S72.065 Nondisplaced articular fracture of head of left femur

Name of the Condition

• Nondisplaced articular fracture of head of left femur

Summary

A nondisplaced articular fracture of the head of the left femur involves a break in the femoral head, the rounded upper portion of the thigh bone that forms part of the hip joint, without significant shifting of the fracture fragments. This type of fracture affects the joint surface and may result from trauma or underlying bone conditions. Prompt evaluation is essential to determine the extent of the injury 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). Direct force to the hip region.

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 evaluate joint involvement.

Treatment Options

• Conservative management with rest, pain control, and gradual weight-bearing as tolerated
• Physical therapy to restore mobility and strength
• Surgical intervention if displacement occurs or if conservative treatment fails

Prognosis and Follow-Up

Most nondisplaced fractures heal well with appropriate management, but recovery may take several months. Follow-up imaging and clinical assessments are necessary to monitor healing and joint function. Long-term outcomes depend on the extent of the injury and adherence to treatment plans.

Complications

• Avascular necrosis (loss of blood supply to the femoral head)
• Post-traumatic arthritis
• Persistent pain or limited mobility
• Nonunion or delayed healing

Lifestyle & Prevention

• Maintain bone health through adequate calcium and vitamin D intake
• Engage in weight-bearing exercises to strengthen bones
• Use fall prevention strategies, especially in older adults
• 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 symptoms worsen or do not improve with initial treatment.

Tips for Medical Coders

Document the specific location (left femur) and fracture type (nondisplaced articular) to ensure accurate coding. Include details about the mechanism of injury, imaging findings, and treatment approach to support code assignment. Verify that the fracture is confined to the articular surface of the femoral head without displacement.