ICD 10 CM S72.421M | Description & Clinical Information

ICD 10 S72.421M describes a specific type of fracture in the right femur, where the lateral condyle, a curved projection on the outer side of the lower end of the femur, is broken and the pieces of bone are misaligned due to high impact trauma from a direct blow sustained during a fall, crush injury, traffic accident, or sports injuries such as downhill skiing and parachuting, and this code is used for a subsequent encounter for a Gustilo type I or II open fracture, which 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.

Official Description Of S72.421M

The ICD 10 CM book defines ICD 10 code S72.421M as:

Displaced fracture of lateral condyle of right femur, subsequent encounter for open fracture type I or II with nonunion
Parent Code Notes: S72.4

Excludes2: fracture of shaft of femur (S72.3-)
physeal fracture of lower end of femur (S79.1-)

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 S72.421M

The diagnosis describes by the ICD 10 CM S72.421M code is a specific type of fracture that affects the lateral condyle of the right femur. This type of injury can cause significant pain, deformity, and swelling in the affected knee, as well as bruising, limited range of motion, and difficulty bearing weight on the corresponding leg. In cases where there is a displaced fracture, there may also be an associated patella fracture, which can further complicate the patient’s condition.

To diagnose this type of fracture, a medical provider will rely on the patient’s description of their symptoms, as well as a physical examination. In some cases, imaging techniques such as anteroposterior and lateral view X-rays, as well as computed tomography, may be necessary to confirm the diagnosis.

Treatment options for this type of fracture will depend on the severity of the injury. Stable and closed fractures can often be treated with a cast, followed by a hinged brace to support the leg during the healing process. However, for unstable or displaced fractures, reduction and fixation may be necessary. In cases where the fracture is an open one, surgery may also be necessary to close the wound and ensure proper healing.

In addition to medical interventions, patients with this type of fracture may benefit from additional self-care measures such as applying ice packs to the affected area, resting the affected leg, and taking medications such as analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs) to manage pain. As healing progresses, physical therapy and weight-bearing exercises may also be recommended to help patients regain strength and mobility in the affected leg.

It is essential to seek medical attention promptly if you suspect you may have a fracture of the lateral condyle of the femur. Failing to receive proper care for this type of injury can lead to long-term complications and impairments that can significantly impact the patient’s quality of life. By following your medical provider’s instructions and engaging in appropriate self-care measures and physical therapy following treatment, you can increase your chances of a full and swift recovery from this type of fracture.

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