S62.635 Displaced fracture of distal phalanx of left ring finger

Name of the Condition

• Displaced fracture of distal phalanx of left ring finger
• ICD Code: S62.635

Summary

A displaced fracture of the distal phalanx of the left ring finger is a break in the bone at the fingertip where the fragments have shifted out of their normal alignment. This type of fracture typically results from direct trauma to the finger and may involve pain, swelling, and limited mobility.

Causes

This condition is usually caused by traumatic injuries, such as a crush injury, a fall onto the fingertip, or a direct blow to the finger with a hard object. High-impact events or accidents involving forceful contact can lead to the bone breaking and displacing.

Risk Factors

• Participation in activities or sports with a high risk of hand injury.
• Occupational hazards involving manual labor or machinery.
• Pre-existing conditions that weaken bone density, such as osteoporosis.

Symptoms

• Severe pain and swelling at the fingertip.
• Visible deformity or misalignment of the finger.
• Limited range of motion or inability to move the finger.
• Bruising or discoloration around the injury site.

Diagnosis

A healthcare provider will perform a physical examination to assess pain, swelling, and mobility. Imaging tests, such as X-rays, are typically used to confirm the fracture and evaluate the degree of displacement.

Treatment Options

• Immobilization: Using a splint or cast to stabilize the finger and promote healing.
• Reduction: Realigning the bone fragments if necessary to restore proper alignment.
• Pain management: Medications to reduce discomfort during recovery.
• Surgical intervention: May be required for severe or complex fractures.

Prognosis and Follow-Up

Most displaced fractures of the distal phalanx heal well with proper treatment, though recovery time may vary. Follow-up care often includes monitoring for proper healing and assessing range of motion. Physical therapy may be recommended to restore function.

Complications

• Infection (if the fracture is open).
• Stiffness or reduced mobility in the finger.
• Malunion or nonunion of the bone.
• Chronic pain or nerve damage.

Lifestyle & Prevention

• Use protective gear during high-risk activities.
• Avoid putting excessive force on the fingers.
• Maintain bone health through proper nutrition and exercise.

When to Seek Professional Help

Seek immediate medical attention if there is severe pain, visible deformity, or an open wound. Prompt evaluation is important to prevent complications and ensure proper healing.

Tips for Medical Coders

Document the specific finger (left ring finger) and the displacement status. Ensure clinical notes support the diagnosis and any associated injuries or treatments. Verify that the code aligns with the documented encounter type and anatomical details.