S92.062 Displaced intraarticular fracture of left calcaneus

Name of the Condition

• Displaced intraarticular fracture of left calcaneus

Summary

A displaced intraarticular fracture of the left calcaneus is a break in the left 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 restore joint alignment and stability.

Prognosis and Follow-Up

Recovery depends on fracture severity and treatment. Conservative management may take 8–12 weeks, while surgery may require longer healing and rehabilitation. Follow-up imaging and physical therapy are often needed to monitor healing and restore function.

Complications

• Post-traumatic arthritis due to joint surface damage.
• Chronic pain or stiffness.
• Nerve injury or numbness.
• Nonunion or malunion of the fracture.

Lifestyle & Prevention

• Wear supportive footwear and avoid uneven surfaces.
• 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 care for severe pain, inability to bear weight, or visible deformity after a fall or injury. Persistent swelling, bruising, or pain after initial treatment also warrants evaluation.

Tips for Medical Coders

Document the fracture’s displacement, intraarticular involvement, and laterality (left). Include details on fracture type (e.g., open/closed) and encounter stage (e.g., initial, subsequent) to ensure accurate coding.