ICD 10 CM S72.132H | Description & Clinical Information

ICD 10 S72.132H describes a specific type of injury that involves a displaced apophyseal fracture, also known as an avulsion fracture, of the left femur, which occurs when a part of the bone that projects outward, such as a process, tuberosity, or tubercle, is separated and displaced due to sudden muscle contraction, and is classified as type I or II according to the Gustilo classification for open long bone fractures, and is commonly seen in young athletes who participate in sports that involve running or kicking, as well as in young gymnasts or dancers, and this code is used for subsequent encounters when there is delayed healing of an open fracture that is exposed through a tear or laceration in the skin caused by the fracture fragments or external injury.

Official Description Of S72.132H

The ICD 10 CM book defines ICD 10 code S72.132H as:

Displaced apophyseal fracture of left femur, subsequent encounter for open fracture type I or II with delayed healing
Parent Code Notes: S72.13

Excludes1: chronic (nontraumatic) slipped upper femoral epiphysis (M93.0-)

Parent Code Notes: S72

Excludes1: traumatic amputation of hip and thigh (S78.-)

Excludes2: fracture of lower leg and ankle (S82.-)
fracture of foot (S92.-)
periprosthetic fracture of prosthetic implant of hip (M97.0-)

When To Use S72.132H

The diagnosis describes by the ICD 10 CM S72.132H code is a type of fracture that occurs in the femur bone. Specifically, it is a displaced apophyseal fracture, which means that a small piece of bone attached to a tendon or ligament has been pulled away from its normal location by a forceful muscle contraction. This type of fracture is commonly seen in adolescents who are undergoing growth spurts, as their muscles and tendons are not yet fully developed and are therefore more vulnerable to injury.

Patients with this type of fracture typically experience severe pain when moving or bearing weight on the affected leg, as well as swelling and tenderness at the site of the injury. Bruising may also be present, and the patient may have difficulty moving the leg or experience restricted range of motion.

To diagnose a displaced apophyseal fracture, healthcare providers will typically start by taking a thorough medical history and performing a physical examination. Imaging techniques such as X-rays and computed tomography (CT) scans may also be used to assess the severity of the injury. In some cases, an MRI or ultrasound may be ordered to further evaluate difficult-to-diagnose injuries.

Treatment options for this type of fracture will depend on the severity and complexity of the injury. Most avulsion fractures do not require surgery, and can be managed with rest and immobilization of the affected leg, as well as the application of ice and nonsteroidal anti-inflammatory drugs (NSAIDs) to manage pain and swelling.

However, more complicated fractures may require reduction and fixation, which involves realigning the bone fragments and holding them in place with pins, screws, or plates. In cases where the fracture has resulted in an open wound, surgery may be necessary to close the wound and prevent infection.

After initial treatment, patients will typically undergo a period of rehabilitation, which may include physical therapy exercises aimed at improving flexibility, strength, and range of motion in the affected leg. The length of this recovery period will depend on the severity of the injury and the patient’s individual circumstances.

In conclusion, the ICD 10 CM S72.132H code describes a type of displaced apophyseal fracture in the femur bone, which can be caused by forceful muscle contractions in adolescents. Early diagnosis and appropriate treatment can help to manage symptoms and promote healing, with most avulsion fractures responding well to conservative measures. For more complicated fractures, surgical intervention may be necessary, followed by a rehabilitation program aimed at restoring full functionality to the affected leg.

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