S82.491 Other fracture of shaft of right fibula

Name of the Condition

• Other fracture of shaft of right fibula
• ICD-10 Code: S82.491

Summary

This condition describes a fracture of the shaft (middle portion) of the right fibula, the smaller bone in the lower leg. The term "other" indicates a specific fracture type not classified under more detailed subcategories (e.g., transverse, oblique). The fracture may be displaced, non-displaced, open, or closed, depending on the injury's nature.

Causes

Most commonly caused by direct trauma or impact to the right leg, such as from falls, sports injuries, or motor vehicle accidents. High-force impacts or twisting motions 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 right 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.

Prognosis and Follow-Up

Most fractures of the fibula shaft heal well with appropriate treatment. Recovery time depends on fracture severity and patient factors. Follow-up appointments monitor healing and may include repeat imaging. Physical therapy is often recommended to restore function.

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.

Lifestyle & Prevention

• Wear protective gear during high-risk activities (e.g., sports, construction).
• Maintain bone health through a balanced diet rich in calcium and vitamin D.
• Avoid activities that increase fall risk, especially for those with osteoporosis.
• Use proper techniques to prevent twisting injuries during exercise.

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, redness, drainage) after an injury.

Tips for Medical Coders

Document the specific fracture type (e.g., comminuted, spiral) and laterality (right) to support accurate coding. Ensure clinical notes specify whether the fracture is open or closed, as this impacts code assignment. Verify that the fracture is confined to the shaft and not involving the proximal or distal ends of the fibula.