ICD 10 CM S43.216S | Description & Clinical Information

ICD 10 S43.216S describes a medical condition characterized by the complete displacement of the joint of the sternum and clavicle or collar bone, which is typically caused by an indirect action, such as a blow to the anterior shoulder that rotates the shoulder backwards, resulting in stress to the sternoclavicular joint, and it is important to note that the provider has not specified whether the injury involves the left or right sternoclavicular joint, and this code is used to indicate the sequela, or the condition that results from the initial injury.

Official Description Of S43.216S

The ICD 10 CM book defines ICD 10 code S43.216S as:

Anterior dislocation of unspecified sternoclavicular joint, sequela
Parent Code Notes: S43

Includes: avulsion of joint or ligament of shoulder girdle
laceration of cartilage, joint or ligament of shoulder girdle
sprain of cartilage, joint or ligament of shoulder girdle
traumatic hemarthrosis of joint or ligament of shoulder girdle
traumatic rupture of joint or ligament of shoulder girdle
traumatic subluxation of joint or ligament of shoulder girdle
traumatic tear of joint or ligament of shoulder girdle

Excludes2: strain of muscle, fascia and tendon of shoulder and upper arm (S46.-)

Code also: any associated open wound

When To Use S43.216S

The diagnosis describes by ICD-10 CM S43.216S code is anterior dislocation of an unspecified sternoclavicular joint. This condition is characterized by the separation of the clavicle bone from the sternum, resulting in pain and discomfort in the affected area. In addition to pain, this type of dislocation often causes swelling, inflammation, tenderness, and joint instability.

Anterior dislocation can occur when an external force pushes the arm backward, resulting in ligament damage and a separation of the clavicle bone from the sternum. This can be caused by impact from a fall, direct hit to the chest or shoulder, or even a violent twisting movement.

The diagnosis of anterior dislocation of the sternoclavicular joint is based on a combination of a patient’s personal history and physical examination. Healthcare providers will ask about the patient’s symptoms, including the location and severity of pain and any circumstances surrounding the injury. Physical examination may include palpation tests to evaluate for tenderness and instability of the joint.

Imaging techniques are also used to diagnose the condition. X-rays are the most commonly used imaging modality, but CT scans or MRI may be necessary for more accurate diagnosis. X-rays may show bone fractures, while MRI can reveal soft tissue damage such as torn cartilage or ligament rupture.

Treatment options for anterior dislocation of the sternoclavicular joint depend on the severity of the injury. Initial steps often involve administering analgesics to reduce pain before performing a closed reduction. During the closed reduction procedure, the healthcare provider maneuvers the displaced bone back into its anatomical position without the need for surgical intervention. Once the bone is back in its proper location, the patient may need to wear a supportive device or receive physical therapy to help with joint stability and avoid re-injury.

If non-surgical treatment options fail or the dislocation is so severe that it can’t be corrected with closed reduction, surgery may be necessary. Surgical options include internal fixation, during which plates or screws are used to hold the bone in place, or ligament repair or reconstruction.

In conclusion, the diagnosis of anterior dislocation of an unspecified sternoclavicular joint is identified by the ICD-10 CM code S43.216S. Healthcare providers rely on a combination of personal history, physical examination, and imaging techniques to arrive at an accurate diagnosis for this condition. Treatment options include non-surgical interventions such as analgesics and closed reduction, but surgical interventions may be necessary for severe, unresolved cases.

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