S82.152A Displaced fracture of left tibial tuberosity, initial encounter for closed fracture

Name of the Condition

• Displaced fracture of left tibial tuberosity, initial encounter for closed fracture

Summary

A displaced fracture of the left tibial tuberosity involves a break in the bony prominence on the anterior upper tibia where the patellar tendon attaches. This specific ICD code refers to an initial encounter for a closed fracture, meaning the bone fragments do not pierce the skin. Displacement indicates the bone fragments are misaligned, which may affect knee function and stability.

Causes

Direct trauma to the knee, such as a fall or sports injury, is the primary cause. Sudden or excessive stress on the knee, particularly in young athletes, can also lead to this fracture. High-impact incidents, including motor vehicle accidents or direct blows to the knee, may result in this type of injury.

Risk Factors

• Engaging in contact sports (e.g., football, basketball) or activities with rapid knee movements.
• Participation in activities with a high risk of falls or twists to the knee.
• Adolescent growth spurts, especially in active children, which can weaken the growth plate.

Symptoms

• Severe pain and swelling around the knee, localized to the tibial tuberosity.
• Inability to fully extend the leg or bear weight on the affected limb.
• Visible deformity or abnormal positioning of the knee due to bone displacement.
• Bruising or tenderness on palpation of the fracture site.

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 or associated injuries.

Treatment Options

• Immobilization with a brace or cast to stabilize the fracture.
• Pain management with analgesics or anti-inflammatory medications.
• Surgical intervention may be required for severe displacement or instability.
• Physical therapy to restore knee function and strength after healing.

Prognosis and Follow-Up

Prognosis is generally favorable with appropriate treatment, though recovery time may vary. Follow-up care typically includes monitoring for healing progress and functional recovery. Physical therapy is often recommended to regain mobility and strength.

Complications

• Nonunion or malunion of the fracture.
• Chronic pain or instability in the knee.
• Associated injuries to surrounding ligaments or tendons.
• Limited range of motion or difficulty bearing weight.

Lifestyle & Prevention

• Use proper protective gear during sports or high-risk activities.
• Strengthen quadriceps and surrounding muscles to support the knee.
• Avoid sudden, forceful movements that stress the knee joint.
• Maintain bone health through adequate nutrition and exercise.

When to Seek Professional Help

Seek immediate medical attention if there is severe pain, inability to bear weight, visible deformity, or signs of infection (e.g., fever, increased swelling, redness).

Tips for Medical Coders

This code (S82.152A) is specific to a displaced fracture of the left tibial tuberosity, initial encounter for a closed fracture. Documentation should clearly indicate the side (left), displacement status, and that the fracture is closed with no skin penetration. Ensure the encounter is classified as initial and that laterality is accurately recorded.