ICD 10 CM S42.481D | Description & Clinical Information

ICD 10 S42.481D describes an incomplete break in the lower arm bone, specifically the lower end of the right humerus, with a bulging of the cortex on the opposite side of the fracture, also known as a torus fracture or buckle fracture, caused by a compressing force along the long axis of the bone due to sudden or blunt trauma, such as a motor vehicle accident or fall on the outstretched arm, and this code is used for a subsequent encounter for a normally healing fracture.

Official Description Of S42.481D

The ICD 10 CM book defines ICD 10 code S42.481D as:

Torus fracture of lower end of right humerus, subsequent encounter for fracture with routine healing
Parent Code Notes: S42.4

Excludes2: fracture of shaft of humerus (S42.3-)
physeal fracture of lower end of humerus (S49.1-)

Parent Code Notes: S42

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

When To Use S42.481D

The diagnosis describes by ICD 10 CM S42.481D code indicates a torus fracture of the lower end of the right humerus. Such an injury can cause discomfort, and patients may experience pain at the affected site. Depending on the severity of the damage, individuals may also experience swelling, bruising, deformity, stiffness, tenderness, numbness, and tingling due to possible nerve injury, redness of the injured area, and restriction of motion.

Medical professionals diagnose this condition by examining the patient’s personal history of trauma and by performing a physical examination to assess the wound or nerves. Furthermore, they may utilize various imaging techniques, such as X-rays, to identify the extent of the damage and laboratory examinations to determine additional health concerns.

Once a patient is diagnosed with a torus fracture in this particular part of the humerus, healthcare providers will recommend various treatment options available. To relieve discomfort, analgesics, corticosteroids, or nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed. Manipulation may also be performed in cases of severe angulation, and thrombolytics or anticoagulants may be recommended to reduce the risk of blood clots.

In addition to medication, calcium and vitamin D supplements may be used to improve bone strength as well as a splint or cast applied for immobilization to prevent further damage and promote healing. Proper rest, applying ice, and elevation of the affected part may be recommended to reduce swelling. Physical therapy may be recommended to improve the range of motion, flexibility, and muscle strength if necessary.

In rare and more severe cases, a surgical open reduction and internal fixation (ORIF) may be performed as an appropriate form of treatment. In these cases, medical professionals will use screws, wires, and plates to repair and stabilize the bone.

In conclusion, the diagnosis code ICD 10 CM S42.481D describes a fracture in the lower end of the right humerus that requires medical attention to alleviate pain, promote healing, and prevent further damage. Treatment options range from medication use to surgical intervention and may require a combination of therapies to provide the best possible outcome for the patient’s recovery. Prompt medical attention and adherence to the recommended care plan can lead to a full and speedy recovery for individuals affected by this condition.

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