S92.063 Displaced intraarticular fracture of unspecified calcaneus

Name of the Condition

• Displaced intraarticular fracture of unspecified calcaneus

Summary

A displaced intraarticular fracture of the calcaneus is a break in the heel bone where the bone fragments are misaligned and the fracture extends into the joint space. This condition 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

Recovery depends on fracture severity and treatment. Immobilization and physical therapy are typically required. Follow-up imaging may be needed to assess healing. Long-term outcomes can include persistent pain or arthritis if joint alignment is not restored.

Complications

• Chronic pain or arthritis in the subtalar joint.
• Nerve damage or vascular injury.
• Nonunion or malunion of the fracture.
• Difficulty with weight-bearing or mobility.

Lifestyle & Prevention

• Wear appropriate footwear for high-impact activities.
• Use fall prevention measures in high-risk environments.
• Maintain bone health through diet and exercise.
• Avoid uneven surfaces that increase fall risk.

When to Seek Professional Help

Seek immediate medical attention for severe heel pain, swelling, or inability to bear weight after trauma. Persistent pain or deformity after initial treatment also warrants evaluation.

Tips for Medical Coders

Document the fracture’s displacement and intraarticular involvement. Specify if the fracture is open or closed, and note any associated injuries. Ensure documentation supports the "unspecified" laterality for accurate coding.