ICD 10 CM S72.466 | Description & Clinical Information

ICD 10 S72.466 describes a specific type of fracture in the thigh bone, where there is a break just above the rounded projections on either side at the end of the bone, without displacement of the fracture fragments, but with extension of the fracture into the condylar area, caused by trauma from incidents such as being hit by a motor vehicle or a fall from a high elevation, and can be more common in elderly individuals with thinning bones or cancer, with the provider not specifying whether the injury involves the right or left femur.

Official Description Of S72.466

The ICD 10 CM book defines ICD 10 code S72.466 as:

Nondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur
Parent Code Notes: S72.46

Excludes1: supracondylar fracture without intracondylar extension of lower end of femur (S72.45-)

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-)

Clinical Information

The diagnosis describes by the ICD 10 CM code S72.466 refers to a specific type of fracture that affects the lower end of an unspecified femur bone. This type of fracture is known as a supracondylar fracture with intracondylar extension. It can cause significant pain, difficulty moving the leg or bearing weight, and a restricted range of motion. Left untreated, this type of fracture can lead to complications such as compartment syndrome, impaired bone growth with resultant leg length discrepancy, and permanent disability.

Healthcare providers diagnose this condition by taking a thorough medical history and conducting a physical examination. They may also order X-rays, including AP and lateral view X-rays, to help confirm the diagnosis. The X-rays provide an image of the affected area, revealing any fractures or breaks in the bone.

Treatment for supracondylar fractures typically involves surgery. Depending on the severity and location of the fracture, a healthcare provider may recommend either a closed or open reduction surgery. In some cases, patients may require surgery to close an open wound or an exposed bone.

After surgery, a healthcare provider may recommend the use of a brace or cast to help stabilize the fracture and promote healing. This helps prevent movement of the bone, allowing for optimal healing of the injury. Patients who are unable to tolerate surgery due to underlying medical conditions may run the risk of complications from prolonged bed rest.

Pain management is also an essential component of treating patients with supracondylar fractures. Healthcare providers may prescribe narcotic analgesics and/or nonsteroidal anti-inflammatory drugs to help manage pain during recovery. In addition, patients with open wounds may require antibiotics to prevent or treat any potential infections.

As healing progresses, patients may also undergo physical therapy to improve flexibility, strength, and range of motion. Rehabilitation can also help prevent additional complications, such as blood clots or muscle weakness, which can occur as a result of extended bed rest.

It’s important to note that supracondylar fractures can take several months to fully heal. Patients may experience additional complications or require further treatment, such as bone grafting or revision surgery. It’s crucial to work closely with a healthcare provider to ensure the best possible outcome and minimize the risk of long-term complications.

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