S82.42 Transverse fracture of shaft of fibula

Name of the Condition

• Transverse fracture of shaft of fibula
• ICD-10 Code: S82.42

Summary

A transverse fracture of the shaft of the fibula is a break that occurs perpendicular to the long axis of the fibula, the smaller bone in the lower leg. This type of fracture typically involves the middle portion of the bone and may be classified as displaced or non-displaced, depending on whether the bone fragments are out of alignment.

Causes

Most commonly caused by direct trauma or impact to the leg, such as from falls, sports injuries, or motor vehicle accidents. High-force impacts or twisting motions can also lead to this type of fracture.

Risk Factors

• Participation in contact sports or high-impact activities.
• Osteoporosis or reduced bone density, which increases fragility.
• Advanced age, which may weaken bone strength.
• Previous leg injuries or surgeries.

Symptoms

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

Diagnosis

Diagnosis involves a physical examination by a healthcare professional to assess tenderness, swelling, and deformity. Imaging tests, such as X-rays, are typically used to confirm the fracture and determine its extent and alignment.

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 after healing.

Prognosis and Follow-Up

Most transverse fractures of the fibula shaft heal well with appropriate treatment. Follow-up care may include monitoring for proper healing and rehabilitation to restore function. Recovery time varies depending on fracture severity and treatment.

Complications

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

Lifestyle & Prevention

• Wear protective gear during high-risk activities.
• Maintain bone health through adequate calcium and vitamin D intake.
• Avoid activities that increase fall or injury risk.
• Strengthen leg muscles to support the fibula and surrounding structures.

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.

Tips for Medical Coders

Document the fracture type (transverse) and location (shaft of fibula) clearly. Ensure the code S82.42 is used when the fracture is specifically transverse and not another pattern (e.g., oblique or spiral). Include details on displacement or open/closed status if available for accurate coding.