S82.151 Displaced fracture of right tibial tuberosity

Name of the Condition

• Displaced fracture of right tibial tuberosity

Summary

A displaced fracture of the right tibial tuberosity involves a break in the bony prominence on the anterior upper tibia where the patellar tendon attaches. Displacement means the bone fragments are misaligned. This injury typically results from trauma or excessive stress on the knee, particularly in active individuals.

Causes

Traumatic injury is the primary cause, such as direct impact to the knee, falls, or sudden forceful contraction of the quadriceps muscle. Sports-related incidents, motor vehicle accidents, or other high-impact events can lead to this fracture.

Risk Factors

• Participation in activities with rapid knee extension or jumping (e.g., basketball, soccer)
• Adolescent growth spurts, especially in athletes
• Previous knee injuries or surgeries
• Osteoporosis or bone-weakening conditions

Symptoms

• Severe pain and swelling over the tibial tuberosity
• Inability to fully extend the knee or bear weight
• Visible deformity or abnormal positioning of the knee
• Bruising or discoloration in the affected area

Diagnosis

Diagnosis involves a physical examination to assess pain, swelling, and deformity. Imaging studies, such as X-rays, are used to confirm the fracture and evaluate displacement. Additional tests like MRI may be ordered to assess soft tissue damage.

Treatment Options

• Immobilization with a cast or brace to stabilize the fracture
• Surgical intervention for severe displacement or open fractures
• Physical therapy to restore strength and mobility
• Pain management with medications or other modalities

Prognosis and Follow-Up

Most displaced fractures heal with proper treatment, but recovery time varies. Follow-up care includes monitoring for healing progress and assessing functional recovery. Physical therapy is often recommended to restore knee function.

Complications

• Nonunion or malunion of the fracture
• Chronic pain or stiffness
• Infection (if the fracture is open)
• Damage to surrounding nerves or blood vessels

Lifestyle & Prevention

• Use proper protective gear during sports
• Strengthen quadriceps and hamstring muscles
• Avoid sudden, forceful knee movements
• Maintain bone health through diet and exercise

When to Seek Professional Help

Seek immediate medical attention if you experience severe knee pain, swelling, or inability to bear weight after an injury. Prompt evaluation is critical for proper diagnosis and treatment.

Tips for Medical Coders

This code specifies a displaced fracture of the right tibial tuberosity. Documentation should include the side (right), fracture type (displaced), and anatomical location (tibial tuberosity). Ensure the medical record supports the displacement and right-sided involvement to justify the code.