S82.455 Nondisplaced comminuted fracture of shaft of left fibula

Name of the Condition

• Nondisplaced comminuted fracture of shaft of left fibula
• ICD-10-CM Code: S82.455

Summary

A nondisplaced comminuted fracture of the shaft of the left fibula is a type of bone injury where the fibula (the smaller bone of the lower leg) is broken into multiple pieces but remains in its normal anatomical alignment. This fracture involves the middle portion of the bone and does not involve displacement of the bone fragments.

Causes

This fracture is typically caused by direct trauma to the leg, such as a fall, sports injury, or motor vehicle accident, which results in the bone shattering into several pieces without shifting out of place. High-impact forces or twisting motions can also lead to this type of injury.

Risk Factors

• Participation in high-impact sports or activities
• Osteoporosis or other conditions that weaken bone density
• Advanced age, which may reduce bone strength
• Previous leg injuries or surgeries

Symptoms

• Pain and tenderness along the fibula
• Swelling and bruising around the lower leg
• Difficulty bearing weight on the affected leg
• Possible deformity if the fracture causes alignment issues

Diagnosis

Diagnosis involves a physical examination to assess tenderness, swelling, and deformity. Imaging tests, such as X-rays, are typically used to confirm the fracture and determine the number of bone fragments, alignment, and whether the fracture is open or closed.

Treatment Options

• Immobilization using a cast or brace to maintain bone alignment
• Pain management with medications
• Physical therapy to restore mobility and strength after immobilization
• Surgery is typically not required unless there are complications

Prognosis and Follow-Up

Most nondisplaced comminuted fractures of the fibula heal well with proper immobilization and follow-up care. Recovery time varies but generally ranges from 6 to 8 weeks. Regular follow-up appointments with a healthcare provider are important to monitor healing and adjust treatment as needed.

Complications

• Delayed healing or nonunion of the fracture
• Infection (if the fracture is open)
• Nerve or blood vessel damage
• Chronic pain or instability

Lifestyle & Prevention

• Wear appropriate protective gear during sports or high-risk activities
• Maintain bone health through a balanced diet rich in calcium and vitamin D
• Avoid activities that increase the risk of falls or direct trauma to the leg

When to Seek Professional Help

Seek immediate medical attention if you experience severe pain, inability to bear weight, visible deformity, or signs of infection (such as fever, redness, or drainage) after an injury to the leg.

Tips for Medical Coders

When coding for S82.455, ensure documentation specifies the fracture is nondisplaced and comminuted, involves the shaft of the left fibula, and is not associated with an open wound or sequela. Verify the laterality (left) and anatomical location (shaft) to avoid miscoding.