ICD 10 CM S53.123A | Description & Clinical Information

ICD 10 S53.123A describes a medical condition characterized by the partial disengagement of the elbow joint, resulting in the backward movement of the ulna and forward movement of the humerus, typically caused by a fall onto an outstretched hand with the elbow extended on impact, and in cases where the provider does not document which ulnohumeral joint is subluxated, this code is applicable to the initial encounter.

Official Description Of S53.123A

The ICD 10 CM book defines ICD 10 code S53.123A as:

Posterior subluxation of unspecified ulnohumeral joint, initial encounter
Parent Code Notes: S53.1

Excludes1: dislocation of radial head alone (S53.0-)

Parent Code Notes: S53

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

Excludes2: strain of muscle, fascia and tendon at forearm level (S56.-)

Code also: any associated open wound

When To Use S53.123A

The diagnosis describes by the ICD-10-CM S53.123A code refers to a specific type of injury that occurs in the elbow area. Posterior subluxation of an unspecified ulnohumeral joint is a condition where the ulna and the olecranon (elbow) process project backwards, causing a shortened appearance of the forearm and held in flexion. This condition can lead to several complications such as pain, nerve entrapment, hematoma, soft tissue swelling, and partial or complete rupture of the ligaments.

When a patient presents with symptoms of posterior subluxation of an unspecified ulnohumeral joint, their healthcare provider will make a diagnosis based on a thorough patient history and physical examination. Additionally, a thorough assessment of neurovascular status is essential for ruling out any potential nerve or artery damage. Healthcare providers may also use diagnostic imaging studies, such as X-rays or CT scans to confirm the diagnosis.

Treatment options for posterior subluxation of an unspecified ulnohumeral joint will depend on the severity of the injury. In some cases, manual joint reduction can be performed under local or regional anesthesia. This procedure involves manually manipulating the joint back into its original position. In more severe cases where fractures are involved, open reduction with internal fixation may be necessary. This procedure involves repositioning the bone fragments and using hardware such as plates, screws, or wires to hold the bone in place.

After the reduction of the joint, healthcare providers may recommend medications such as analgesics, muscle relaxants, or nonsteroidal anti-inflammatory drugs (NSAIDs) to manage pain and inflammation. In addition, they may recommend rest, application of ice, and elevation of the arm to promote healing and reduce swelling. Wearing a splint or brace for a period of time can also be helpful in stabilizing the joint and providing support during the healing process.

It is crucial to seek prompt medical attention if you suspect you have sustained an injury to your elbow area. Failure to receive timely and appropriate care can lead to long-term complications and chronic pain. By seeking prompt medical care and following your healthcare provider’s recommended treatment plan, you can achieve a successful recovery and return to your daily activities.

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