ICD 10 CM S62.245A | Description & Clinical Information

ICD 10 S62.245A describes a specific type of injury to the left hand, specifically a nondisplaced fracture of the shaft of the first metacarpal bone, which is one of the five long bones located in the palm of the hand that forms joints with the carpal bones in the wrist and the phalanges in the fingers, resulting from trauma such as a direct forceful blow from a moving object, fall on extended fingers, sports activities, or motor vehicle accident, where the central portion of the metacarpal bone, the first bone of the thumb, is broken into two parts but without any misalignment of the fracture fragments, and this code is used for the initial encounter for a closed fracture that is not exposed through a tear or laceration of the skin.

Official Description Of S62.245A

The ICD 10 CM book defines ICD 10 code S62.245A as:

Nondisplaced fracture of shaft of first metacarpal bone, left hand, initial encounter for closed fracture
Parent Code Notes: S62

Excludes1: traumatic amputation of wrist and hand (S68.-)

Excludes2: fracture of distal parts of ulna and radius (S52.-)

Clinical Information

The diagnosis describes by the ICD-10-CM code S62.245A is a nondisplaced fracture of the shaft of the first metacarpal bone of the left hand. This type of injury can be incredibly painful for patients and can result in symptoms such as swelling, tenderness, and bruising over the affected site. Patients may also experience difficulty in moving their hand, numbness and tingling sensations, deformity in the thumb, and possible injury to nerves and blood vessels.

Medical professionals typically diagnose this condition by examining the patient’s medical history and performing a physical examination. They may also use imaging techniques such as X-rays, magnetic resonance imaging (MRI), or computed tomography (CT) scans to assess the severity of the injury. Other laboratory, electrodiagnostic, and imaging studies may also be used if nerve or blood vessel injuries are suspected.

The treatment plan for a nonsurgical and closed nondisplaced fracture may include the application of an ice pack, traction, or a splint, cast, or other external fixation to stabilize the break and restrict limb movement. Pain management is also important, with the use of analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs). Calcium and vitamin D supplements are often recommended to promote bone strength.

For patients with unstable fractures, surgical intervention is typically required. This may include fixation procedures such as plates, wires, screws, or intramedullary nailing. An open fracture requires surgery to close the wound and stabilize the bone.

Recovery from this type of injury often involves physical therapy to progressively mobilize the affected hand to prevent stiffness, improve range of motion, and build muscle strength. Physical therapy may also address the treatment of any secondary injuries caused by the fracture.

In conclusion, a nondisplaced fracture of the shaft of the first metacarpal bone of the left hand can cause significant discomfort and long-term consequences if left untreated. Timely diagnosis and appropriate treatment are essential for a full recovery. It is advisable to seek professional medical assistance if you suspect a fracture of this nature.

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