S92.045 Nondisplaced other fracture of tuberosity of left calcaneus

Name of the Condition

• Nondisplaced other fracture of tuberosity of left calcaneus

Summary

This condition refers to a fracture of the tuberosity of the calcaneus (heel bone) on the left foot that is not displaced. The tuberosity is a bony prominence where the Achilles tendon attaches, and fractures here typically result from trauma or overuse. The "nondisplaced" classification indicates the bone fragments remain aligned, which may influence treatment and healing.

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 (rare in nondisplaced cases)

Prognosis and Follow-Up

Most nondisplaced fractures heal well with conservative treatment. Follow-up imaging may be used to monitor healing. Physical therapy is often recommended to restore function and prevent stiffness.

Complications

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

Lifestyle & Prevention

• Wear supportive footwear during high-impact activities
• Maintain bone health through diet and exercise
• Avoid sudden, forceful movements that stress the heel
• Use proper techniques in sports or occupational tasks

When to Seek Professional Help

Seek care if pain is severe, swelling worsens, or walking becomes impossible. Immediate evaluation is needed if deformity or open wounds are present.

Tips for Medical Coders

Document the fracture as nondisplaced and specify the left calcaneus tuberosity. Include details on trauma mechanism, imaging results, and treatment to support code specificity. Ensure alignment with clinical findings to avoid coding errors.