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Displaced unspecified condyle fracture of lower end of left femur, initial encounter for closed fracture

ICD10CM code

Name of the Condition

  • Displaced unspecified condyle fracture of lower end of left femur
  • Medical Term: Femoral Condyle Fracture

Summary

  • This condition involves a fracture at the lower end of the left femur, specifically where the bone widens into the knee's condyles. 'Displaced' indicates the fractured bones are misaligned, and 'closed' means no bone is protruding through the skin.

Causes

  • Trauma from high-impact activities such as car accidents or falls.
  • Sports injuries.
  • Osteoporosis or weakened bones can increase susceptibility to fractures.

Risk Factors

  • Participation in high-impact sports or activities.
  • Advanced age, which can lead to weakened bones.
  • Pre-existing conditions like osteoporosis.

Symptoms

  • Severe pain in the knee area.
  • Swelling and bruising around the knee.
  • Inability to bear weight or move the knee joint properly.

Diagnosis

  • Physical examination by a healthcare professional.
  • Imaging tests, primarily X-rays, to view bone misalignment.
  • MRI or CT scans for a more detailed view if necessary.

Treatment Options

  • Conservative Management: Bracing and physical therapy for minor fractures.
  • Surgical Intervention: Required for significant displacement to realign bones (open reduction and internal fixation).
  • Pain management through prescribed medications.
  • Post-treatment physical therapy to restore mobility and strength.

Prognosis and Follow-Up

  • Prognosis is generally good with appropriate treatment, but recovery time may vary.
  • Follow-up appointments are crucial to monitor healing and adjust rehabilitation plans.
  • Regular imaging to ensure appropriate bone healing alignment.

Complications

  • Improper bone healing or nonunion.
  • Chronic knee pain or instability.
  • Risk of developing knee arthritis in the long term.

Lifestyle & Prevention

  • Engage in weight-bearing exercises and maintain a balanced diet to strengthen bones.
  • Use protective gear during sports.
  • Avoid high-risk activities if predisposed to fractures.

When to Seek Professional Help

  • Intense pain following an injury, especially if unable to move the knee.
  • Visible deformity or swelling in the knee area after trauma.
  • Any signs of infection (redness, warmth, and fever).

Additional Resources

  • American Academy of Orthopaedic Surgeons (AAOS)
  • National Osteoporosis Foundation

Tips for Medical Coders

  • Confirm laterality (left side) and initial encounter status before coding.
  • Accurately distinguish between 'displaced' and 'non-displaced' fractures.
  • Watch for common errors like incorrect fracture type or side noted.

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