ICD 10 CM S52.365E | Description & Clinical Information

ICD 10 S52.365E describes a specific type of fracture, known as a nondisplaced segmental fracture or double fracture, that occurs in the shaft of the left radius, the larger of the two forearm bones, resulting from trauma such as a direct forceful blow, motor vehicle accident, sports activities, or falling on an extended arm, where the principal part of the long bone breaks into several large fragments without misalignment of the fracture fragments, and is classified as type I or II according to the Gustilo classification for open long bone fractures, and this code is used for a subsequent encounter for an open, normally healing fracture that is exposed through a tear or laceration of the skin caused by external injury.

Official Description Of S52.365E

The ICD 10 CM book defines ICD 10 code S52.365E as:

Nondisplaced segmental fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with routine healing
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 code S52.365E indicates a specific type of fracture that affects the left radius bone in the forearm. This bone is located on the thumb side of the arm and extends from the elbow to the wrist. The fracture is classified as non-displaced and segmental, indicating that the bone has not shifted out of its normal position, but there is a break in the bone that occurs in more than one location.

The symptoms of a nondisplaced segmental fracture of the left radius can cause severe pain, swelling, tenderness, and bruising around the affected area. Additionally, the person may experience difficulty moving the arm or hand, limited range of motion, and numbness or tingling sensations. In severe cases, the forearm may also appear deformed, making it clear that there is something wrong with the bone.

Diagnosing this condition often requires a comprehensive evaluation of the patient’s history, such as how the injury occurred and any underlying medical conditions that may affect healing. A physical examination is also performed to assess the severity of the injury. Medical professionals may also recommend imaging tests such as X-rays, magnetic resonance imaging (MRI), computed tomography (CT), or a bone scan to determine further the extent of the injury and the precise location of the bone break.

Most fractures of the radius are stable and do not require surgery. These types of fractures can be managed with conservative treatment methods such as immobilization, pain control, and physical therapy. A splint or cast can help support and immobilize the fractured bone, which is effective for promoting healing. Exercises are also recommended to assist with restoration of range of motion, flexibility, and strength.

However, the treatment options for unstable fractures are different. An unstable fracture occurs when the bone is at high risk of moving out of place, and this may involve surgical intervention. In these cases, a medical professional may recommend internal or external fixation, such as screws or plates, to hold the bone in place while it heals. Such a procedure increases the chances of a full recovery without any sequelae.

In addition, open fractures or compound fractures require immediate attention and surgery to prevent infection from developing. In these cases, the bone may protrude through the skin, thus exposing it to the environment. The wound is usually thoroughly cleaned and debrided while the bone is stabilized with hardware. The wound may also require antibiotics to prevent the growth of infection.

Pain control is an essential part of fracture management. Pain can significantly limit mobility and treatment compliance. Medical professionals prescribe analgesics and nonsteroidal anti-inflammatory drugs to alleviate symptoms, enhance functionality, and improve patient outcomes. Cold therapy can also help reduce swelling and pain, and it is commonly recommended for the first few days post-injury.

To sum up, a nondisplaced segmental fracture of the shaft of the left radius is a common injury that requires immediate medical attention. A detailed history and physical examination, as well as imaging techniques like Xrays, MRIs, CTs, or bone scans, can help diagnose the condition. Treatment depends on the severity of the injury, and it can range from conservative methods like immobilization, pain management, and exercises, to surgical intervention. Pain control is also an essential aspect of fracture management, and medical professionals often prescribe analgesics and nonsteroidal anti-inflammatory drugs to alleviate symptoms, enhance functionality, and improve patient outcomes.

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