S82.401 Unspecified fracture of shaft of right fibula

Name of the Condition

• Unspecified fracture of shaft of right fibula
• ICD-10 Code: S82.401

Summary

This condition refers to a fracture (break) of the middle portion of the fibula, the smaller of the two bones in the lower leg, on the right side. The term "unspecified" indicates that the exact location of the fracture on the fibula has not been pinpointed. This is a closed fracture, meaning the bone is broken but the skin is not pierced.

Causes

Most commonly caused by direct trauma or impact to the outside of the leg, such as from falls, sports injuries, or accidents.

Risk Factors

• Participation in contact sports.
• High-risk occupations or activities that increase the likelihood of falls or impacts.
• Osteoporosis or reduced bone density, which increases fragility.
• Advanced age, which may weaken bone strength.

Symptoms

• Pain and swelling in the lower leg.
• Difficulty bearing weight on the leg.
• Bruising or tenderness around the injured area.
• Possible deformity or instability of the leg structure.

Diagnosis

Physical examination by a healthcare professional, followed by imaging tests such as X-rays, to determine the exact location and extent of the fracture.

Treatment Options

• Immobilization of the leg using a splint or cast to allow the bone to heal properly.
• Pain management with medications such as analgesics.
• Physical therapy to restore movement and strength post-recovery.
• Surgery may be required for severe or displaced fractures.

Prognosis and Follow-Up

Most fractures of the fibula shaft heal well with proper immobilization and care. Follow-up appointments are typically scheduled to monitor healing progress, and physical therapy may be recommended to regain full function. Recovery time varies depending on the severity of the fracture and individual health factors.

Complications

• Delayed healing or nonunion of the fracture.
• Malunion, where the bone heals in an incorrect position.
• Nerve or blood vessel damage near the fracture site.
• Chronic pain or stiffness in the leg.

Lifestyle & Prevention

• Wear appropriate protective gear during sports or high-risk activities.
• Maintain bone health through a balanced diet rich in calcium and vitamin D.
• Avoid activities that increase the risk of falls or direct leg trauma.
• Engage in regular weight-bearing exercises to strengthen bones.

When to Seek Professional Help

Seek immediate medical attention if you experience severe pain, inability to bear weight, visible deformity, or signs of infection (e.g., redness, fever) after an injury to the lower leg.

Tips for Medical Coders

Document the specific side (right) and the fact that the fracture is unspecified (no further detail on location). Ensure the encounter type and fracture status (closed) are clearly recorded to support accurate coding. Verify that no additional details (e.g., displacement, open wound) are present, as these would require different codes.