ICD 10 CM S52.045J | Description & Clinical Information

ICD 10 S52.045J describes a specific type of fracture in the coronoid process of the left ulna, where the bone is broken without any misalignment of the fractured fragments, and it is a subsequent encounter for an open fracture, which means that the bone has penetrated the skin and is healing slower than expected, and it is classified as type IIIA, IIIB, or IIIC according to the Gustilo classification, indicating a severe injury that involves dislocation, extensive soft tissue damage, multiple fragments, stripping of the periosteum, and damage to nearby nerves and vessels due to high energy trauma.

Official Description Of S52.045J

The ICD 10 CM book defines ICD 10 code S52.045J as:

Nondisplaced fracture of coronoid process of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
Parent Code Notes: S52.0

Excludes2: fracture of elbow NOS (S42.40-)
fractures of shaft of ulna (S52.2-)

Parent Code Notes: S52

Excludes1: traumatic amputation of forearm (S58.-)

Excludes2: fracture at wrist and hand level (S62.-)

Clinical Information

The diagnosis describes by ICD-10-CM S52.045J refers to a specific type of injury that affects the left ulna. This injury is a nondisplaced fracture of the coronoid process and can cause significant pain at the affected site. Other symptoms associated with this injury can include swelling, bruising, warmth, stiffness, tenderness, muscle spasms, numbness, and tingling. In more severe cases, the affected arm may become crooked or may appear to be shorter than the opposite arm.

Diagnosing this condition involves a combination of the patient’s personal history and a physical examination by a medical professional. X-ray imaging, CT scans, and MRI may also be used to determine the extent of the damage to the bone. These diagnostic tests will help the care provider determine the appropriate treatment for the patient.

There are multiple treatment options available for people suffering from a fractured coronoid process of the ulna. Prescription medications such as analgesics, corticosteroids, muscle relaxants, and nonsteroidal anti-inflammatory drugs (NSAIDs) can help manage pain and reduce inflammation. Thrombolytic agents or anticoagulants may also be administered to reduce the risk of blood clotting caused by inactivity.

Calcium and vitamin D supplements may be given to improve bone strength and speed up the healing process. A splint or soft cast can be used to immobilize the affected arm and prevent further damage. Rest, the application of ice, compression, and elevation can help to reduce swelling at the site of the injury. Physical therapy can also assist in improving range of motion, flexibility, and muscle strength.

In severe cases, surgical intervention may be necessary. Open reduction and internal fixation are common treatments for more serious nondisplaced fractures of the coronoid process. During this procedure, a surgeon will use pins, screws, or plates to realign the broken bone and promote healing.

It is important to seek medical attention if you suspect you have a nondisplaced coronoid fracture, as early intervention can help prevent further damage and improve the outcome of the injury. With proper treatment, patients can typically expect to make a full recovery, although rehabilitation and physical therapy may be necessary to fully regain optimal function of the affected arm.

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