ICD 10 CM S72.131N | Description & Clinical Information

ICD 10 S72.131N describes a specific type of injury known as a displaced apophyseal fracture, which occurs when a part of a bone that projects outward, such as a process, tuberosity, or tubercle, is separated and displaced due to sudden muscle contraction, and this particular code refers to a subsequent encounter for an open fracture that is exposed through a tear or laceration in the skin caused by displaced fracture fragments or external trauma, when the fracture fragments fail to unite, and it is commonly seen in young athletes who participate in sports that involve kicking or running, as well as in young gymnasts or dancers.

Official Description Of S72.131N

The ICD 10 CM book defines ICD 10 code S72.131N as:

When To Use S72.131N

The diagnosis describes by the ICD 10 CM S72.131N code pertains to a displaced apophyseal fracture on the right femur. This condition can cause serious pain, especially when moving or bearing weight, as well as swelling, tenderness, bruising around the affected site, difficulty moving the leg, and limited range of motion. Medical providers make a diagnosis by conducting a comprehensive physical examination and assessing medical history. Imaging techniques, including X-rays and computed tomography, help determine the severity of the injury, but MRI or ultrasound may be necessary when injuries are challenging to diagnose.

When individuals fracture their bones, complications can arise, and fractures may be classified in different ways depending on the location and the type of break. Apophyseal fractures occur when a ligament or tendon attached to the bone tears off a small piece of bone. In the proximal part of the femur, where apophysis is abundant, avulsion fractures are common in young and active individuals due to forced and sudden contractions of muscles in the area.

In most cases, avulsion fractures do not require surgery. Treatment typically involves ice packs, rest initially, and analgesics such as nonsteroidal anti-inflammatory drugs to manage pain. Gradual introduction of exercises into a rehabilitation program is essential to enhance the flexibility and strength of the leg, helping the patient regain range of motion.

Complicated fractures may require reduction and fixation, which involves aligning and physically stabilizing the bone fragments. The process of reduction may involve manipulation of the broken pieces, whereas fixation uses hardware such as plates, screws, or rods to hold the fragments together while they heal. On the other hand, open fractures need surgery where the physician ensures the wound site is clean, the bones are aligned, and the wound is closed.

The treatment of apophyseal fracture requires a multidisciplinary approach to achieve optimal rehabilitation. Physical therapy plays a major role in the recovery process, helping regain strength and mobility while preventing future injuries. Adequate nutrition is vital because it enhances the healing process. In particular, calcium, vitamin D, and protein are important for bone formation and strengthening.

In conclusion, the ICD 10 CM S72.131N diagnosis code refers to a displaced apophyseal fracture of the right femur. Diagnosis is based on a comprehensive physical examination, medical history, and imaging techniques, with treatment depending on the severity of the injury. Most apophyseal fractures can be treated conservatively, and surgery is reserved for complicated cases. Physical therapy and proper nutrition are essential to optimize the recovery process and to prevent future injuries.