Name of the Condition

• Displaced Intraarticular Fracture of Unspecified Calcaneus
• Often referred to as a heel bone fracture.

Summary

A displaced intraarticular fracture of the calcaneus is a type of heel bone fracture where the bones are misaligned and the fracture extends into the joint space. This condition affects the foot and can result in significant pain and mobility issues.

Causes

• High-impact trauma, such as falls from a height or car accidents, often causes this type of fracture.
• Sports injuries involving the feet can also lead to such fractures.

Risk Factors

• Participation in high-impact sports or activities.
• Occupations involving heights or fall risks.
• Osteoporosis or other conditions that weaken bones.

Symptoms

• Severe heel pain.
• Swelling and bruising around the ankle and heel.
• Difficulty bearing weight on the affected foot.
• 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 assess 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 strengthen the foot.

Prognosis and Follow-Up

• Recovery can take several months depending on the severity of the fracture.
• Follow-up appointments are essential for monitoring bone healing and rehabilitation progress.
• Regular imaging tests may be needed to ensure proper healing.

Complications

• Chronic pain and arthritis in the affected joint.
• Limited mobility or stiffness in the foot or ankle.
• Non-union or malunion of the fracture if not properly treated.

Lifestyle & Prevention

• Wearing appropriate protective footwear during high-risk activities.
• Implementing fall prevention strategies in work environments.
• Maintaining bone health through diet and exercise.

When to Seek Professional Help

• If experiencing severe heel pain and swelling after trauma.
• If unable to bear weight on the affected foot.
• Any visible deformity of the heel or foot.

Additional Resources

• American Orthopaedic Foot & Ankle Society (AOFAS): www.aofas.org
• National Institutes of Health (NIH): www.nih.gov

Tips for Medical Coders

• Ensure the fracture is coded as "displaced" and "intraarticular."
• Double-check that it's classified as an "initial encounter" for a "closed fracture."
• Confirm that the affected bone is the calcaneus without laterality details.