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Displaced fracture of proximal phalanx of right little finger, initial encounter for closed fracture
ICD10CM code
Name of the Condition
- Displaced Fracture of Proximal Phalanx of Right Little Finger
- Also known as a "fracture of the proximal phalanx" or "little finger fracture."
Summary
- This condition is a type of bone fracture occurring in the first bone segment (proximal phalanx) of the right little finger. The bone is displaced, meaning it is not in its normal anatomical position. This description applies to the initial encounter with a healthcare provider and is classified as a closed fracture, indicating that the skin remains intact.
Causes
- Typically results from direct trauma or an impact to the finger, such as during contact sports, falls, or accidents involving the hand.
Risk Factors
- Participation in sports or recreational activities, especially those involving contact or falls.
- Occupations requiring extensive use of the hands.
- Osteoporosis or other conditions that weaken bones.
Symptoms
- Pain, swelling, and tenderness in the affected finger.
- Limited range of motion or inability to move the finger.
- Visible deformity or misalignment of the finger.
Diagnosis
- Physical examination by a healthcare professional.
- Imaging, primarily X-rays, to assess the extent and nature of the fracture.
Treatment Options
- Immobilization using a splint or cast to allow the bone to heal correctly.
- Pain management with medications such as NSAIDs or acetaminophen.
- In more severe cases, surgical intervention may be needed to realign and stabilize the bone.
Prognosis and Follow-Up
- With appropriate treatment and care, most displaced fractures of the proximal phalanx heal well within 4 to 6 weeks.
- Regular follow-up appointments are essential to monitor healing and ensure the finger regains normal function.
Complications
- Improperly treated fractures might lead to permanent finger deformity, stiffness, or long-term functional impairment.
- Risk of delayed union or non-union if the bone does not heal correctly.
Lifestyle & Prevention
- Engage in hand-strengthening exercises and maintain proper protective gear when participating in high-risk activities.
- Ensure a balanced diet rich in calcium and vitamin D to support bone health.
When to Seek Professional Help
- Persistent pain, swelling, or deformity in the finger after an injury.
- If the finger changes color, becomes numb, or the pain intensifies.
Additional Resources
- American Society for Surgery of the Hand (ASSH)
- Consult with an orthopedic specialist for personalized advice and treatment plans.
Tips for Medical Coders
- Ensure the side specificity (right little finger) and type of fracture (displaced, closed) are correctly coded.
- Verify that the encounter is classified as the initial treatment stage.
- Be cautious of using incorrect fracture codes; cross-reference with patient documentation for accuracy.