S92.352A Displaced fracture of fifth metatarsal bone, left foot, initial encounter for closed fracture

Name of the Condition

• Technical Term: Displaced fracture of fifth metatarsal bone, left foot, initial encounter for closed fracture
• Common Name: Broken fifth metatarsal (left foot)

Summary

A displaced fracture of the fifth metatarsal bone in the left foot is a break where the bone fragments are not aligned. This is an initial encounter for a closed fracture, meaning the skin is intact and the injury is being addressed for the first time. The fifth metatarsal is the long bone on the outer edge of the foot, and displacement can affect stability and healing.

Causes

Direct trauma to the foot, such as a fall, twist, or impact, is the primary cause. Sports injuries, missteps, or accidents involving the foot are common triggers. Repetitive stress from activities like running or jumping may 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 left foot
• Swelling or bruising in the affected area
• Difficulty bearing weight on the 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 with a cast or boot to stabilize the fracture
• Pain management with medications or ice
• Physical therapy to restore strength and mobility after healing
• Surgical intervention if the fracture is severely displaced or unstable

Prognosis and Follow-Up

Most displaced fractures of the fifth metatarsal heal with proper treatment, though recovery time varies. Follow-up appointments are important to monitor healing and adjust treatment as needed. Return to normal activities depends on the severity of the fracture and adherence to rehabilitation.

Complications

• Delayed healing or nonunion
• Chronic pain or arthritis in the foot
• Nerve damage or infection (rare)
• Difficulty returning to high-impact activities

Lifestyle & Prevention

• Wear supportive footwear during sports or daily activities
• Gradually increase activity intensity to avoid overuse injuries
• Maintain bone health with a balanced diet and regular exercise
• Use proper techniques to avoid falls or twists during physical activity

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). Persistent pain or swelling after initial treatment also warrants evaluation.

Tips for Medical Coders

Document the laterality (left foot), displacement status, and encounter type (initial for closed fracture) to ensure accurate coding. Include details about the fracture’s alignment and any treatment provided to support the code assignment.