Name of the Condition

• Nondisplaced pilon fracture of left tibia
• Medical term: Pilon Fracture

Summary

A nondisplaced pilon fracture of the left tibia is a type of broken bone located at the lower end of the tibia, near the ankle joint, where the bones are not misaligned. This injury often results from high-impact trauma, which affects the tibia's ability to bear weight.

Causes

• Trauma from falls
• Motor vehicle accidents
• Sports injuries

Risk Factors

• Participation in high-impact sports
• Osteoporosis
• High-speed vehicular events

Symptoms

• Pain and swelling around the ankle
• Difficulty in bearing weight on the affected leg
• Bruising and tenderness in the lower leg

Diagnosis

• Physical examination to assess swelling and tenderness
• Imaging tests, such as X-rays and CT scans, to evaluate bone alignment and fracture details

Treatment Options

• Non-surgical immobilization: Using a cast or brace to allow natural healing
• Pain management: Over-the-counter pain relief medications
• Physical therapy: Exercises to restore mobility and strength post-healing

Prognosis and Follow-Up

• Generally favorable if treated properly
• Regular follow-up visits to monitor healing progress
• Physical therapy for rehabilitation

Complications

• Delayed bone healing or nonunion
• Decreased range of motion in the ankle joint
• Risk of arthritis in the joint over time

Lifestyle & Prevention

• Wearing protective gear during sports activities
• Ensuring safe environments to prevent falls
• Strengthening exercises to promote bone health

When to Seek Professional Help

• Severe pain or swelling following an injury
• Inability to move the ankle or bear weight
• Numbness or persistent cold sensations in the foot or leg

Additional Resources

• American Academy of Orthopaedic Surgeons (AAOS)
• Mayo Clinic's orthopedic and trauma resources

Tips for Medical Coders

• Ensure the correct laterality by confirming it is the left tibia
• Confirm that the fracture is nondisplaced and closed
• Double-check the placeholder 'A' in the code for initial encounter accuracy

By understanding the key aspects of a nondisplaced pilon fracture of the left tibia, medical professionals and patients can better manage and treat this condition effectively.