S82.421 Displaced transverse fracture of shaft of right fibula

Name of the Condition

• Displaced transverse fracture of shaft of right fibula
• ICD-10 Code: S82.421

Summary

A displaced transverse fracture of the shaft of the right fibula is a break in the long, thin bone on the lateral side of the lower leg, where the bone fragments are separated and the fracture line runs horizontally across the bone. This injury involves the middle portion of the fibula and may result from significant force, leading to misalignment of the bone fragments.

Causes

Most commonly caused by direct trauma or high-impact forces to the leg, such as falls, sports injuries, or motor vehicle accidents. Twisting motions or sudden impacts 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.
• Visible 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, determine its extent, and evaluate the degree of displacement.

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.
• Surgical intervention may be required for severe displacement or instability.

Prognosis and Follow-Up

Prognosis depends on the severity of the fracture and treatment. Most fractures heal with proper immobilization, but follow-up care is essential to monitor alignment and recovery. Physical therapy may be needed to regain full function.

Complications

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

Lifestyle & Prevention

• Wear protective gear during high-risk activities.
• Maintain bone health through a balanced diet and regular exercise.
• Avoid activities that increase the risk of falls or impacts.

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 (displaced, transverse) and laterality (right) clearly. Ensure clinical notes specify the fracture's characteristics to support accurate coding. Verify that the diagnosis aligns with the documented injury and treatment provided.