S72.356A Nondisplaced comminuted fracture of shaft of unspecified femur, initial encounter for closed fracture

ICD10CM code

#### Name of the Condition
- Nondisplaced comminuted fracture of the shaft of the unspecified femur, initial encounter for closed fracture (ICD-10 Code: S72.356A)

#### Summary
- This condition involves a fracture of the femur (thighbone) where the bone is broken into multiple pieces but remains in its original position, not protruding through the skin. It is categorized under closed fractures because the skin remains intact.

#### Causes
- Such fractures often result from high-impact trauma, such as car accidents or falls from significant heights. They can also occur due to direct blows to the area.

#### Risk Factors
- Engaging in contact sports, having osteoporosis or other bone-weakening conditions, and accidents involving significant forces increase the likelihood of this type of fracture.

#### Symptoms
- Severe pain in the thigh, swelling, and difficulty bearing weight on the affected leg. Bruising and a lack of movement are also common.

#### Diagnosis
- Typically confirmed through physical examination and imaging tests such as X-rays or CT scans, which reveal the fracture's details and complexity.

#### Treatment Options
- Treatment often involves immobilization with casts or braces and may require surgical intervention to stabilize the bone fragments with metal rods, screws, or plates. Pain management and physical therapy play crucial roles in recovery.

#### Prognosis and Follow-Up
- With proper treatment, most patients recover well, although the healing process can take several weeks to months. Follow-up visits are essential to monitor bone healing and functionality.

#### Complications
- Without treatment, patients risk improper healing, leading to deformity, chronic pain, or reduced function. There's also the potential for complications like deep vein thrombosis due to prolonged immobility.

#### Lifestyle & Prevention
- Strengthening exercises and a diet rich in calcium and vitamin D can enhance bone health. Wearing appropriate protective gear during sports and practicing safe driving techniques can reduce risk.

#### When to Seek Professional Help
- Immediate medical attention is necessary if there is excessive pain, inability to move, or visible deformity after an injury. Persistent swelling or numbness around the thigh also warrants prompt evaluation.

#### Additional Resources
- American Academy of Orthopaedic Surgeons (AAOS): [www.aaos.org](http://www.aaos.org)
- National Institutes of Health (NIH): [www.nih.gov](http://www.nih.gov) 
- The British Orthopaedic Association: [www.boa.ac.uk](http://www.boa.ac.uk)

#### Tips for Medical Coders
- Verify that the fracture is nondisplaced and comminuted; ensure both characteristics are documented for accuracy.
- Be cautious about specifying the correct side if such information becomes available, as this entry uses "unspecified femur."

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