S62.643 Nondisplaced fracture of proximal phalanx of left middle finger

Name of the Condition

• Nondisplaced fracture of proximal phalanx of left middle finger

Summary

A nondisplaced fracture of the proximal phalanx of the left middle finger is a bone break where the bone cracks but remains in its normal position. This condition typically causes pain, swelling, and limited motion in the affected finger. The fracture involves the proximal phalanx, the bone closest to the hand in the middle finger, and does not involve significant displacement of the bone fragments.

Causes

Direct trauma to the finger, such as hitting it or falling on an outstretched hand, is a common cause. Sports injuries, accidents involving equipment, or crushing forces may also lead to this type of fracture. Contributing factors can include weak bone structure or sudden forceful bending of the finger.

Risk Factors

Engaging in high-contact sports or activities increases risk. Occupational hazards involving repetitive hand movements or manual labor may also contribute. Overall bone health, such as conditions like osteoporosis, can affect susceptibility to fractures.

Symptoms

• Swelling and tenderness in the left middle finger.
• Pain with movement or pressure on the finger.
• Slight visible swelling or bruising without obvious deformation due to nondisplacement.
• Reduced range of motion or difficulty gripping.

Diagnosis

Physical examination assesses pain, swelling, and range of motion. X-ray imaging confirms the fracture and verifies nondisplacement. Additional imaging may be used if soft tissue damage is suspected.

Treatment Options

• Immobilization using a splint or finger cast to stabilize the bone during healing.
• Pain management with NSAIDs or other appropriate medications.
• Buddy taping to adjacent fingers for support, if appropriate.
• Follow-up imaging to monitor healing progress.

Prognosis and Follow-Up

Most nondisplaced fractures heal well with proper immobilization and rest. Full recovery typically occurs within 4-6 weeks, though stiffness or mild discomfort may persist temporarily. Follow-up appointments ensure proper healing and may include range-of-motion exercises to restore function.

Complications

• Delayed healing or nonunion if immobilization is inadequate.
• Stiffness or reduced mobility in the finger.
• Chronic pain or arthritis in the affected joint over time.
• Nerve or tendon damage in severe cases.

Lifestyle & Prevention

Avoid high-risk activities without protective gear. Use proper techniques during sports or manual labor to reduce injury risk. Maintain bone health through adequate nutrition and exercise. Prompt treatment of minor injuries can prevent progression to more severe fractures.

When to Seek Professional Help

Seek care if pain is severe, swelling worsens, or movement is significantly limited. Consult a healthcare provider if numbness, tingling, or color changes occur in the finger, as these may indicate nerve or vascular involvement. Follow up if symptoms do not improve with initial treatment.

Tips for Medical Coders

Document the specific finger (left middle) and bone (proximal phalanx) involved. Note whether the fracture is confirmed as nondisplaced, as this impacts coding accuracy. Include details on trauma mechanism, treatment provided, and any follow-up imaging or specialist referrals to support code assignment. Ensure documentation aligns with the clinical findings for the fracture.