S62.665 Nondisplaced fracture of distal phalanx of left ring finger

Name of the Condition

• Nondisplaced fracture of distal phalanx of left ring finger (ICD-10 Code: S62.665)

Summary

A nondisplaced fracture of the distal phalanx of the left ring finger is a break in the tip bone of the finger where the bone fragments remain in their normal anatomical alignment. This type of fracture typically involves minimal displacement, meaning the bone does not shift out of place. The distal phalanx is the most distal segment of the finger, and this injury often results from direct trauma or impact to the fingertip.

Causes

Direct trauma or impact to the fingertip, such as from crushing injuries, falls, or accidents. Severe bending forces applied to the finger, often seen in sports or manual labor, can also cause this fracture. Repetitive stress or overuse is less common but may contribute in some cases.

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 at the fingertip.
• Bruising around the injury site.
• Possible deformity or misalignment, though less pronounced than in displaced fractures.
• Limited range of motion or difficulty moving the fingertip.
• Numbness or tingling if nerves are involved.

Diagnosis

Physical examination by a healthcare provider to assess pain, swelling, and range of motion. Imaging studies, such as X-rays, are typically used to confirm the fracture and verify that it is nondisplaced. Additional tests may be ordered if nerve involvement or other complications are suspected.

Treatment Options

• Immobilization with a splint or buddy taping to stabilize the finger and promote healing.
• Pain management with over-the-counter or prescription medications.
• Elevation and ice to reduce swelling.
• Follow-up care to monitor healing and adjust treatment as needed.
• Physical therapy may be recommended to restore range of motion and strength once the fracture has healed.

Prognosis and Follow-Up

Most nondisplaced fractures of the distal phalanx heal well with proper immobilization and care. Healing typically occurs within 4–6 weeks, but follow-up appointments are important to ensure proper alignment and recovery. Full range of motion may return gradually, and adherence to treatment recommendations improves outcomes.

Complications

• Delayed healing or nonunion if the fracture is not properly immobilized.
• Infection, particularly if there is an open wound.
• Nerve damage, leading to persistent numbness or tingling.
• Stiffness or reduced range of motion if mobility is not restored after healing.
• Chronic pain in rare cases.

Lifestyle & Prevention

• Use protective gear, such as gloves, during activities with a high risk of hand injuries.
• Practice proper ergonomics and technique in manual labor or sports to reduce strain.
• Maintain bone health through a balanced diet rich in calcium and vitamin D.
• Avoid repetitive or forceful finger movements that could increase injury risk.

When to Seek Professional Help

Seek immediate medical attention if there is severe pain, visible deformity, uncontrolled bleeding, or signs of infection (e.g., redness, pus). Contact a healthcare provider if symptoms worsen or do not improve with initial care, or if numbness or tingling persists.

Tips for Medical Coders

Document the specific finger (left ring finger) and confirm the fracture is nondisplaced. Include details of the injury mechanism, imaging results, and treatment plan to support code assignment. Ensure alignment with clinical findings and avoid assumptions about displacement or associated injuries.