Certainly! Here is a markdown-styled informational text about the medical condition with ICD code S82.111D.

Name of the Condition

• Displaced Fracture of Right Tibial Spine
• Medical term: Displaced fracture of the intercondylar eminence or tibial spine

Summary

A displaced fracture of the right tibial spine refers to a break in the upper section of the tibia (shinbone) where it meets the knee joint, causing it to shift out of its usual alignment. This document addresses the subsequent encounter for a closed fracture with routine healing, meaning the injury was initially treated and is now being monitored during standard recovery.

Causes

• Often results from sports-related injuries or trauma, such as a fall or direct impact to the knee.
• Common in activities involving twisting or pivoting motions.

Risk Factors

• Participation in high-impact sports (e.g., soccer, basketball).
• Previous knee injuries.
• Certain sports-related techniques that place stress on the knee joint.

Symptoms

• Pain and swelling in the knee area.
• Inability to move the knee or bear weight on the affected leg.
• Possible deformity depending on the severity.

Diagnosis

• Physical examination assessing the range of motion and stability.
• Imaging tests such as X-rays or MRI to evaluate the extent of the fracture and displacement.

Treatment Options

• Non-surgical methods such as immobilization with a cast or brace in cases with minimal displacement.
• Surgical intervention may be required to realign and fixate the bone fragments.
• Physical therapy post-immobilization or surgery to restore function and strength.

Prognosis and Follow-Up

• With routine healing, most patients recover well with appropriate treatment.
• Regular follow-up appointments to monitor the healing process and adjust treatment as necessary.

Complications

• Potential for improper healing leading to knee instability.
• Risk of developing arthritis in the affected joint if not well-managed.

Lifestyle & Prevention

• Incorporating knee-strengthening exercises to support stability.
• Using protective gear during sports to minimize the risk of knee injuries.
• Ensuring proper sports techniques to avoid undue stress on the knee.

When to Seek Professional Help

• Persistent pain or swelling despite treatment.
• Any signs of knee instability or locking.
• Sudden changes in the ability to move or bear weight on the injured leg.

Additional Resources

• The American Academy of Orthopaedic Surgeons (AAOS): orthoinfo.aaos.org
• National Institute of Arthritis and Musculoskeletal and Skin Diseases: www.niams.nih.gov

Tips for Medical Coders

• Ensure correct identification of the fracture as closed and routine healing during subsequent encounters.
• Be cautious of coding errors related to laterality, as this condition specifically involves the right tibial spine.
• Double-check for any additional conditions or complications that may require concurrent coding.