S82.464 Nondisplaced segmental fracture of shaft of right fibula

Name of the Condition

• Nondisplaced segmental fracture of shaft of right fibula
• ICD-10 Code: S82.464

Summary

A nondisplaced segmental fracture of the shaft of the right fibula is a break in the long, thin bone of the lower leg, where the bone is fractured at two separate sites along the same segment, creating a middle fragment that remains in its original position without displacement. This injury involves the middle portion of the fibula and typically results from significant force or trauma.

Causes

Most commonly caused by high-energy trauma, such as motor vehicle accidents, falls from height, or direct impact to the leg. Twisting injuries or severe rotational forces can also lead to this type of fracture.

Risk Factors

• Participation in high-impact sports or activities with risk of falls.
• Osteoporosis or reduced bone density, which increases fragility.
• Advanced age, which may weaken bone strength.
• Previous leg injuries or surgeries that compromise bone integrity.

Symptoms

• Intense 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.
• Numbness or tingling if nerve involvement occurs.

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.
• Pain management with medications or other therapies.
• Physical therapy to restore strength and mobility after healing.
• Surgical intervention if the fracture is unstable or fails to heal with conservative treatment.

Prognosis and Follow-Up

Prognosis is generally favorable with proper treatment, though recovery time may vary depending on the severity of the injury. Follow-up appointments are necessary to monitor healing and adjust treatment as needed. Most patients regain full function, but some may experience residual stiffness or weakness.

Complications

• Delayed healing or nonunion of the fracture.
• Nerve or blood vessel damage in severe cases.
• Chronic pain or instability if the fracture does not heal correctly.
• Post-traumatic arthritis in the surrounding joints.

Lifestyle & Prevention

• Wear appropriate 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 direct leg trauma.
• Use caution on uneven surfaces or in environments with tripping hazards.

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). Prompt evaluation is important to prevent complications and ensure proper treatment.

Tips for Medical Coders

Document the fracture as nondisplaced and specify the right fibula to accurately reflect the injury. Include details about the segmental nature of the fracture and any associated injuries or treatments. Ensure the code aligns with clinical documentation to support accurate coding and billing.