S92.313A Displaced fracture of first metatarsal bone, unspecified foot, initial encounter for closed fracture

ICD10CM code

#### Name of the Condition
- Displaced fracture of the first metatarsal bone, unspecified foot, initial encounter for closed fracture
- ICD-10 Code: S92.313A

#### Summary
- This condition refers to a break in the first metatarsal bone of the foot, where the bone fragments are not aligned within the skin (closed fracture). It is considered a displaced fracture when the bone pieces move from their normal position. Typically occurring due to trauma or impact, this is an initial encounter meaning it is a first-time presentation.

#### Causes
- Commonly caused by direct trauma or impact to the foot, such as dropping a heavy object onto it, a sports injury, or twisting the foot sharply.

#### Risk Factors
- Participation in high-impact sports, such as soccer or basketball
- Wearing improper or non-supportive footwear
- Conditions leading to falls, like imbalance disorders or weak muscles
- Previous fractures or bone health issues such as osteoporosis

#### Symptoms
- Intense pain at the time of injury
- Swelling and bruising around the affected area
- Difficulty in bearing weight on the injured foot
- Visible deformity if the bone is severely displaced

#### Diagnosis
- Physical examination to check for swelling, deformity, and pain
- Imaging tests such as X-rays to determine the extent and specifics of the fracture

#### Treatment Options
- Casting or splinting to immobilize the foot and allow natural healing
- Wearing a walking boot to protect and stabilize the fracture
- Pain management with medications like NSAIDs
- Physical therapy to restore mobility and strength after initial healing
- Surgery in severe cases to realign and secure the bones using pins or plates

#### Prognosis and Follow-Up
- With appropriate treatment, most patients recover fully, although healing times can range from a few weeks to a couple of months.
- Regular follow-up appointments are crucial to ensuring proper healing and to preventing complications.

#### Complications
- Improperly healed bone, leading to chronic pain or deformity
- Arthritis in the joint near the fracture in later years
- Possible need for future surgical intervention if complications arise

#### Lifestyle & Prevention
- Wearing proper footwear, especially during sports and physical activities
- Engaging in exercises to strengthen the feet and legs
- Using protective gear such as foot padding during high-risk activities
- Incorporating a diet sufficient in calcium and vitamin D to maintain bone health

#### When to Seek Professional Help
- Persistent or worsening foot pain
- Inability to bear weight on the foot
- Numbness or a tingling sensation in the foot, indicating possible nerve involvement

#### Additional Resources
- American Orthopaedic Foot & Ankle Society: [aofas.org](https://www.aofas.org)
- American Academy of Orthopaedic Surgeons: [orthoinfo.aaos.org](https://orthoinfo.aaos.org)
- Foot Health Facts by APMA: [foothealthfacts.org](https://www.foothealthfacts.org)

#### Tips for Medical Coders
- Verify whether the fracture is open or closed (S92.313A specifies a closed fracture).
- Ensure the correct laterality is recorded, although this code is unspecified.
- Double-check for notes regarding the timing of the encounter and previous treatments.

Medical Policies and Guidelines for Displaced fracture of first metatarsal bone, unspecified foot, initial encounter for closed fracture

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