S92.411A Displaced fracture of proximal phalanx of right great toe, initial encounter for closed fracture

ICD10CM code

#### Name of the Condition
- Displaced fracture of proximal phalanx of right great toe, initial encounter for closed fracture
- ICD-10 Code: S92.411A

#### Summary
A displaced fracture of the proximal phalanx of the right great toe refers to a break where the bone has shifted from its normal position. This condition is often a result of direct trauma to the toe and is characterized as a closed fracture, meaning the skin around the fracture has not been broken.

#### Causes
- Direct trauma to the toe, such as stubbing it against a hard surface.
- Sports injuries or accidents where the toe is subjected to significant force.

#### Risk Factors
- Participation in high-impact sports or activities.
- Having conditions that predispose to weak bones, like osteoporosis.
- Wearing inappropriate footwear that does not protect the toes.

#### Symptoms
- Pain and tenderness around the affected toe.
- Swelling and bruising.
- Difficulty in walking or bearing weight on the affected foot.
- Visible deformity or misalignment of the toe.

#### Diagnosis
- Physical examination by a healthcare provider.
- X-ray imaging to confirm the fracture and the extent of displacement.

#### Treatment Options
- **Immobilization**: Using a splint or a cast to keep the toe in place and prevent further injury.
- **Reduction**: Manually realigning the bones if the displacement is significant.
- **Surgery**: In severe cases, surgical intervention might be necessary to properly align and secure the bone fragments.
- **Pain Management**: Use of analgesics to alleviate discomfort during the healing process.

#### Prognosis and Follow-Up
- With proper treatment, most displaced toe fractures heal well within 6 to 8 weeks.
- Regular follow-up appointments are critical to monitor healing and prevent complications.
- Physical therapy may be recommended to restore full mobility and strength.

#### Complications
- If left untreated, there is a risk of improper bone healing, leading to permanent deformity or chronic pain.
- Development of arthritis in the affected toe joint.

#### Lifestyle & Prevention
- Wearing well-fitted, protective footwear to prevent injury.
- Taking preventive measures during high-risk activities and sports, such as using toe guards.
- Strengthening exercises for feet and toes to enhance stability.

#### When to Seek Professional Help
- Persistent or severe pain following an injury to the toe.
- Any signs of the toe being misshapen, swollen, or unable to bear weight.
- Numbness or tingling in the toe or foot.

#### Additional Resources
- [American Orthopaedic Foot & Ankle Society](https://www.aofas.org)
- [OrthoInfo by American Academy of Orthopaedic Surgeons](https://orthoinfo.aaos.org)
  
#### Tips for Medical Coders
- Ensure the correct laterality and fracture type (displaced, proximal phalanx) are documented.
- Verify the encounter type (initial, subsequent, etc.) to apply the correct seventh character in the code.
- Avoid confusion with similar codes for fractures of other toes or nondisplaced fractures.

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