ICD 10 CM S32.426A | Description & Clinical Information

ICD 10 S32.426A describes a type of fracture that occurs in the posterior wall of the acetabulum, which is the socket of the hip joint, where the break happens closest to the back of the body, and the fractured fragments do not move out of their original position, resulting from trauma such as falls, motor vehicle accidents, and sports injuries, and it is not specified whether it affects the left or right acetabulum, and this code is used for the initial encounter for a closed fracture.

Official Description Of S32.426A

The ICD 10 CM book defines ICD 10 code S32.426A as:

Nondisplaced fracture of posterior wall of unspecified acetabulum, initial encounter for closed fracture
Parent Code Notes: S32.4

Code also: any associated fracture of pelvic ring (S32.8-)

Parent Code Notes: S32

Includes: fracture of lumbosacral neural arch
fracture of lumbosacral spinous process
fracture of lumbosacral transverse process
fracture of lumbosacral vertebra
fracture of lumbosacral vertebral arch

Excludes1: transection of abdomen (S38.3)

Excludes2: fracture of hip NOS (S72.0-)

Code first any associated spinal cord and spinal nerve injury (S34.-)

When To Use S32.426A

The diagnosis describes by the ICD 10 CM S32.426A code refers to a type of nondisplaced fracture of the posterior wall of an unspecified acetabulum. This condition can result in significant pain that often radiates to the groin and leg, bleeding, limited range of motion of the affected lower extremity, and swelling and stiffness. Patients may also experience muscle spasms, numbness and tingling sensations, and, in severe cases, may become unable to bear any weight on the affected extremity. Moreover, the condition can lead to nerve damage and arthritis.

To diagnose this condition, providers first conduct a thorough physical examination to evaluate wounds, nerves, or blood supply. They often rely on imaging techniques such as X-rays, CT scans, and MRI to confirm their diagnosis. Additionally, laboratory examinations are necessary to determine the extent of damages and guide treatment accordingly.

There are several treatment options for individuals with this type of fracture. Providers may prescribe medications such as analgesics, corticosteroids, muscle relaxants, and nonsteroidal anti-inflammatory drugs to manage pain and inflammation. Bed rest and the use of crutches or a walker may be implemented to limit weight-bearing on the affected extremity. Skeletal traction is another method to immobilize the area during the healing process.

Physical therapy can also aid in the recovery process by improving the affected individual’s range of motion, flexibility, and muscle strength. In some cases, providers may recommend surgical open reduction and internal fixation as appropriate. This procedure involves resetting the fracture and holding the bone in place with screws or other hardware to promote proper healing. Following appropriate care, most individuals experience significant improvement in their symptoms within six to twelve weeks.

It is essential to remember that early diagnosis and treatment are critical for favorable treatment outcomes. If you suspect a nondisplaced fracture of the posterior wall of an acetabulum, it is crucial to seek prompt medical care. Delayed care may lead to complications such as infection, nerve damage, and post-traumatic arthritis. With the proper care and treatment, individuals can return to their prior level of function and activity.

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