S82.431 Displaced oblique fracture of shaft of right fibula

Name of the Condition

• Displaced oblique fracture of shaft of right fibula

Summary

This condition involves a break in the long, thin shaft of the right fibula, one of the two bones in the lower leg. The fracture is oblique (at an angle) and displaced, meaning the bone fragments have shifted out of their normal alignment. This type of fracture typically results from trauma and may require specific management to ensure proper healing.

Causes

Usually caused by high-impact trauma, such as falls, sports injuries, or motor vehicle accidents. Direct force or twisting injuries to the lower leg can also lead to this type of fracture.

Risk Factors

• Engaging in high-impact sports or physical activities.
• Osteoporosis or other conditions that weaken bones.
• Previous fractures or bone surgeries.

Symptoms

• Severe pain in the lower right leg.
• Swelling and bruising around the fracture site.
• Inability to bear weight on the injured leg.
• Visible deformity if the displacement is significant.

Diagnosis

Physical examination to assess tenderness, swelling, and deformity. Imaging tests, such as X-rays, to confirm the fracture type and displacement.

Treatment Options

• Immobilization with a cast or splint to maintain alignment during healing.
• Pain management with medications.
• Surgical intervention may be necessary for severe displacement to realign and stabilize the bone.

Prognosis and Follow-Up

Prognosis is generally good with appropriate treatment, though recovery time varies. Follow-up appointments are important to monitor healing through imaging and physical assessments.

Complications

• Potential for nonunion or malunion if the fracture does not heal properly.
• Nerve or blood vessel damage in severe cases.
• Long-term pain or stiffness in the affected leg.

Lifestyle & Prevention

• Avoid high-impact activities until fully healed.
• Use protective gear during sports or activities with fall risks.
• Maintain bone health through diet and exercise to reduce fracture risk.

When to Seek Professional Help

• If severe pain, swelling, or deformity is present after an injury.
• If you cannot bear weight on the leg or experience numbness/tingling.
• For persistent pain or difficulty moving the leg during recovery.

Tips for Medical Coders

• Ensure the code S82.431 is used for a displaced oblique fracture of the right fibula shaft.
• Document the side (right), fracture type (oblique, displaced), and bone (fibula shaft) clearly.
• Verify that no additional modifiers or encounter details are needed unless specified.