S82.441A Displaced spiral fracture of shaft of right fibula, initial encounter for closed fracture

ICD10CM code

#### Name of the Condition
- Displaced spiral fracture of the shaft of the right fibula
- Medical term: Spiral fracture of the fibular shaft

#### Summary
A displaced spiral fracture of the right fibula's shaft occurs when a fracture exhibits a helical pattern along the bone shaft of the fibula, resulting in bone misalignment. This type of fracture often results from a twisting injury and can cause significant pain and mobility issues.

#### Causes
- High-impact injuries, such as those from sports or accidents.
- Twisting injuries involving the lower leg.
- Falls or direct blows to the leg.

#### Risk Factors
- Participation in high-contact sports (e.g., soccer, basketball).
- Osteoporosis or poor bone density.
- Previous leg injuries or fractures.

#### Symptoms
- Severe pain and swelling in the lower leg.
- Bruising and tenderness around the site of the fracture.
- Inability to bear weight on the affected leg.
- Visible deformity or misalignment of the leg.

#### Diagnosis
- Physical examination to assess pain, swelling, and deformity.
- X-rays to confirm the fracture and its characteristics.
- MRI or CT scans for complex cases or when additional details are needed.

#### Treatment Options
- Immobilization with a cast or splint to allow the bone to heal.
- Pain management with medications like NSAIDs.
- Surgery may be necessary to realign and fix the fracture using metal rods or plates.
- Rehabilitation with physical therapy to restore movement and strength.

#### Prognosis and Follow-Up
- Healing time typically ranges from 6 to 12 weeks, depending on severity and overall health.
- Regular follow-up visits are essential to monitor healing via X-rays.
- Physical therapy plays a critical role in recovery and helping regain full function.

#### Complications
- Nonunion or delayed healing of the fracture.
- Compartment syndrome if swelling is not controlled.
- Malalignment or altered gait if the fracture does not heal properly.

#### Lifestyle & Prevention
- Engage in exercises that build bone strength and enhance balance.
- Use protective gear when engaging in high-risk sports.
- Employ safe practices to reduce the risk of falls.

#### When to Seek Professional Help
- Intense pain, swelling, or an inability to move the leg.
- Numbness or tingling around the fracture area.
- Fever or signs of infection following an injury.

#### Additional Resources
- American Academy of Orthopaedic Surgeons (aaos.org)
- OrthoInfo (orthoinfo.aaos.org)

#### Tips for Medical Coders
- Ensure the detail of the fracture is accurately captured: right fibula, spiral, displaced, initial encounter, closed fracture.
- Avoid coding errors like incorrect laterality or type of fracture descriptor.

Similar Codes