ICD 10 CM S52.353J | Description & Clinical Information

ICD 10 S52.353J describes a severe type of fracture that occurs in the central portion of the radius, the larger of the two forearm bones, resulting in the bone shattering into three or more fragments with misalignment of the fractured fragments, due to high impact trauma from causes such as a forceful direct blow to the bone from a moving object, a motor vehicle accident, sports activities, or falling on the extended arm; this type of fracture is classified as type IIIA, IIIB, and IIIC according to the Gustilo classification, indicating fractures with increasing degrees of injury, to include radial head dislocation, extensive soft tissue damage, three or more fragments, stripping of the periosteum, the outer covering of bone, and damage to nearby nerves and vessels due to high energy trauma, and it is not specified whether the injury involves the left or right arm at this subsequent encounter for delayed healing of an open fracture exposed through a tear or laceration of the skin caused by displaced fracture fragments or external injury.

Official Description Of S52.353J

The ICD 10 CM book defines ICD 10 code S52.353J as:

Displaced comminuted fracture of shaft of radius, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
Parent Code Notes: S52

Excludes1: traumatic amputation of forearm (S58.-)

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

When To Use S52.353J

The diagnosis describes by ICD 10 CM S52.353J pertains to a specific type of arm injury that may result in severe pain, swelling, and difficulty moving the affected limb. This injury specifically involves a comminuted fracture of the shaft of the radius, which means the bone has broken into several pieces and is out of place. Individuals who experience this type of injury may also experience bruising, limited range of motion, and bleeding in the case of an open fracture.

When a person experiences symptoms of a comminuted radial bone fracture, it is important that they seek medical attention promptly. Providers who diagnose this condition typically use a combination of the patient’s medical history, physical examination, and diagnostic imaging to assess the severity of the injury. Imaging techniques commonly used to evaluate this type of injury include X-rays, magnetic resonance imaging, computed tomography, and bone scans.

The treatment approach for a comminuted radial bone fracture depends on the severity of the injury. In cases where the fracture is stable and closed, surgery is typically not necessary. However, in cases where the fracture is considered to be unstable, surgical fixation may be necessary to ensure proper healing. This may involve the use of screws, pins, or a metal plate to hold the bone in place while it heals.

For individuals who experience an open fracture, surgery is typically required to close the wound and prevent infection. After surgery, patients may need to wear a splint or cast to restrict limb movement and promote healing. They may also require exercises aimed at improving flexibility, strength, and range of motion of the arm.

In addition to the treatments mentioned above, medication may also be prescribed to manage pain associated with the injury. These may include analgesics or nonsteroidal anti-inflammatory drugs (NSAIDs). Secondary injuries may also be treated as necessary, to ensure that patients make a full recovery.

In conclusion, a comminuted fracture of the shaft of the radius of an unspecified arm can result in a range of symptoms, including pain, swelling, and difficulty moving the affected limb. Prompt medical attention is necessary to diagnose and effectively treat this condition. Treatment will typically involve a combination of surgical and non-surgical interventions, as well as therapies aimed at promoting proper healing and managing pain.

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