ICD 10 CM S32.443D | Description & Clinical Information

ICD 10 S32.443D describes a type of hip bone fracture resulting from trauma, such as motor vehicle accidents, falls, and sports injuries, specifically involving the posterior column or ilioischial component of an unspecified acetabulum, where the fractured fragments have moved out of their original position, and the provider has not specified whether it is the right or left acetabulum, and this code is used for subsequent encounters for fracture with normal process of healing.

Official Description Of S32.443D

The ICD 10 CM book defines ICD 10 code S32.443D as:

Displaced fracture of posterior column [ilioischial] of unspecified acetabulum, subsequent encounter for fracture with routine healing
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.-)

Clinical Information

The diagnosis describes by the ICD 10 CM S32.443D code is a type of hip fracture that specifically involves the posterior column of the acetabulum. This injury is commonly caused by trauma, such as a fall or traffic accident, and can be extremely painful, limiting the mobility of the affected leg.

Patients with this condition may experience severe pain, usually located in the groin area or lower extremity, as well as bleeding, swelling, muscle spasms, and stiffness. They may also experience numbness and tingling sensations, as well as an inability to bear weight on the affected leg. Additionally, nerve damage and arthritis may occur.

To diagnose a displaced fracture of the posterior column of an unspecified acetabulum, healthcare providers typically perform a thorough physical examination, which assesses the wound, nerves, or blood supply of the affected area. Imaging techniques, such as X-rays, CT scans, and MRIs, may be used to provide a more detailed view of the injury, and laboratory examinations can be performed as needed.

Treatment options for this condition vary depending on the severity of the injury, but can include a range of non-surgical and surgical interventions. Non-surgical treatments may include the use of medications, such as analgesics, corticosteroids, muscle relaxants, and nonsteroidal anti-inflammatory drugs (NSAIDs), as well as bed rest, and the use of crutches or a walker to limit weight-bearing on the affected leg. Skeletal traction may also be used, where pins and wires are inserted into the leg to realign and stabilize the fracture.

Physical therapy is also an essential component of treatment for this condition. Therapists work with patients to increase the range of motion in the affected leg, as well as to improve strength and flexibility. This can help to prevent future injuries and improve overall mobility.

In cases where non-surgical treatments are not effective, surgical intervention may be necessary. Open reduction and internal fixation is a common surgical procedure performed to repair a hip fracture, which involves repositioning the bones and securing them in place using special screws or plates.

Overall, the treatment of a displaced fracture of the posterior column of an unspecified acetabulum requires an individualized approach that takes into account the unique needs of each patient. It is important to work closely with your healthcare provider to determine the best course of treatment to achieve optimal outcomes.

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