S82.461 Displaced segmental fracture of shaft of right fibula

Name of the Condition

• Displaced segmental fracture of shaft of right fibula
• ICD-10 Code: S82.461

Summary

A displaced segmental fracture of the shaft of the right fibula is a break in the long, thin bone on the lateral side of the lower leg, where the bone is broken into two or more separate pieces and the fragments are out of alignment. This injury involves the middle portion of the fibula and may result from significant force or trauma.

Causes

Most commonly caused by direct trauma or high-impact events, such as falls, sports injuries, or motor vehicle accidents. Twisting motions or forceful impacts to the leg can also lead to this type of fracture.

Risk Factors

• Participation in contact sports or high-impact activities.
• Osteoporosis or reduced bone density, which increases fragility.
• Advanced age, which may weaken bone strength.
• Previous leg injuries or surgeries.

Symptoms

• Pain and swelling in the lower leg.
• Difficulty bearing weight on the affected leg.
• Bruising or tenderness around the injured area.
• Possible deformity or instability of the leg structure.

Diagnosis

Diagnosis involves a physical examination by a healthcare professional to assess tenderness, swelling, and deformity. Imaging tests, such as X-rays, are typically used to confirm the fracture and determine its extent and alignment.

Treatment Options

• Immobilization of the leg using a splint or cast to allow the bone to heal properly.
• Pain management with medications such as analgesics.
• Physical therapy to restore movement and strength.
• Surgical intervention may be required for severe displacement or instability.

Prognosis and Follow-Up

Recovery depends on the severity of the fracture and treatment. Most patients heal within 6–12 weeks with proper immobilization and rehabilitation. Follow-up appointments are necessary to monitor healing and adjust treatment as needed.

Complications

• Nonunion or delayed healing of the fracture.
• Malunion, where the bone heals in an incorrect position.
• Nerve or blood vessel damage near the fracture site.
• Chronic pain or reduced mobility.

Lifestyle & Prevention

• Wear protective gear during high-risk activities.
• Maintain bone health through a balanced diet and regular exercise.
• Avoid activities that increase the risk of falls or impacts.

When to Seek Professional Help

Seek immediate medical attention if you experience severe pain, inability to bear weight, visible deformity, or signs of infection (e.g., fever, increased swelling).

Tips for Medical Coders

Document the fracture as displaced and segmental, specifying the right fibula. Include details on alignment, treatment, and any complications to ensure accurate coding. Ensure documentation supports the specific nature of the fracture and its location.