ICD 10 CM S63.428A | Description & Clinical Information

ICD 10 S63.428A describes a medical condition characterized by the tearing or pulling apart of the fibrous bands of tissue that connect finger bones and joints, specifically the palmar ligament of a finger at the metacarpophalangeal and interphalangeal joint, resulting from trauma, with the caveat that the provider does not specify whether the affected finger is on the right or left hand during the initial encounter.

Official Description Of S63.428A

The ICD 10 CM book defines ICD 10 code S63.428A as:

When To Use S63.428A

The diagnosis describes by the ICD 10-CM code S63.428A refers to a traumatic rupture of the palmar ligament of the finger at the metacarpophalangeal and interphalangeal joint. This injury typically occurs as a result of an impact or sudden jarring movement to the finger. The symptoms that can occur after the injury include pain, swelling, and bruising of the affected ligament. The patient may also experience a limited range of motion and an inability to flex or extend the finger at the affected joint.

To diagnose this condition, healthcare providers typically perform a thorough medical history and physical examination. During the physical exam, the provider will evaluate the patient’s neurovascular status to assess the degree of damage to the affected area. In some cases, imaging techniques such as ultrasound, magnetic resonance imaging (MRI), or computed tomography (CT) scans may be utilized to further evaluate the extent of injury.

Treatment options for traumatic rupture of the palmar ligament will vary depending on the severity of the injury. Pain medication, such as analgesics or nonsteroidal anti-inflammatory drugs (NSAIDs), may be prescribed to help manage pain and swelling. Bracing or splinting may also be recommended to immobilize the joint and allow for proper healing. In certain cases, surgical repair may be necessary to restore function to the affected joint.

While the prognosis for this condition varies depending on the severity of the injury and the course of treatment chosen, most patients can expect a full recovery with appropriate care. It is essential to follow the treatment plan prescribed by your healthcare provider and attend any necessary follow-up appointments to ensure proper healing and prevent any long-term complications.

Prevention of traumatic rupture of the palmar ligament can be challenging, especially in environments where there is a high risk of injury, such as in sports or manual labor positions. However, taking appropriate safety precautions, such as wearing protective gear or using proper technique, can help reduce the risk of injury. Staying vigilant for signs of injury and seeking prompt medical attention if an injury does occur can also help minimize the damage and speed up the recovery process.