S92.3 Fracture of metatarsal bone(s)

Name of the Condition

• Technical Term: Fracture of metatarsal bone(s)
• ICD-10 Code: S92.3
• Common Name: Broken metatarsal(s)

Summary

A fracture of the metatarsal bone(s) is a break in one or more of the five long bones in the foot that connect the ankle to the toes. This type of injury typically results from trauma, such as a direct impact or twisting force, and can affect any of the metatarsals. The severity and treatment depend on the location and extent of the fracture.

Causes

Direct trauma to the foot, such as dropping a heavy object, a sports injury, or a fall, is the most common cause. Repetitive stress from activities like running or jumping can also lead to stress fractures over time.

Risk Factors

• Participation in high-impact sports (e.g., basketball, soccer)
• Wearing improper or non-supportive footwear
• Conditions that weaken bones, such as osteoporosis
• Advanced age, which may reduce bone density and balance
• Previous foot injuries or fractures

Symptoms

• Pain and tenderness in the midfoot area
• Swelling and bruising around the affected bone
• Difficulty bearing weight or walking
• Possible deformity if the fracture is displaced

Diagnosis

A healthcare provider will perform a physical examination to assess pain, swelling, and range of motion. Imaging tests, such as X-rays, are typically used to confirm the fracture and determine its type (e.g., displaced, nondisplaced) and location.

Treatment Options

• Rest and Immobilization: Using a cast, boot, or crutches to keep the foot stable and reduce weight-bearing
• Pain Management: Over-the-counter or prescription medications to alleviate discomfort
• Physical Therapy: Exercises to restore strength and mobility once healing progresses
• Surgery: May be required for severe or displaced fractures to realign the bone

Prognosis and Follow-Up

Most metatarsal fractures heal within 6–8 weeks with proper immobilization and care. Follow-up appointments are important to monitor healing, especially if a cast or boot is used. Full recovery may take several months, depending on the fracture's severity and adherence to treatment.

Complications

• Delayed healing or nonunion of the bone
• Arthritis in the affected joint
• Chronic pain or stiffness
• Nerve damage in severe cases

Lifestyle & Prevention

• Wear supportive, properly fitting footwear during activities
• Gradually increase exercise intensity to avoid overuse injuries
• Maintain bone health through a balanced diet rich in calcium and vitamin D
• Use protective gear during high-risk sports

When to Seek Professional Help

Seek immediate medical attention if you experience severe pain, inability to bear weight, visible deformity, or signs of infection (e.g., redness, fever) after an injury.

Tips for Medical Coders

When coding for S92.3, ensure documentation specifies the number of metatarsals involved (e.g., single vs. multiple) and any additional details like displacement or open/closed status if available. Follow guidelines for subsequent encounters or healing phases if applicable.