S92.043 Displaced other fracture of tuberosity of unspecified calcaneus

Name of the Condition

• Displaced other fracture of tuberosity of unspecified calcaneus

Summary

This condition involves a displaced fracture of the tuberosity of the calcaneus (heel bone), where the bone fragments are not aligned. The fracture is classified as "other" to denote a specific type of tuberosity injury, distinct from more common fracture patterns. Displacement 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

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
• Pain management with medications or ice therapy
• Physical therapy to restore strength and mobility
• Surgical intervention for severe or unstable fracture

Prognosis and Follow-Up

Prognosis depends on fracture severity, alignment, and treatment. Follow-up care includes monitoring healing, managing pain, and gradual return to activity. Physical therapy may be recommended to restore function.

Complications

• Delayed healing or nonunion
• Chronic pain or arthritis
• Nerve or vascular damage
• Difficulty with weight-bearing or mobility

Lifestyle & Prevention

• Wear supportive footwear during high-impact activities
• Maintain bone health through diet and exercise
• Avoid repetitive stress on the heel
• Use protective gear in high-risk environments

When to Seek Professional Help

Seek care if you experience severe heel pain, swelling, or difficulty walking after trauma. Prompt evaluation is important for displaced fractures to prevent complications.

Tips for Medical Coders

Document the fracture type (displaced), tuberosity involvement, and unspecified calcaneus. Include details on trauma mechanism, imaging results, and treatment to support code specificity. Ensure alignment with clinical findings and coding guidelines.