S92.055 Nondisplaced other extraarticular fracture of left calcaneus

Name of the Condition

• Nondisplaced other extraarticular fracture of left calcaneus

Summary

This condition refers to a fracture of the left calcaneus (heel bone) that occurs outside the joint surfaces and is not displaced. The fracture involves a break in the bone that does not extend into the subtalar or calcaneocuboid joints, and the bone fragments remain in their normal alignment. It typically results from trauma and may affect weight-bearing ability depending on the fracture's location and severity.

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 (though displacement is not present in this case).

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 is generally not required for nondisplaced fractures unless complications arise.

Prognosis and Follow-Up

Most nondisplaced fractures heal well with conservative treatment. Follow-up care may include monitoring for healing progress and gradual return to weight-bearing activities. Physical therapy may be recommended to restore strength and mobility.

Complications

• Delayed healing or nonunion.
• Chronic pain or arthritis if the fracture affects joint mechanics.
• Nerve or vascular damage in severe cases.

Lifestyle & Prevention

• Wear appropriate footwear for high-impact activities.
• Maintain bone health through diet and exercise.
• Use caution on uneven surfaces to reduce fall risk.

When to Seek Professional Help

Seek immediate medical attention if severe pain, swelling, or inability to bear weight occurs after an injury. Follow up with a healthcare provider if symptoms worsen or do not improve with initial treatment.

Tips for Medical Coders

Document the fracture as nondisplaced and extraarticular, specifying the left calcaneus. Include details on the mechanism of injury, imaging findings, and treatment approach to support code assignment. Ensure documentation aligns with the clinical presentation to accurately reflect the condition.