S82.434A Nondisplaced oblique fracture of shaft of right fibula, initial encounter for closed fracture

Name of the Condition

• Nondisplaced oblique fracture of shaft of right fibula, initial encounter for closed fracture

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 nondisplaced, meaning the bone fragments remain in their normal alignment. It is classified as a closed fracture, with no open wound or communication to the fracture site, and is documented as the initial encounter for this injury.

Causes

Direct trauma to the lower leg, such as from falls, sports injuries, or motor vehicle accidents. Twisting injuries during physical activity can also lead to this type of fracture.

Risk Factors

• Engaging in high-impact sports or activities.
• Osteoporosis or weakened bone density.
• Previous fractures or bone-related conditions.

Symptoms

• Pain localized to the lower right leg.
• Swelling and bruising around the fracture site.
• Difficulty bearing weight on the affected leg.
• Possible tenderness to touch.

Diagnosis

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

Treatment Options

• Immobilization with a cast or splint to stabilize the bone during healing.
• Pain management with medications.
• Regular follow-up to monitor healing progress.

Prognosis and Follow-Up

Prognosis is generally favorable with appropriate treatment, as nondisplaced fractures often heal well with immobilization. Follow-up appointments may include repeat imaging to ensure proper healing and gradual return to activity as tolerated.

Complications

• Delayed healing or nonunion.
• Malalignment if not properly immobilized.
• Chronic pain or stiffness in the lower leg.

Lifestyle & Prevention

• Use protective gear during high-impact activities.
• Maintain bone health through adequate calcium and vitamin D intake.
• Avoid activities that increase fall risk.

When to Seek Professional Help

Seek immediate medical attention if severe pain, swelling, or inability to bear weight occurs after an injury. Follow up with a healthcare provider if symptoms worsen or do not improve with initial treatment.

Tips for Medical Coders

Document the fracture as nondisplaced, oblique, and closed, with specific mention of the right fibula and initial encounter. Ensure clinical notes confirm no displacement, open wound, or prior treatment for this injury to support accurate coding.