S92.041 Displaced other fracture of tuberosity of right calcaneus

Name of the Condition

• Displaced other fracture of tuberosity of right calcaneus

Summary

This condition involves a displaced fracture of the tuberosity of the calcaneus (heel bone) on the right foot. The fracture is classified as "other" to denote a specific type of tuberosity injury, distinct from more common fracture patterns. Displacement indicates the bone fragments are not aligned, which may affect healing and require intervention.

Causes

High-impact trauma to the heel, such as falls from a height, direct blows, or sports-related injuries, can cause this fracture. Repetitive stress or sudden force applied to the heel may also lead to tuberosity displacement.

Risk Factors

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

Symptoms

• Severe heel pain, especially with weight-bearing
• Swelling and bruising around the heel
• Difficulty walking or standing
• Visible deformity or abnormal positioning of the heel

Diagnosis

A physical examination assesses pain, swelling, and range of motion. Imaging, typically X-rays, confirms the fracture and evaluates displacement. CT scans may be used for detailed assessment of complex fractures.

Treatment Options

• Immobilization with a cast or splint to stabilize the bone
• Pain management using NSAIDs or other medications
• Physical therapy to restore strength and mobility post-healing
• Surgical intervention for severe displacement to realign fragments

Prognosis and Follow-Up

Prognosis depends on fracture severity and treatment adherence. Most fractures heal within 6–12 weeks with proper care. Follow-up imaging monitors healing progress, and physical therapy may be recommended to prevent stiffness.

Complications

• Chronic pain or arthritis in the heel
• Nonunion or malunion of the fracture
• Nerve damage or persistent swelling
• Difficulty returning to high-impact activities

Lifestyle & Prevention

• Wear supportive footwear during activities
• Avoid uneven surfaces to reduce fall risk
• Strengthen foot and ankle muscles through exercise
• Use protective gear in high-risk sports

When to Seek Professional Help

Seek immediate care for severe pain, inability to bear weight, or visible deformity. Persistent swelling, bruising, or pain after initial treatment warrants follow-up with a healthcare provider.

Tips for Medical Coders

Document the fracture type (tuberosity), displacement, and laterality (right) clearly. Ensure clinical notes specify the fracture as "other" to justify the code. Include details on imaging or treatment to support coding accuracy.