S92.044 Nondisplaced other fracture of tuberosity of right calcaneus

Name of the Condition

• Nondisplaced other fracture of tuberosity of right calcaneus

Summary

This condition refers to a fracture of the tuberosity of the right calcaneus (heel bone) where the bone fragments remain in their normal alignment. The tuberosity is a bony prominence where the Achilles tendon attaches, and this type of fracture is classified as "other" to denote a specific, non-displaced injury pattern distinct from more common fracture types.

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 fracture

Prognosis and Follow-Up

Most nondisplaced fractures heal well with conservative treatment. Follow-up imaging may be used to monitor healing. Return to normal activities typically occurs within 6–12 weeks, depending on the severity and adherence to treatment.

Complications

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

Lifestyle & Prevention

• Wear supportive footwear during high-impact activities
• Maintain bone health through diet and exercise
• Use proper techniques to avoid falls or direct heel trauma
• Gradually increase activity intensity to reduce stress on the heel

When to Seek Professional Help

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

Tips for Medical Coders

Document the specific location (right calcaneus tuberosity) and confirm the fracture is nondisplaced. Include details on imaging results, clinical findings, and treatment to support code assignment. Ensure documentation aligns with the "other" fracture classification for accurate coding.