S82.462 Displaced segmental fracture of shaft of left fibula

Name of the Condition

• Displaced segmental fracture of shaft of left fibula
• ICD-10 Code: S82.462

Summary

A displaced segmental fracture of the shaft of the left 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 typically results 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 with a cast or brace to stabilize the fracture.
• Surgical intervention, such as internal fixation with plates or screws, if the fracture is severely displaced or unstable.
• Pain management with medications.
• Physical therapy to restore strength and mobility after healing.

Prognosis and Follow-Up

Prognosis depends on the severity of the fracture and treatment. Most patients recover fully with proper care, though recovery may take several months. 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.
• Chronic pain or stiffness in the leg.

Lifestyle & Prevention

• Use protective gear during high-risk activities.
• Maintain bone health through a balanced diet and regular exercise.
• Avoid falls by removing tripping hazards at home.
• Warm up properly before physical activity to reduce injury risk.

When to Seek Professional Help

Seek immediate medical attention if you experience severe pain, inability to bear weight, visible deformity, or signs of nerve damage (e.g., numbness, tingling).

Tips for Medical Coders

Document the laterality (left) and displacement status clearly. Ensure the fracture is described as segmental and involving the shaft of the fibula. Include details about the fracture's alignment and any associated injuries for accurate coding.