S82.431A Displaced oblique fracture of shaft of right fibula, initial encounter for closed fracture

ICD10CM code

#### Name of the Condition
- Displaced oblique fracture of shaft of right fibula
- ICD-10 code: S82.431A

#### Summary
- This condition refers to a type of bone fracture in the long, thin shaft of the fibula, which is one of the two bones in the lower leg. A displaced oblique fracture means that the break is at an angle and that the bone pieces have shifted out of their normal alignment. The description of 'initial encounter for closed fracture' indicates that this is the first treatment session following the injury and the skin has not been broken.

#### Causes
- Typically caused by high-impact trauma such as falls, sports injuries, or motor vehicle accidents.

#### Risk Factors
- Engaging in high-impact sports or physical activities.
- Osteoporosis or weakened bones.
- Previous fractures or bone surgeries.

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

#### Diagnosis
- Physical examination to check for tenderness, swelling, and deformity.
- Imaging tests such as X-rays to confirm the presence and type of fracture.

#### Treatment Options
- Immobilization with a cast or splint to ensure proper alignment and healing.
- Pain management with medications.
- In some cases, surgical intervention may be required to realign and stabilize the broken bone with screws or plates.

#### Prognosis and Follow-Up
- With appropriate treatment, most individuals can expect a full recovery, although healing times can vary.
- Regular follow-up appointments are critical to monitor healing progress and to ensure proper bone alignment.

#### Complications
- Improper healing can lead to bone malalignment.
- Risk of chronic pain or weakness in the affected leg.
- Potential development of arthritis in the affected joint over time.

#### Lifestyle & Prevention
- Engage in exercises to strengthen bones and improve balance.
- Wear appropriate protective gear during sports activities.
- Ensure a diet rich in calcium and vitamin D to maintain bone health.

#### When to Seek Professional Help
- Immediate medical attention should be sought if the injured leg is notably deformed, extremely painful, or if there's an inability to move the leg or bear weight on it.

#### Additional Resources
- American Academy of Orthopaedic Surgeons: [orthoinfo.aaos.org](https://orthoinfo.aaos.org)
- National Osteoporosis Foundation: [nof.org](https://www.nof.org)

#### Tips for Medical Coders
- Ensure the fracture type, location, and laterality are clearly documented in the medical records.
- Verify the encounter type (initial vs. subsequent) before coding.
- Avoid confusion with non-displaced or transverse fractures, as the treatment protocols may differ.

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