S62.658 Nondisplaced fracture of middle phalanx of other finger

Name of the Condition

• Nondisplaced fracture of middle phalanx of other finger (ICD-10 Code: S62.658)

Summary

A nondisplaced fracture of the middle phalanx of another finger is a break in the middle bone segment of a finger (excluding the thumb) 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. The injury is specific to a finger other than the index, middle, ring, or little finger and may result from direct trauma or force applied to the digit.

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.

Treatment Options

• Immobilization with a splint or cast to allow healing.
• Pain management with over-the-counter or prescription medications.
• Physical therapy to restore range of motion and strength.
• Surgical intervention if the fracture becomes displaced or unstable.

Prognosis and Follow-Up

Most nondisplaced fractures heal well with proper immobilization and rest. Follow-up appointments may be needed to monitor healing and adjust treatment. Full recovery typically occurs within 4–6 weeks, though stiffness or minor discomfort may persist temporarily.

Complications

• Delayed healing or nonunion if the fracture is not properly immobilized.
• Stiffness or reduced range of motion in the affected finger.
• Chronic pain or arthritis in the joint if the fracture affects cartilage.
• Nerve or tendon damage in severe cases.

Lifestyle & Prevention

• Use protective gear during sports or high-risk activities.
• Avoid repetitive or forceful hand movements that strain the fingers.
• Maintain bone health through a balanced diet and regular exercise.
• Practice proper ergonomics to reduce strain on the hands during work or daily tasks.

When to Seek Professional Help

Seek medical attention if pain is severe, swelling worsens, or the finger cannot be moved. Immediate care is needed if the finger appears deformed, numb, or discolored, as these may indicate complications.

Tips for Medical Coders

Document the specific finger involved (e.g., other finger) and confirm the fracture is nondisplaced. Include details on the mechanism of injury, imaging results, and treatment provided to support code accuracy. Ensure the fracture is not associated with open wounds or other complicating factors, as these may require additional coding.