ICD 10 CM S72.445 | Description & Clinical Information

ICD 10 S72.445 describes a type of fracture in the lower epiphysis of the left femur, which occurs when the growth plate located at the lower portion of the thigh bone near its connection with the knee is broken across without any displacement of fracture fragments, and is typically caused by trauma resulting from sports activities, motor vehicle accidents, falls, or other injuries.

Official Description Of S72.445

The ICD 10 CM book defines ICD 10 code S72.445 as:

Nondisplaced fracture of lower epiphysis (separation) of left femur
Parent Code Notes: S72.44

Excludes1: Salter-Harris Type I physeal fracture of lower end of femur (S79.11-)

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 S72.445

The diagnosis describes by ICD 10 CM S72.445 pertains to a specific type of fracture or separation that may occur in the lower epiphysis of the left femur. This condition can result in various symptoms, including pain, bruising, deformity, warmth, and tenderness at the affected site. Patients may also experience an inability to bear weight, restricted motion, and impaired bone growth, leading to leg length discrepancy without treatment.

To diagnose this condition, healthcare providers typically rely on a combination of methods. These include a thorough patient history and physical examination, which allows doctors to assess the extent and severity of the symptoms. In addition, imaging techniques like X-rays, CT scans, and MRI scans can provide more detailed information about the extent of the damage.

Depending on the situation, laboratory examinations may also be conducted to determine if there are any underlying conditions that may be contributing to the patient’s symptoms. Once diagnosed, healthcare providers will typically develop a treatment plan that is tailored to the individual’s unique needs.

For some patients, especially infants and children under 5, nonoperative treatment with casting or traction may be recommended. This approach involves immobilizing the affected area and allowing the bones to heal naturally over time. In cases where nonoperative treatment is not an option, patients may require open reduction with internal fixation for fracture stabilization. This procedure involves surgically repositioning the broken bone fragments and securing them in place with plates, screws or other devices.

After surgery or non-operative treatment, the patient will often require physical therapy to improve flexibility, range of motion, and muscle strength. The goal of physical therapy is to help the patient restore movement and function to the affected area, while also minimizing the risk of future injury or complications.

It is essential to note that proper diagnosis, treatment, and recovery from S72.445 requires a team effort from healthcare providers, patients, and their families. It is crucial to follow the healthcare provider’s instructions correctly, attend follow-up appointments, and communicate with the healthcare team regularly. With proper care, management, and follow-up, patients with S72.445 can achieve favorable outcomes and improve their overall health and quality of life.

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