S72.035 Nondisplaced midcervical fracture of left femur

Name of the Condition

• Nondisplaced midcervical fracture of left femur

Summary

A nondisplaced midcervical fracture of the left femur involves a break in the middle portion of the femoral neck (the region connecting the femoral head to the shaft) on the left side, with the bone fragments remaining in their normal alignment. This injury typically results from trauma or weakened bone structure and requires prompt evaluation to determine the extent of the fracture and guide appropriate management.

Causes

High-impact trauma, such as falls or motor vehicle accidents. Low-impact trauma in individuals with weakened bones (e.g., osteoporosis). Repetitive stress or overuse injuries in rare cases.

Risk Factors

• Advanced age, particularly in those over 65
• Osteoporosis or other bone density disorders
• Female gender, due to higher osteoporosis prevalence
• History of prior fractures or bone diseases
• Participation in high-risk activities (e.g., contact sports)

Symptoms

• Sudden, severe hip or groin pain
• Inability to bear weight on the affected leg
• Swelling, bruising, or tenderness around the hip
• Leg shortening or external rotation of the affected limb
• Limited range of motion in the hip joint

Diagnosis

Physical examination to assess pain, mobility, and limb alignment. Imaging studies, including X-rays or CT scans, to visualize the fracture and determine its severity.

Treatment Options

• Non-surgical management (e.g., casting, bracing, or restricted weight-bearing) for stable, nondisplaced fractures
• Surgical intervention (e.g., internal fixation) if the fracture is unstable or at high risk of displacement
• Pain management and physical therapy to restore function

Prognosis and Follow-Up

Prognosis depends on fracture stability, patient age, and overall health. Nondisplaced fractures often heal well with appropriate treatment. Follow-up imaging and clinical evaluations are necessary to monitor healing and assess for complications.

Complications

• Delayed union or nonunion of the fracture
• Avascular necrosis of the femoral head
• Post-traumatic arthritis
• Infection (if surgical intervention is required)
• Deep vein thrombosis or pulmonary embolism

Lifestyle & Prevention

• Maintain bone health through adequate calcium and vitamin D intake
• Engage in weight-bearing exercises to strengthen bones
• Use fall prevention strategies (e.g., home modifications, assistive devices)
• Avoid high-risk activities that increase fracture risk

When to Seek Professional Help

Seek immediate medical attention for severe hip pain, inability to bear weight, or visible deformity. Follow up with a healthcare provider if pain persists, swelling worsens, or mobility does not improve.

Tips for Medical Coders

Document the fracture location (midcervical), side (left), and displacement status (nondisplaced) to ensure accurate coding. Include details about the mechanism of injury, imaging findings, and treatment plan to support code assignment.