S62.361D Nondisplaced fracture of neck of second metacarpal bone, left hand, subsequent encounter for fracture with routine healing

Name of the Condition

• Nondisplaced fracture of neck of second metacarpal bone, left hand, subsequent encounter for fracture with routine healing

Summary

A nondisplaced fracture of the neck of the second metacarpal bone in the left hand, with routine healing during a subsequent encounter, refers to a break in the midsection of the second metacarpal bone where the bone fragments remain aligned and are healing as expected. This condition is documented during a follow-up visit after the initial injury, indicating the fracture is progressing normally without complications.

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

With proper treatment, most nondisplaced fractures of the metacarpal bone heal within 6–8 weeks. Routine follow-up visits monitor healing progress, and physical therapy may be recommended to restore function. Full recovery is expected in most cases, though stiffness or minor discomfort may persist temporarily.

Complications

• Delayed healing or nonunion.
• Malunion (improper healing).
• Chronic pain or stiffness.
• Infection (rare).

Lifestyle & Prevention

• Use protective gear during sports or high-risk activities.
• Maintain bone health with adequate calcium and vitamin D intake.
• Avoid repetitive hand stress or overuse.
• Practice proper ergonomics during manual labor.

When to Seek Professional Help

Seek care if pain worsens, swelling increases, or mobility does not improve. Contact a healthcare provider if signs of infection (e.g., redness, fever) or new deformity appear.

Tips for Medical Coders

Document the fracture type (nondisplaced), location (neck of second metacarpal, left hand), and encounter type (subsequent with routine healing) to support accurate coding. Include details on healing status and any follow-up care provided.