S92.014 Nondisplaced fracture of body of right calcaneus

Name of the Condition

• Nondisplaced fracture of body of right calcaneus

Summary

This condition refers to a break or crack in the body of the right calcaneus (heel bone) where the bone fragments remain in their normal alignment. It typically results from trauma and can impact weight-bearing ability and mobility, with severity varying based on the fracture's nature.

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.
• Possible deformity if the fracture is displaced (though less common in nondisplaced cases).

Diagnosis

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

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 (less likely for nondisplaced cases).

Prognosis and Follow-Up

Healing time varies, typically 6–12 weeks, depending on fracture severity. Follow-up care may include gradual weight-bearing as tolerated and physical therapy to restore strength and mobility.

Complications

• Chronic pain or arthritis in the heel joint.
• Difficulty with long-term mobility or weight-bearing.
• Potential for future fractures due to bone weakness.

Lifestyle & Prevention

• Wear supportive footwear and avoid uneven surfaces.
• Engage in bone-strengthening exercises to reduce fracture risk.
• Use protective gear during high-impact activities.

When to Seek Professional Help

Seek immediate medical attention if you experience sudden, severe heel pain after trauma, especially if you cannot bear weight on the foot.

Tips for Medical Coders

Document the fracture's nondisplaced nature and right-sided location. Ensure clinical notes specify the absence of displacement to support accurate coding. Include details on trauma mechanism and imaging results for clarity.