S92.053 Displaced other extraarticular fracture of unspecified calcaneus

Name of the Condition

• Displaced other extraarticular fracture of unspecified calcaneus

Summary

This condition involves a displaced fracture of the calcaneus (heel bone) that occurs outside the joint surfaces. The fracture is classified as "other" to denote a specific type not covered by more detailed subcategories, and it is extraarticular, meaning it does not involve the subtalar or calcaneocuboid joints. Displacement indicates the bone fragments are misaligned, which may affect stability and healing. The injury typically results from trauma and can impact weight-bearing ability and mobility.

Causes

High-impact trauma, such as falls from a height or automobile accidents. Direct force to the heel, often seen in sports injuries or workplace accidents.

Risk Factors

• Engaging in high-impact activities or sports.
• Osteoporosis or other bone-weakening conditions.
• Improper footwear or uneven surfaces that increase fall risk.

Symptoms

• Sudden, severe pain in the heel or foot.
• Swelling, bruising, or tenderness around the heel.
• Difficulty or inability to bear weight on the affected foot.
• Possible deformity if the fracture is displaced.

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.
• Surgical intervention for severe or displaced fractures to realign bone fragments and stabilize the injury.

Prognosis and Follow-Up

Recovery depends on fracture severity, treatment, and patient factors. Immobilization and physical therapy may be required to restore function. Follow-up imaging and clinical assessments monitor healing and alignment.

Complications

• Chronic pain or arthritis if healing is incomplete.
• Nerve damage or vascular injury from the trauma.
• Difficulty with weight-bearing or long-term mobility issues.

Lifestyle & Prevention

• Wear supportive footwear and use protective gear during high-risk activities.
• Maintain bone health through diet and exercise to reduce fracture risk.
• Avoid uneven surfaces or hazardous environments that increase fall likelihood.

When to Seek Professional Help

Seek immediate care for severe pain, inability to bear weight, visible deformity, or signs of infection (e.g., fever, increased swelling).

Tips for Medical Coders

Document the fracture's displacement and extraarticular nature, as well as the unspecified side of the calcaneus. Ensure clinical notes support the diagnosis and align with the code's specificity.