S92.012 Displaced fracture of body of left calcaneus

Name of the Condition

• Displaced fracture of body of left calcaneus

Summary

This condition involves a break in the body of the left 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 care includes monitoring for proper healing, physical therapy to restore strength and mobility, and addressing any persistent pain or functional limitations.

Complications

• Nonunion or malunion of the fracture.
• Chronic pain or arthritis in the subtalar joint.
• Nerve damage or vascular injury.
• Long-term mobility issues or gait abnormalities.

Lifestyle & Prevention

• Wear supportive footwear and use protective gear during high-risk activities.
• Maintain bone health through adequate calcium and vitamin D intake.
• Avoid uneven surfaces or hazardous environments that increase fall risk.
• Gradually return to weight-bearing activities as directed by a healthcare provider.

When to Seek Professional Help

Seek immediate medical attention if you experience severe heel pain after trauma, cannot bear weight, or notice deformity. Persistent pain, swelling, or difficulty walking after initial treatment also warrants evaluation.

Tips for Medical Coders

Document the specific side (left) and displacement status clearly. Include details on fracture type, treatment provided, and encounter stage (e.g., initial, subsequent) to ensure accurate coding. Verify that clinical documentation supports the diagnosis and aligns with the code's definition.