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Displaced fracture of lateral malleolus of left fibula, initial encounter for closed fracture

ICD10CM code
#### Name of the Condition
- Displaced Fracture of Lateral Malleolus of Left Fibula, Initial Encounter for Closed Fracture
- ICD-10 Code: S82.62XA

#### Summary
- A displaced fracture of the lateral malleolus of the left fibula is a break where the outer ankle bone (fibula) shifts from its normal position. This type of injury is often painful and typically results from trauma or a fall.

#### Causes
- The most common cause is a fall or direct impact to the outside of the ankle.
- Sports injuries or accidents, such as twisting the ankle, can also lead to this fracture.

#### Risk Factors
- Participation in high-impact sports or activities.
- Osteoporosis or weakened bones due to age or health conditions.
- Previous ankle injuries that might predispose to further trauma.

#### Symptoms
- Severe pain in the outer ankle.
- Swelling and bruising around the ankle.
- Inability to bear weight or walk.
- Deformity or abnormal positioning of the ankle.

#### Diagnosis
- Physical examination focused on the ankle.
- Imaging tests, such as X-rays, are used to confirm the presence and extent of the fracture.
- MRI or CT scans may be used for detailed assessment, particularly for surgical planning.

#### Treatment Options
- Immobilization with a cast or splint to allow the bone to heal properly.
- Surgery may be necessary to realign and stabilize the bones using pins, screws, or plates, especially if the fracture is significantly displaced.
- Physical therapy aids in the recovery of strength and mobility post-treatment.

#### Prognosis and Follow-Up
- With proper treatment, most patients recover well, although healing time can vary.
- Follow-up appointments are crucial to monitor bone healing and to adjust treatment plans.
- Full recovery may take several weeks to months depending on the severity and treatment.

#### Complications
- Delayed healing or non-union of the bone.
- Post-traumatic arthritis in the ankle joint.
- Persistent pain or stiffness.
- Possibility of re-injury during recovery.

#### Lifestyle & Prevention
- Engage in ankle-strengthening exercises and balance training to prevent future injuries.
- Use protective gear such as ankle braces during high-risk activities.
- Maintain bone health through a diet rich in calcium and vitamin D.

#### When to Seek Professional Help
- Seek immediate attention if there is severe pain, visible deformity, or inability to move the ankle.
- Any signs of infection or complications, like increased redness, swelling, or fever, warrant prompt medical evaluation.

#### Additional Resources
- American Academy of Orthopaedic Surgeons (AAOS): [www.aaos.org](https://www.aaos.org)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS): [www.niams.nih.gov](https://www.niams.nih.gov)

#### Tips for Medical Coders
- Ensure the specific side and type of fracture are noted: displaced fracture, left fibula.
- Verify if it is an initial encounter for a closed fracture to use the correct 7th character: 'A.'
- Double-check documentation for details that might require additional specific codes, such as whether surgery was performed.

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