S82.465 Nondisplaced segmental fracture of shaft of left fibula

Name of the Condition

• Nondisplaced segmental fracture of shaft of left fibula
• ICD-10 Code: S82.465

Summary

A nondisplaced segmental fracture of the shaft of the left 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 type of fracture typically affects the middle portion of the fibula and is classified as stable due to the maintained alignment of the bone fragments.

Causes

Most commonly caused by high-energy trauma, such as motor vehicle accidents, falls from significant 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 becomes displaced or unstable.

Prognosis and Follow-Up

Prognosis is generally favorable with proper treatment, as nondisplaced fractures often heal well without long-term complications. Follow-up care typically includes regular monitoring to ensure proper healing and may involve imaging to confirm bone alignment. Rehabilitation may be recommended to restore full function.

Complications

• Delayed healing or nonunion of the fracture.
• Infection, particularly if surgical intervention is required.
• Nerve or blood vessel damage in severe cases.
• Chronic pain or stiffness in the affected leg.

Lifestyle & Prevention

• Use protective gear during high-risk activities.
• Maintain bone health through adequate calcium and vitamin D intake.
• Avoid activities that increase fall risk, especially in older adults.
• Strengthen leg muscles to improve stability and 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). Prompt evaluation is important to prevent complications and ensure proper treatment.

Tips for Medical Coders

Document the fracture as nondisplaced and specify the left fibula to accurately reflect the code S82.465. Include details about the fracture pattern (segmental) and any associated injuries or treatments to support coding accuracy. Ensure documentation aligns with clinical findings to justify the diagnosis.