S92.04 Other fracture of tuberosity of calcaneus

Name of the Condition

• Other fracture of tuberosity of calcaneus

Summary

This condition refers to a fracture of the tuberosity of the calcaneus, a specific part of the heel bone, that is not classified as displaced or unspecified. The tuberosity is a bony prominence where the Achilles tendon attaches, and fractures here typically result from trauma or overuse.

Causes

High-impact trauma, such as falls or direct blows to the heel, can cause this fracture. Repetitive stress or sudden force during activities like jumping or running may also lead to injury.

Risk Factors

• Participation in high-impact sports (e.g., running, basketball)
• Osteoporosis or weakened bone density
• Poor footwear or inadequate foot support
• Occupational hazards involving heavy lifting or falls

Symptoms

• Localized heel pain, especially with weight-bearing
• Swelling or bruising around the heel
• Tenderness at the tuberosity site
• Difficulty walking or standing

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
• Physical therapy to restore strength and mobility
• Surgical intervention for severe or unstable fractures

Prognosis and Follow-Up

Healing time varies, typically 6–8 weeks, depending on fracture severity. Regular follow-up with imaging may be needed to monitor progress.

Complications

• Delayed healing or nonunion
• Chronic pain or stiffness
• Nerve or tendon damage
• Post-traumatic arthritis

Lifestyle & Prevention

• Wear supportive footwear during high-impact activities
• Strengthen foot and ankle muscles through exercise
• Avoid sudden, forceful movements that strain the heel
• Maintain bone health with proper nutrition and exercise

When to Seek Professional Help

Seek care if pain is severe, worsens, or persists after rest. Immediate attention is needed for visible deformity, inability to bear weight, or signs of infection.

Tips for Medical Coders

Document the fracture location (tuberosity of calcaneus) and any associated details, such as displacement or open/closed status, to ensure accurate coding. Use this code for fractures specifically involving the tuberosity, excluding displaced or unspecified variants.