S92.061 Displaced intraarticular fracture of right calcaneus

Name of the Condition

• Displaced intraarticular fracture of right calcaneus

Summary

A displaced intraarticular fracture of the right calcaneus is a break in the heel bone where the bone fragments are misaligned and the fracture extends into the joint space. This injury affects the foot’s weight-bearing and mobility functions, often resulting in significant pain and functional impairment.

Causes

High-impact trauma, such as falls from a height or motor vehicle accidents, commonly causes this fracture. Direct force to the heel, including sports-related injuries or workplace accidents, can also lead to this condition.

Risk Factors

• Participation in high-impact sports or activities.
• Occupations involving heights or fall risks.
• Osteoporosis or other bone-weakening conditions.
• Improper footwear or uneven surfaces that increase fall risk.

Symptoms

• Severe heel pain.
• Swelling and bruising around the ankle and heel.
• Difficulty bearing weight on the affected foot.
• Possible deformity of the heel.

Diagnosis

Physical examination to assess pain, swelling, and deformity. Imaging tests such as X-rays, CT scans, and MRI to confirm the fracture and evaluate its severity and alignment.

Treatment Options

• Conservative management: RICE (rest, ice, compression, elevation), immobilization with casts.
• Surgery: Required for displaced fractures to realign bones (open reduction and internal fixation).
• Rehabilitation: Physical therapy to restore movement and strength.

Prognosis and Follow-Up

Healing time varies, typically 6–12 weeks, depending on fracture severity. Follow-up imaging may be needed to assess bone healing and joint alignment. Long-term monitoring for arthritis or functional limitations is common.

Complications

• Post-traumatic arthritis in the subtalar joint.
• Chronic pain or stiffness.
• Nerve injury or numbness.
• Difficulty with weight-bearing or walking.

Lifestyle & Prevention

• Wear supportive footwear during high-impact activities.
• Use fall-prevention measures in high-risk environments.
• Maintain bone health through diet and exercise to reduce fracture risk.

When to Seek Professional Help

Seek immediate medical attention if you experience severe heel pain, swelling, or inability to bear weight after an injury. Persistent pain, deformity, or difficulty walking after initial treatment also warrants evaluation.

Tips for Medical Coders

Document the fracture’s displacement, intraarticular involvement, and laterality (right) to support accurate coding. Include details on imaging findings, treatment approaches, and any complications to ensure comprehensive medical record documentation.