S82.463 Displaced segmental fracture of shaft of unspecified fibula

Name of the Condition

• Displaced segmental fracture of shaft of unspecified fibula
• ICD-10 Code: S82.463

Summary

A displaced segmental fracture of the shaft of the unspecified fibula is a break in the long, thin bone of the lower leg, where the bone is fractured into two or more separate pieces with the fragments 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 allow healing.
• Surgical intervention, such as internal fixation with plates or screws, for severe displacement or instability.
• 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, treatment approach, and patient factors like age and overall health. Most fractures heal within 6–12 weeks with proper care. 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 improper position.
• Nerve or blood vessel damage near the fracture site.
• Chronic pain or stiffness in the leg.
• Increased risk of future fractures due to weakened bone.

Lifestyle & Prevention

• Use protective gear during high-risk activities.
• Maintain bone health through a balanced diet rich in calcium and vitamin D.
• Avoid activities that increase fall risk, especially for those with osteoporosis.
• Perform exercises to improve balance and leg strength.

When to Seek Professional Help

Seek immediate medical attention if you experience severe pain, inability to bear weight, visible deformity, or numbness/tingling in the leg after an injury.

Tips for Medical Coders

Document the fracture as "displaced" and specify the shaft of the fibula. Ensure the code S82.463 is used when the fibula is unspecified. Include details about the fracture pattern (segmental) and displacement in the medical record for accurate coding.