Name of the Condition

• Displaced Spiral Fracture of Shaft of Left Femur, Initial Encounter for Closed Fracture (ICD-10 Code: S72.342A)

Summary

• This condition refers to a type of bone break that occurs in a spiral pattern around the shaft of the left femur (thigh bone). It is considered an initial encounter for a closed fracture, meaning the bone has not pierced the skin.

Causes

• Often results from a high-impact injury or trauma, such as a fall, car accident, or sports injury. This type of fracture occurs when a rotational force is applied along the axis of the bone.

Risk Factors

• Participating in high-impact sports or activities.
• Osteoporosis or weakened bones.
• Trauma or accidents.
• A history of falls or balance problems, especially in older adults.

Symptoms

• Intense pain in the thigh area.
• Swelling, bruising, or tenderness around the fracture site.
• Inability to bear weight or move the affected leg.
• Visible deformity or shortening of the leg.

Diagnosis

• Physical examination to assess pain, bruising, and swelling.
• Imaging tests such as X-rays to confirm the fracture type and assess displacement.

Treatment Options

• Immobilization using a splint or cast to allow the bone to heal.
• Surgical intervention (e.g., internal fixation with rods, screws, or plates) to realign and stabilize the bone.
• Pain management with medications.
• Physical therapy to restore movement and strength post-healing.

Prognosis and Follow-Up

• With appropriate treatment, most patients can expect good recovery, though the duration may vary depending on the severity of the fracture.
• Regular follow-up appointments to monitor healing progress and adjust treatment as needed.

Complications

• Potential complications include improper bone healing (malunion), persistent pain, or reduced mobility.
• Risk of blood clots or infection during the treatment process, particularly if surgery is involved.

Lifestyle & Prevention

• Adequate intake of calcium and vitamin D to strengthen bones.
• Use of protective gear during sports or high-risk activities.
• Implementing fall-prevention strategies for those at risk (e.g., removing home hazards, improving lighting).

When to Seek Professional Help

• Severe pain in the thigh or inability to move the leg following an accident.
• Noticeable swelling or deformity of the thigh.
• Signs of complications, such as infection (fever, redness, or drainage at the surgery site).

Additional Resources

• American Academy of Orthopaedic Surgeons (AAOS): orthoinfo.org
• National Osteoporosis Foundation: nof.org

Tips for Medical Coders

• Ensure accurate coding by confirming the fracture type (spiral) and location (shaft of the left femur).
• Verify whether the encounter is initial and the fracture is closed.
• Avoid confusion with similar codes by paying close attention to laterality (left vs. right femur).