S72.454 Nondisplaced supracondylar fracture without intracondylar extension of lower end of right femur

Name of the Condition

• Nondisplaced supracondylar fracture without intracondylar extension of lower end of right femur

Summary

This condition involves a fracture at the distal (lower) end of the right femur, specifically in the supracondylar region (above the condyles). The fracture does not extend into the intracondylar area (the space between the condyles), and the bone fragments remain in their normal alignment (nondisplaced). This type of fracture may affect knee stability and function depending on the severity of the injury.

Causes

High-impact trauma, such as falls, motor vehicle accidents, or direct blows to the thigh. Sports injuries or physical altercations. Stress fractures from repetitive overuse or strenuous activity.

Risk Factors

• Advanced age, which may lead to decreased bone density.
• Osteoporosis or other bone-weakening conditions.
• Participation in high-risk activities or contact sports.
• Prior history of femur fractures or bone disorders.

Symptoms

• Severe pain in the knee or thigh region.
• Swelling, bruising, or visible deformity of the affected leg.
• Inability to bear weight or move the leg normally.
• Possible numbness or tingling if nerves are involved.

Diagnosis

Physical examination to assess pain, swelling, and limb alignment. Imaging studies, such as X-rays or CT scans, to confirm the fracture and rule out intracondylar extension or displacement.

Treatment Options

• Immobilization with a cast or brace to allow healing.
• Pain management with medications or ice.
• Physical therapy to restore strength and mobility after healing.
• Surgical intervention if displacement occurs or if the fracture is unstable.

Prognosis and Follow-Up

Most nondisplaced fractures heal well with conservative treatment, but recovery time depends on the patient’s age and overall health. Follow-up imaging may be needed to monitor healing. Long-term function is typically preserved, though some stiffness or weakness may occur.

Complications

• Delayed healing or nonunion.
• Post-traumatic arthritis in the knee joint.
• Nerve or blood vessel damage (rare).
• Chronic pain or reduced mobility.

Lifestyle & Prevention

• Use protective gear during high-risk activities.
• Maintain bone health with calcium and vitamin D.
• Avoid falls by improving home safety (e.g., removing tripping hazards).
• Engage in weight-bearing exercises to strengthen bones.

When to Seek Professional Help

Seek immediate care if severe pain, swelling, or deformity occurs after an injury. Contact a healthcare provider if symptoms worsen or do not improve with initial treatment.

Tips for Medical Coders

Document the fracture location (right femur), the absence of intracondylar extension, and the nondisplaced nature of the fracture. Ensure clinical notes specify the lack of displacement to support the code assignment.