ICD 10 CM S59.242K | Description & Clinical Information

ICD 10 S59.242K describes a specific type of fracture known as a Salter-Harris Type IV physeal fracture, which occurs at the lower end of the left radius, one of the two bones in the forearm, and is characterized by a vertical fracture line that passes through the metaphysis, physis or growth plate, and epiphysis, resulting in the detachment of a piece of bone; this type of injury is most commonly seen in children and is often caused by trauma resulting from a fall on an outstretched arm, sports activity, or a motor vehicle accident, and this particular code indicates a subsequent encounter for a fracture that has failed to heal.

Official Description Of S59.242K

The ICD 10 CM book defines ICD 10 code S59.242K as:

When To Use S59.242K

The diagnosis describes by the ICD 10 CM S59.242K code is a specific type of fracture that affects the lower end of the left radius bone. This injury is known as a SalterHarris Type IV physeal fracture and can result in a variety of symptoms that may hinder normal arm function. This type of injury is common in children and adolescents, but can also occur in adults. The range of symptoms includes pain, swelling, bruising, deformity, tenderness, restriction of motion, muscle spasm, and numbness and tingling due to nerve damage.

To diagnose this condition, healthcare providers rely on various methods. The patient’s medical history and physical examination provide primary information about the patient’s injury. Imaging techniques such as X-rays, magnetic resonance imaging (MRI), and computed tomography (CT) scans are used to assess the severity of the fracture. These imaging techniques help identify the precise location and extent of the injury, which is important for determining the best course of treatment.

SalterHarris Type IV fractures are severe fractures and usually require surgical intervention. Physicians typically perform open reduction and internal fixation. This form of treatment involves realigning and stabilizing the broken bone using pins, plates, or screws. The goal of surgery is to reduce pain, restore normal functionality, and prevent deformities or other long-term complications.

Other non-surgical treatments may be utilized depending on the severity of the injury. Rest, icing, compression, and elevation of the affected limb are essential steps for reducing swelling and inflammation. A splint or cast may be used to restrict limb movement and promote healing. Rehabilitation exercises can also be beneficial to help regain strength and range of motion in the arm. Patients may also utilize medications like analgesics and nonsteroidal anti-inflammatory drugs to relieve pain.

Finally, secondary injuries need to be taken into consideration. Associated injuries such as nerve or blood vessel damage could also be present and may require further treatment. Close follow-up with the healthcare provider is crucial to ensure proper management of the injury and to address any complications that arise.

In conclusion, a SalterHarris Type IV physeal fracture of the lower end of the left radius is a severe injury that warrants prompt medical attention. Early diagnosis and appropriate treatment can significantly improve a patient’s chances of a full recovery. Patient’s compliance with the recommended treatment plan is essential for optimal healing and restoration of arm function.