S82.432A Displaced oblique fracture of shaft of left fibula, initial encounter for closed fracture

ICD10CM code

#### Name of the Condition
- Displaced oblique fracture of shaft of left fibula, initial encounter for closed fracture
- ICD Code: S82.432A

#### Summary
A displaced oblique fracture of the shaft of the left fibula refers to a specific type of leg fracture where the break is at an angle and the bone segments are no longer aligned properly. This is a closed fracture, meaning the skin is intact and the bone does not protrude through the skin.

#### Causes
- Direct trauma to the lower leg, such as from falling, car accidents, or sports injuries.
- Twisting injuries during physical activity.

#### Risk Factors
- Participation in high-impact sports or activities.
- Osteoporosis, which weakens bones.
- Previous fractures, which may indicate weakened bones.

#### Symptoms
- Immediate pain and swelling in the lower left leg.
- Difficulty in bearing weight on the affected leg.
- Visible deformity or abnormal angling of the leg.

#### Diagnosis
- Physical examination to assess swelling, deformity, and pain points.
- Imaging tests such as X-rays to visualize the fracture and its specific oblique alignment.

#### Treatment Options
- Immobilization using a cast or brace to keep the bone in place during healing.
- Possible surgical intervention to realign the bone fragments using screws, plates, or rods, especially in displaced fractures.
- Pain management with medications.
- Physical therapy to restore movement and strength after initial healing.

#### Prognosis and Follow-Up
- With appropriate treatment, most people can expect a good recovery, but healing time can vary.
- Regular follow-up appointments are necessary to monitor the healing process and adjust treatment as needed.

#### Complications
- Poor bone healing (malunion or nonunion), which may require additional treatment.
- Compartment syndrome, a serious condition due to increased pressure in the muscle compartment.
- Long-term stiffness or pain in the leg.

#### Lifestyle & Prevention
- Engaging in weight-bearing exercises to strengthen bones.
- Wearing appropriate protective gear during sports.
- Avoiding risky activities that could lead to falls or trauma.

#### When to Seek Professional Help
- Severe pain, swelling, or inability to move the leg.
- Noticeable deformity or bone protrusion.
- Signs of compromised circulation or nerve function, such as tingling or numbness.

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

#### Tips for Medical Coders
- Ensure accuracy by confirming the laterality (left fibula) and fracture type (displaced and oblique).
- Double-check that the encounter type is correctly identified as the initial encounter.
- Be mindful of distinguishing between closed and open fractures to avoid coding errors.

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