S62.624 Displaced fracture of middle phalanx of right ring finger

Name of the Condition

• Displaced fracture of middle phalanx of right ring finger

Summary

A displaced fracture of the middle phalanx refers to a break in the central segment of the ring finger bone where the separated parts of the bone are misaligned. This type of fracture disrupts the normal alignment of the bone, which may affect function and require intervention to restore proper positioning.

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 cause this type of fracture.

Risk Factors

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

Symptoms

• Pain at the site of the fracture.
• Swelling and bruising around the injured finger.
• Deformity or misalignment of the finger.
• Reduced range of motion.
• Possible numbness or tingling if nerves are involved.

Diagnosis

Physical examination by a healthcare provider to assess pain, swelling, and mobility. Imaging tests, such as X-rays, are typically used to confirm the fracture and assess the extent of displacement.

Treatment Options

• Splinting or casting to immobilize the finger and promote alignment.
• Pain management with medications such as acetaminophen or NSAIDs.
• Physical therapy to restore strength and flexibility post-healing.
• Surgery may be required for severe displacement or unstable fractures.

Prognosis and Follow-Up

Most displaced fractures of the middle phalanx heal well with proper treatment, though recovery time varies. Follow-up care ensures proper healing and may include repeat imaging to confirm alignment. Long-term outcomes depend on the severity of the fracture and adherence to rehabilitation.

Complications

• Nonunion or malunion of the fracture.
• Stiffness or reduced range of motion in the finger.
• Nerve or tendon damage.
• Chronic pain or arthritis in the affected joint.

Lifestyle & Prevention

• Use protective gear during sports or high-risk activities.
• Maintain bone health through proper nutrition and exercise.
• Avoid repetitive or forceful hand movements that may increase injury risk.

When to Seek Professional Help

Seek immediate medical attention if there is severe pain, visible deformity, inability to move the finger, or signs of infection (e.g., redness, fever).

Tips for Medical Coders

Document the specific finger (right ring finger) and the displaced nature of the fracture. Include details on the mechanism of injury, imaging results, and treatment provided to support code assignment. Ensure alignment with clinical documentation for accuracy.