S92.351 Displaced fracture of fifth metatarsal bone, right foot

Name of the Condition

• Technical Term: Displaced fracture of fifth metatarsal bone, right foot
• Common Name: Broken fifth metatarsal (right foot)

Summary

A displaced fracture of the fifth metatarsal bone in the right foot occurs when the bone breaks and the fragments shift out of their normal alignment. This type of fracture typically results from trauma or injury to the foot and requires medical evaluation to assess the extent of displacement and guide treatment.

Causes

Direct trauma to the foot, such as a fall, twist, or impact, is the primary cause. Repetitive stress from activities like running or jumping can also lead to 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 on the outer edge of the right foot
• Swelling or bruising in the affected area
• Difficulty bearing weight on the right foot
• Possible deformity if the fracture is severely 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 evaluate the degree of displacement.

Treatment Options

• Immobilization using a cast or boot to keep the bone aligned
• Rest and reduced activity to promote healing
• Physical therapy to restore strength and mobility after initial healing
• Surgical intervention may be required for severe displacement

Prognosis and Follow-Up

Most displaced fractures heal with proper treatment, but recovery time depends on the severity of the injury. Follow-up appointments are necessary to monitor healing and adjust treatment as needed. Full recovery may take several weeks to months, with gradual return to activity guided by a healthcare provider.

Complications

• Delayed healing or nonunion
• Chronic pain or arthritis in the affected area
• Nerve or tissue damage from the injury
• Infection (if surgical intervention is required)

Lifestyle & Prevention

• Wear supportive footwear appropriate for activities
• Avoid sudden twists or impacts to the foot
• Maintain bone health through proper nutrition and exercise
• Use protective gear during high-impact 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, warmth, fever) after a foot injury.

Tips for Medical Coders

Document the specific location (right foot) and the displaced nature of the fracture. Ensure clinical notes support the diagnosis and any associated treatments, as these details are critical for accurate coding.