S92.021 Displaced fracture of anterior process of right calcaneus

Name of the Condition

• Displaced fracture of anterior process of right calcaneus

Summary

This condition involves a break in the anterior process of the right calcaneus (heel bone) where the bone fragments are misaligned. The anterior process is a small bony projection on the calcaneus, and displacement can affect foot stability and function.

Causes

High-impact trauma, such as falls or direct blows to the foot. Twisting injuries or sudden force applied to the heel may also cause this type of fracture.

Risk Factors

• Participation in activities with high fall risk, like sports or construction work.
• Osteoporosis or other bone-weakening conditions.
• Wearing footwear with poor support or uneven terrain.

Symptoms

• Localized pain and tenderness over the anterior heel.
• Swelling or bruising in the affected area.
• Difficulty bearing weight on the right foot.
• Possible visible deformity if the fracture is severely displaced.

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 displacement.

Treatment Options

• Rest and immobilization with a cast or boot to stabilize the bone.
• Pain management with medications or ice therapy.
• Surgical intervention for significant displacement to realign the fragments.

Prognosis and Follow-Up

Healing time typically ranges from 6–8 weeks, depending on fracture severity. Follow-up imaging may be used to monitor alignment and healing progress.

Complications

• Chronic pain or instability in the foot.
• Nonunion or malunion of the fracture.
• Nerve or tendon damage near the injury site.

Lifestyle & Prevention

• Wear supportive footwear during high-impact activities.
• Use caution on uneven surfaces to reduce fall risk.
• Strengthen foot and ankle muscles to improve stability.

When to Seek Professional Help

Seek immediate care if you experience severe pain, inability to bear weight, or visible deformity after an injury.

Tips for Medical Coders

Document the specific location (anterior process) and side (right) to support the code S92.021. Include details on displacement and any associated injuries for accurate coding.