ICD 10 CM S42.333K | Description & Clinical Information

ICD 10 S42.333K describes a specific type of fracture in the humerus bone of an unspecified arm, where a diagonal break line separates the bone into upper and lower portions and displaces either the upper or lower fragment from its original position, typically caused by a combination of bending and twisting forces resulting from sudden or blunt trauma, motor vehicle accidents, or sports activities, and it is important to note that the provider must document the arm (left or right) for subsequent encounters only after the bone has healed and union has occurred.

Official Description Of S42.333K

The ICD 10 CM book defines ICD 10 code S42.333K as:

Displaced oblique fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunion
Parent Code Notes: S42.3

Excludes2: physeal fractures of upper end of humerus (S49.0-)
physeal fractures of lower end of humerus (S49.1-)

Parent Code Notes: S42

Excludes1: traumatic amputation of shoulder and upper arm (S48.-)

Clinical Information

The diagnosis describes by the ICD 10 CM code S42.333K is a displaced oblique fracture of the shaft of the humerus, which can lead to various symptoms in the affected arm. One of the most notable symptoms is pain, which can be severe at the injury site. Swelling and bruising may also occur, creating an obvious deformity in the arm. Muscle weakness, stiffness, tenderness, and spasm may be present as well. Additionally, numbness and tingling can occur due to possible nerve damage, and restriction of motion may result.

For doctors to diagnose this condition accurately, they typically begin by evaluating the patient’s personal history of trauma and conducting a physical exam to evaluate the wound, nerves, or blood supply. They may also use imaging techniques, such as X-rays, CT scans, or MRIs, to determine the extent of damage or nerve conduction studies. Laboratory examinations may also be necessary to assess any underlying health conditions or potential complications.

Several treatment options are available to minimize the symptoms and promote healing. Medications such as analgesics, corticosteroids, nonsteroidal anti-inflammatory drugs, and thrombolytics or anticoagulants can reduce pain and reduce the risk of blood clots. Calcium and vitamin D supplements may also be given to strengthen the bones affected by the fracture.

One of the primary treatments for a displaced oblique fracture of the humerus is immobilization to prevent further damage and promote healing. This typically involves using a splint or soft cast to keep the affected area as still as possible while it heals continuously. Rest and ice may be incorporated to reduce swelling, and elevation of the affected area may reduce the pressure and aid in promoting healing.

Physical therapy is another common treatment method for this condition, which focuses on improving range of motion, flexibility, muscle strength, and reducing stiffness. Some specific therapeutic techniques may be utilized under the guidance of a licensed therapist to address the specific needs of the patient. Lastly, reduction of the fracture may involve either closed reduction, where the bone fragments are put back into place manually, or surgical open reduction and internal fixation, where metal plates and screws may be placed to help the bone fragments heal together.

In summary, a displaced oblique fracture of the shaft of the humerus can result in significant health concerns and serious symptoms for patients. However, the use of various treatment options can lead to full recovery for individuals who have undergone this injury. It is essential for individuals to seek medical attention promptly so that they can receive appropriate care and obtain the best possible outcomes.

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