ICD 10 CM S59.141 | Description & Clinical Information
ICD 10 S59.141 describes a specific type of fracture known as a Salter-Harris Type IV physeal fracture, which occurs in the upper end of the right arm radius, the larger of the two bones in the forearm, on the thumb side of the forearm, and is characterized by a vertical break through the bone shaft and growth plate that extends down through the central portion of the bone to its end part, resulting in the detachment of a piece of bone, and is typically caused by sudden or blunt trauma, such as a motor vehicle accident, sports activities, falls, or an assault, and is more commonly seen in children.
Official Description Of S59.141
The ICD 10 CM book defines ICD 10 code S59.141 as:
Excludes2: other and unspecified injuries of wrist and hand (S69.-)
When To Use S59.141
The diagnosis describes by the ICD 10 CM S59.141 code is a specific type of fracture that occurs in the growth plate or physis of the radius bone, known as a SalterHarris type IV physeal fracture. This injury commonly affects the right arm and can cause pain, swelling, bruising, deformity, warmth, stiffness, tenderness, and muscle spasm in the affected area. Patients may also experience numbness and tingling due to nerve injury and may be unable to put weight on the affected arm. Additionally, there may be restriction of motion or possible crookedness or unequal length when compared to the opposite arm.
To diagnose this condition, healthcare providers typically rely on the patient’s personal history of trauma and physical examination to assess the wound, nerves, or blood supply. Imaging techniques such as X-rays, computed tomography (CT) scans, or magnetic resonance imaging (MRI) can help determine the extent of damage. In some cases, laboratory examinations may also be necessary.
Various treatment options are available for patients with a SalterHarris type IV physeal fracture of the radius. Medications such as analgesics, corticosteroids, muscle relaxants, nonsteroidal anti-inflammatory drugs (NSAIDs), and thrombolytics or anticoagulants may be used to manage pain and reduce the risk of blood clots. Calcium and vitamin D supplements may also be recommended to improve bone strength.
To prevent further damage and promote healing after reduction, a splint or cast may be used for immobilization. Rest, application of ice, compression, and elevation of the affected area can also help reduce swelling. Physical therapy may be recommended to improve the range of motion, flexibility, and muscle strength. In some cases, surgical open reduction and internal fixation (ORIF) may be necessary to realign the bone and promote healing.
Overall, a SalterHarris type IV physeal fracture of the radius can cause significant pain and discomfort, along with potential long-term complications. However, with appropriate and timely treatment, patients can often recover fully and regain full use of their arm. Therefore, it is essential to seek medical attention promptly following any trauma or injury to the arm to ensure early detection and proper management of any potential bone fractures.
