S62.612 Displaced fracture of proximal phalanx of right middle finger

Name of the Condition

• Displaced fracture of proximal phalanx of right middle finger (ICD-10 Code: S62.612)

Summary

A displaced fracture of the proximal phalanx of the right middle finger is a bone break where the fragments are no longer in their normal alignment. This condition involves the first bone segment of the middle finger, which connects to the hand, and the displacement indicates the bone has shifted from its anatomical position.

Causes

Direct trauma or impact to the finger, such as from falls, sports injuries, or accidents. Crushing injuries or severe bending forces applied to the finger can also result in this type of fracture.

Risk Factors

• Participation in contact sports or activities with a high risk of hand injuries.
• Occupations that involve manual labor or handling heavy equipment.
• Prior history of hand or finger fractures.
• Osteoporosis or other conditions that weaken bone density.

Symptoms

• Severe pain and swelling in the right middle finger.
• Bruising around the affected area.
• Deformity or misalignment of the finger.
• Inability to move or bend the finger normally.
• Possible numbness or tingling if nerves are involved.

Diagnosis

Physical examination by a healthcare professional to assess pain, swelling, and mobility. Imaging tests, such as X-rays, to confirm the fracture and rule out other injuries.

Treatment Options

• Immobilization with a splint or cast to maintain proper alignment.
• Pain management with medications.
• Surgical intervention if the fracture is unstable or requires realignment.
• Physical therapy to restore strength and mobility after healing.

Prognosis and Follow-Up

Most displaced fractures of the proximal phalanx heal well with proper treatment, though recovery time varies. Follow-up appointments monitor healing and may include repeat imaging. Full function often returns, but stiffness or reduced mobility can occur in some cases.

Complications

• Nonunion or delayed healing of the fracture.
• Malunion, where the bone heals in an abnormal position.
• Nerve or tendon damage affecting finger movement.
• Chronic pain or arthritis in the affected joint.

Lifestyle & Prevention

• Use protective gear during high-risk activities.
• Maintain bone health through proper nutrition and exercise.
• Avoid putting excessive stress on the fingers.
• Practice safe techniques in manual labor or sports.

When to Seek Professional Help

Seek immediate medical attention if the finger is severely deformed, unable to move, or if there is intense pain, numbness, or signs of infection (e.g., redness, pus).

Tips for Medical Coders

Document the specific finger (right middle) and the displacement status clearly. Ensure clinical notes support the diagnosis and any associated injuries or treatments. Verify laterality and fracture details to confirm accurate coding.