S62.65 Nondisplaced fracture of middle phalanx of finger

Name of the Condition

• Nondisplaced fracture of middle phalanx of finger (ICD-10 Code: S62.65)

Summary

A nondisplaced fracture of the middle phalanx of a finger is a break in the middle bone segment of a finger where the bone fragments remain in their normal anatomical alignment. This type of fracture typically involves less structural disruption compared to displaced fractures, as the bone pieces stay in place without shifting.

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 fracture. Repetitive stress or overuse may contribute in some cases, though acute trauma is more common.

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, swelling, and tenderness in the affected finger.
• Bruising around the injury site.
• Limited range of motion or difficulty moving the finger.
• Possible stiffness or discomfort with movement.

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. Clinical evaluation focuses on determining the extent of the fracture and ensuring no displacement.

Treatment Options

• Immobilization with a splint or buddy taping to maintain alignment during healing.
• Pain management with over-the-counter or prescription medications.
• Closed reduction (realignment) is generally not required for nondisplaced fractures.
• Follow-up imaging to monitor healing progress.

Prognosis and Follow-Up

Most nondisplaced fractures of the middle phalanx heal well with proper immobilization and rest. Full recovery typically occurs within 4–6 weeks, depending on the individual and injury severity. Follow-up appointments may be scheduled to assess healing and remove immobilization devices.

Complications

• Delayed union or nonunion if the fracture does not heal properly.
• Stiffness or reduced range of motion in the finger.
• Chronic pain or discomfort in rare cases.
• Infection (if an open fracture occurs).

Lifestyle & Prevention

• Use protective gear during high-risk activities (e.g., sports, manual labor).
• Avoid repetitive or forceful finger movements that may increase injury risk.
• Maintain bone health through adequate calcium and vitamin D intake.
• Practice proper hand ergonomics to reduce strain.

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, pus, fever). Prompt evaluation is important to rule out complications and ensure appropriate treatment.

Tips for Medical Coders

Document the specific location (middle phalanx) and confirm the fracture is nondisplaced to support accurate coding. Ensure clinical documentation aligns with the ICD-10-CM code S62.65, including details about the fracture type and affected finger. Verify that no other injuries or conditions are present that may require additional coding.