S62.364S Nondisplaced fracture of neck of fourth metacarpal bone, right hand, sequela

Name of the Condition

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

Summary

A nondisplaced fracture of the neck of the fourth metacarpal bone in the right hand, sequela, refers to the residual effects of a previously treated fracture where the bone fragments remained aligned. This condition represents the long-term consequences of the injury, such as persistent pain, limited mobility, or structural changes, following the healing phase.

Causes

The sequela arises from a prior nondisplaced fracture of the neck of the fourth metacarpal bone in the right hand, typically resulting from trauma or impact to the hand. The original injury may have been caused by direct force, such as a fall, blow, or repetitive stress.

Risk Factors

• History of prior hand fractures or injuries.
• Inadequate healing or rehabilitation after the initial fracture.
• Underlying conditions affecting bone or tissue repair, such as poor circulation or connective tissue disorders.

Symptoms

• Chronic pain or discomfort in the hand, particularly around the fourth metacarpal.
• Reduced range of motion or stiffness in the affected finger or hand.
• Possible swelling or tenderness at the fracture site.
• Functional limitations, such as difficulty gripping or performing fine motor tasks.

Diagnosis

Evaluation by a healthcare provider to assess residual symptoms and functional impairment. Imaging studies, such as X-rays or MRI, may be used to identify structural changes or incomplete healing. Review of prior treatment and recovery history is essential to confirm the sequela.

Treatment Options

• Pain management with medications or physical therapy to improve mobility.
• Occupational therapy to address functional limitations.
• Orthotic devices or splints to support the hand during daily activities.
• Surgical intervention may be considered for severe residual deformity or persistent symptoms.

Prognosis and Follow-Up

Prognosis depends on the extent of residual damage and adherence to rehabilitation. Regular follow-up with a healthcare provider is recommended to monitor recovery and adjust treatment as needed. Most patients experience gradual improvement with appropriate care.

Complications

• Chronic pain or persistent functional impairment.
• Arthritis or degenerative changes in the affected joint.
• Nerve compression or irritation due to scar tissue or bone remodeling.

Lifestyle & Prevention

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

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 can help address complications and optimize recovery.

Tips for Medical Coders

Document the sequela clearly, noting the history of the original fracture and its residual effects. Ensure the code S62.364S is used only when the condition represents a late effect of a previously treated fracture, with no active healing or acute symptoms present. Include details about the affected hand and metacarpal bone for specificity.