metacarpal bone, left hand

Name of the Condition

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

Summary

A nondisplaced fracture of the neck of the second metacarpal bone in the left 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 nondisplaced fractures heal well with proper immobilization and care. Follow-up appointments monitor healing progress, and physical therapy may be recommended to restore function. Full recovery typically occurs within 6–8 weeks, depending on the individual’s health and adherence to treatment.

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 technique in manual tasks.

When to Seek Professional Help

Seek immediate medical attention if pain is severe, swelling worsens, or there is inability to move the hand or fingers. Also, consult a provider if symptoms do not improve with initial care or if deformity is present.

Tips for Medical Coders

Document the specific metacarpal bone (second) and hand (left) involved. Note whether the fracture is closed or open, as this impacts code assignment. Ensure clinical documentation supports the nondisplaced nature of the fracture to justify the code.