S92.011 Displaced fracture of body of right calcaneus

Name of the Condition

• Displaced fracture of body of right calcaneus

Summary

This condition involves a break in the body of the right calcaneus (heel bone) where the bone fragments are misaligned. It results from trauma and can impair weight-bearing and mobility, requiring evaluation to determine the extent of displacement and appropriate management.

Causes

High-impact trauma, such as falls from a height or automobile accidents. Direct force to the heel, often seen in sports injuries or workplace accidents.

Risk Factors

• Engaging in high-impact activities or sports.
• Osteoporosis or other bone-weakening conditions.
• Improper footwear or uneven surfaces that increase fall risk.

Symptoms

• Sudden, severe pain in the heel or foot.
• Swelling, bruising, or tenderness around the heel.
• Difficulty or inability to bear weight on the affected foot.
• Visible deformity due to bone displacement.

Diagnosis

Physical examination to assess pain, swelling, and range of motion. Imaging tests, such as X-rays or CT scans, to confirm the fracture, evaluate displacement, and assess surrounding structures.

Treatment Options

• Rest and immobilization with a cast or splint to allow healing.
• Pain management with medications or ice therapy.
• Surgical intervention for severe or displaced fractures to realign the bone.

Prognosis and Follow-Up

Healing time varies, typically 6–12 weeks, depending on fracture severity. Follow-up imaging may be needed to monitor alignment and healing progress. Physical therapy is often recommended to restore strength and mobility.

Complications

• Chronic pain or arthritis in the subtalar joint.
• Nerve damage or numbness.
• Difficulty with weight-bearing or long-term mobility issues.
• Infection (if surgical intervention is required).

Lifestyle & Prevention

• Wear supportive footwear and use protective gear during high-impact activities.
• Maintain bone health through adequate calcium and vitamin D intake.
• Avoid uneven surfaces or hazardous environments that increase fall risk.

When to Seek Professional Help

Seek immediate medical attention if you experience sudden, severe heel pain after trauma, inability to bear weight, or visible deformity. Prompt evaluation is critical to prevent complications from untreated displacement.

Tips for Medical Coders

Document the specific location (body of calcaneus) and laterality (right) to ensure accurate coding. Include details on displacement severity and any associated injuries for comprehensive coding. Verify documentation aligns with clinical findings to support the diagnosis.