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

Name of the Condition

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

Summary

A nondisplaced fracture of the neck of the second metacarpal bone in the left hand, sequela, refers to a healed or healing fracture where the bone fragments remained aligned during the initial injury. This condition represents the residual effects of the fracture, such as persistent symptoms or functional changes, following the acute phase of healing.

Causes

The sequela results from a prior nondisplaced fracture of the neck of the second metacarpal bone in the left hand, typically caused by direct trauma, such as a fall or blow to the hand, sports-related injuries, or accidents.

Risk Factors

• Participation in contact sports or high-impact activities.
• Reduced bone density or osteoporosis.
• Occupational hazards involving manual labor.

Symptoms

• Persistent pain or discomfort in the hand.
• Swelling or tenderness around the affected area.
• Difficulty moving the fingers or hand.
• Possible residual deformity or misalignment.
• Reduced grip strength or functional limitations.

Diagnosis

Physical examination by a healthcare provider to assess tenderness, swelling, or deformity. Imaging tests, such as X-rays, to evaluate the healed fracture and identify residual changes. Assessment of functional limitations or persistent symptoms related to the prior injury.

Treatment Options

• Pain management using over-the-counter or prescription medications.
• Physical therapy to restore mobility and strength.
• Occupational therapy to address functional limitations.
• Orthotic devices or splints for support, if needed.
• Surgical intervention may be considered for severe residual deformity or functional impairment.

Prognosis and Follow-Up

Most patients experience gradual improvement in symptoms and function over time. Follow-up care may include regular monitoring of healing progress and functional recovery. Long-term outcomes depend on the severity of the initial injury and adherence to rehabilitation.

Complications

• Chronic pain or stiffness.
• Persistent functional limitations.
• Arthritis or joint degeneration in the affected area.
• Nerve or tendon damage from the initial injury.

Lifestyle & Prevention

• Avoid high-impact activities that may exacerbate symptoms.
• Use protective gear during sports or manual labor.
• Maintain bone health through proper nutrition and exercise.
• Follow rehabilitation guidelines to optimize recovery.

When to Seek Professional Help

Seek medical attention if symptoms worsen, new pain or swelling develops, or functional limitations persist despite treatment. Consult a healthcare provider for ongoing management of residual effects.

Tips for Medical Coders

Document the sequela status clearly, indicating the prior fracture and its residual effects. Ensure the code S62.361S is used for the left-hand, nondisplaced fracture of the second metacarpal neck with sequela. Include details of the healing phase and any persistent symptoms or functional changes to support accurate coding.