S72.112 Displaced fracture of greater trochanter of left femur

Name of the Condition

• Displaced fracture of greater trochanter of left femur

Summary

A displaced fracture of the greater trochanter of the left femur is a break in the bony prominence on the upper part of the left thigh bone (femur) near the hip joint, where the bone fragment has moved out of its normal position. This type of fracture typically results from trauma or weakened bone structure and may involve significant displacement of the bone fragment.

Causes

Displaced fractures of the greater trochanter commonly result from direct trauma, such as falls or high-impact injuries. They can also occur in individuals with weakened bones due to conditions like osteoporosis, where even minor stress may cause a fracture with displacement.

Risk Factors

• Advanced age, particularly in postmenopausal women with osteoporosis.
• Conditions that weaken bones, such as osteoporosis, cancer, or metabolic disorders.
• History of previous fractures or falls.
• Sedentary lifestyle or limited mobility.

Symptoms

• Severe hip or groin pain, often worsened by movement.
• Inability to bear weight on the affected leg.
• Swelling, bruising, or deformity around the hip.
• Leg shortening or external rotation.

Diagnosis

Physical examination to assess pain, range of motion, and deformity. Imaging studies, including X-rays or CT scans, to confirm the fracture and evaluate displacement.

Treatment Options

• Surgical intervention, such as internal fixation with screws or plates, to stabilize the fracture.
• Non-surgical management with bed rest, pain control, and physical therapy for stable or minimally displaced fractures.
• Use of assistive devices (e.g., crutches or walkers) to avoid weight-bearing.

Prognosis and Follow-Up

Prognosis depends on the severity of displacement, patient age, and overall health. Most fractures heal with proper treatment, but recovery may take several months. Follow-up imaging and physical therapy are often recommended to monitor healing and restore mobility.

Complications

• Nonunion or malunion of the fracture.
• Avascular necrosis of the femoral head.
• Chronic pain or hip stiffness.
• Increased risk of future fractures due to underlying bone weakness.

Lifestyle & Prevention

• Maintain bone health through calcium and vitamin D intake.
• Engage in weight-bearing exercises to strengthen bones.
• Use fall prevention strategies, such as home modifications and balance training.
• Avoid high-impact 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. Prompt evaluation is critical to prevent complications and ensure proper treatment.

Tips for Medical Coders

Document the side (left), displacement status, and any associated injuries or comorbidities. Ensure clinical documentation supports the displaced nature of the fracture and specifies the affected limb. Follow ICD-10-CM guidelines for coding fractures with displacement.