Name of the Condition

• Other fracture of upper and lower end of left fibula, initial encounter for closed fracture
• ICD code: S82.832A

Summary

This condition refers to a fracture at the ends of the left fibula, which is the smaller of the two bones in the lower leg. The fracture is classified as closed, meaning the skin around the fracture site is not broken. This document describes the initial encounter for such an injury.

Causes

• Trauma or injury, often due to falls, sports, accidents, or direct impacts.
• Osteoporosis, which weakens bones and makes them more susceptible to fractures.

Risk Factors

• Participation in high-impact sports or activities that increase the risk of falls or collisions.
• Advanced age, as bones tend to weaken with age.
• Bone diseases like osteoporosis.
• Previous fractures or bone conditions that weaken the integrity of bones.

Symptoms

• Swelling and bruising around the fracture site.
• Pain that increases with movement or pressure.
• Inability to put weight on the affected leg.
• Visible deformity or misalignment of the leg.

Diagnosis

• Physical examination to assess tenderness, swelling, and deformity.
• Imaging tests, such as X-rays, to determine the location and extent of the fracture.
• Occasionally, CT scans or MRIs for a more detailed view if the fracture is complicated.

Treatment Options

• Immobilization through casting or splinting to ensure the bone heals properly.
• Pain management using medications like acetaminophen or ibuprofen.
• Potential surgical intervention to realign and fix broken bones with pins, plates, or screws.
• Physical therapy post-healing to restore movement and strength.

Prognosis and Follow-Up

• Most fibula fractures heal well with appropriate treatment, typically over a few weeks to months.
• Regular follow-up with a healthcare provider is crucial to monitor healing progress and adjust treatment as needed.
• Potential for a full recovery, especially with proper rehabilitation.

Complications

• If untreated, potential for improper bone healing leading to chronic pain or misalignment.
• Risk of nerve or blood vessel damage near the fracture site.
• Long-term joint stiffness or arthritis if the injury is severe or healing is inadequate.

Lifestyle & Prevention

• Engaging in weight-bearing exercises to strengthen bones.
• Maintaining a diet rich in calcium and vitamin D for bone health.
• Use of protective gear during sports or high-risk activities.
• Avoidance of situations that predispose one to falls, such as wet floors or uneven surfaces.

When to Seek Professional Help

• If sudden, severe pain or swelling occurs in the lower leg.
• Inability to bear weight on the left leg.
• If after treatment, symptoms such as pain and swelling persist or worsen.

Additional Resources

• American Academy of Orthopaedic Surgeons (AAOS) – Website
• National Osteoporosis Foundation – Website

Tips for Medical Coders

• Ensure specification of the left side to align with S82.832A.
• Double-check that the documentation specifies it is an initial encounter for a closed fracture.
• Avoid confusion with other fibula-related fractures by confirming the location and type of fracture.