S79.012S Salter-Harris Type I physeal fracture of upper end of left femur, sequela

Name of the Condition

Salter-Harris Type I physeal fracture of upper end of left femur, sequela

Summary

A Salter-Harris Type I physeal fracture is an injury to the growth plate (physis) in children or adolescents. This specific fracture involves the upper end of the left femur, where the growth plate has separated without involving the bone shaft. The "sequela" designation indicates this is a residual condition resulting from the initial fracture, such as chronic pain, deformity, or functional impairment.

Causes

The sequela arises from a prior Salter-Harris Type I physeal fracture of the upper end of the left femur, typically caused by acute trauma such as falls, accidents, or sports-related injuries.

Risk Factors

• Common in children and adolescents who are active in sports.
• More frequent during growth spurts when the growth plates are weaker relative to the surrounding tissues.

Symptoms

• Chronic pain or discomfort around the hip or upper thigh.
• Persistent swelling or deformity in the affected area.
• Difficulty walking or bearing weight on the left leg.
• Limited range of motion in the hip.

Diagnosis

Physical examination to assess residual swelling, tenderness, and mobility. Imaging, typically X-rays, are used to evaluate the growth plate and identify any long-term changes or complications from the prior fracture.

Treatment Options

• Pain management with medications like acetaminophen or ibuprofen.
• Physical therapy to improve mobility and strength.
• Orthopedic evaluation to determine if further intervention is needed.

Prognosis and Follow-Up

Prognosis depends on the severity of the initial injury and the effectiveness of prior treatment. Regular follow-up with an orthopedic specialist is recommended to monitor for complications and adjust management as needed.

Complications

• Chronic pain or functional impairment.
• Growth disturbances or limb length discrepancy.
• Arthritis or joint stiffness in the affected area.

Lifestyle & Prevention

• Avoid high-impact activities that may exacerbate symptoms.
• Maintain a healthy weight to reduce stress on the joint.
• Engage in low-impact exercises to preserve mobility.

When to Seek Professional Help

Seek medical attention if symptoms worsen, new pain or swelling develops, or if there is difficulty bearing weight on the left leg.

Tips for Medical Coders

Use this code for a sequela (residual condition) of a Salter-Harris Type I physeal fracture of the upper end of the left femur. Ensure documentation supports the residual nature of the condition and its connection to the prior fracture.