S92.041A Displaced other fracture of tuberosity of right calcaneus, initial encounter for closed fracture

Name of the Condition

• Displaced other fracture of tuberosity of right calcaneus, initial encounter for closed fracture
• ICD-10 Code: S92.041A

Summary

This condition refers to a displaced fracture of the tuberosity of the calcaneus (heel bone) on the right foot, documented during the initial encounter for a closed fracture. The fracture involves the tuberosity, a bony prominence, and is classified as closed (no open wound).

Causes

High-impact trauma, such as falls from a height or direct force to the heel, commonly causes this fracture. Sports injuries, workplace accidents, or sudden twisting of the foot may also lead to this type of injury.

Risk Factors

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

Symptoms

• Severe heel pain and swelling
• Bruising around the heel
• Difficulty bearing weight on the affected foot
• Possible deformity if the fracture is significantly displaced

Diagnosis

Physical examination to assess pain, swelling, and range of motion. Imaging tests, such as X-rays, confirm the fracture and its displacement. Documentation must specify the fracture as closed and the initial encounter.

Treatment Options

• Immobilization with a cast or splint to stabilize the bone
• Pain management with medications (e.g., NSAIDs) or ice therapy
• Surgical intervention for severe displacement to realign the bone
• Physical therapy post-healing to restore strength and mobility

Prognosis and Follow-Up

Healing typically takes 6–12 weeks, depending on fracture severity. Regular follow-up appointments monitor progress and adjust treatment as needed. Most patients recover fully with proper care.

Complications

• Delayed healing or nonunion
• Chronic pain or arthritis in the heel
• Nerve damage or numbness
• 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
• Address osteoporosis or bone-weakening conditions

When to Seek Professional Help

Seek immediate care if you experience severe heel pain, swelling, or inability to bear weight after an injury. Persistent pain or deformity after initial treatment also warrants evaluation.

Tips for Medical Coders

Document the fracture as displaced, specify the tuberosity of the calcaneus, and confirm the encounter as initial for a closed fracture. Ensure the right foot is clearly identified to match the code.