ICD 10 CM S82.036N | Description & Clinical Information
ICD 10 S82.036N describes a specific type of knee injury characterized by a transverse fracture of the patella, which is a horizontal or crosswise break in the knee cap that does not result in any misalignment of the fracture fragments, and is typically caused by a variety of factors such as falling on the knees, a direct forceful blow, excessive bending of the knee, sports activities, or a traffic accident, and in this particular case, the provider has not specified whether the fracture involves the right or left patella, and it is a subsequent encounter for a Gustilo type IIIA, IIIB, or IIIC open fracture that is exposed through a tear or laceration in the skin and has failed to unite.
Official Description Of S82.036N
The ICD 10 CM book defines ICD 10 code S82.036N as:
Includes: fracture of malleolus
Excludes1: traumatic amputation of lower leg (S88.-)
Excludes2: fracture of foot, except ankle (S92.-)
periprosthetic fracture around internal prosthetic implant of knee joint (M97.1-)
Clinical Information
The diagnosis describes by ICD-10 CM S82.036N code represents a nondisplaced transverse fracture of an unspecified patella. This type of injury can be debilitating and can cause significant pain on weightbearing, as well as a variety of other symptoms. These symptoms may include abnormal fluid collection, known as effusion, and/or bleeding in the joint, which is referred to as hemarthrosis. Additionally, patients may experience bruising over the affected site, an inability to straighten the knee, restricted range of motion, deformity, and stiffness.
To diagnose a nondisplaced transverse fracture of an unspecified patella, healthcare providers typically begin with a physical examination and review of the patient’s medical history. They may also use various laboratory studies, such as blood tests or fluid analysis, as needed. However, imaging techniques are usually the most effective means of diagnosing this condition. These may include AP, lateral, and oblique view X-rays with Merchant or axial (frontal) views with the knee partially flexed. In some cases, computed tomography may be necessary if plain X-rays do not provide sufficient information.
Treatment for a nondisplaced transverse fracture of an unspecified patella depends largely on the severity of the injury. Stable and closed fractures typically do not require surgery and can be treated by immobilizing the knee with a splint or cast. However, unstable fractures will require reduction and fixation, and open fractures may require surgery to close the wound.
In some cases, healthcare providers may also perform arthroscopy to examine the inside of the knee joint. This minimally invasive surgical technique allows the provider to remove loose fragments of bone and tissue, as well as repair connective tissues and joint lining as necessary. Another treatment option may be to aspirate fluid or blood through a needle placed into the joint.
Pain management is another essential aspect of treating this type of fracture. Depending on the severity of the pain, healthcare providers may prescribe narcotic analgesics and/or nonsteroidal anti-inflammatory drugs (NSAIDs). Additionally, patients may need antibiotics to prevent or treat infections that may occur as a result of the injury.
As the patient heals, healthcare providers may recommend gradually increasing weightbearing and exercises to improve flexibility, strength, and range of motion. Physical therapy may also be helpful in promoting recovery and restoring full function to the knee joint.
In conclusion, a nondisplaced transverse fracture of an unspecified patella can be a debilitating condition that requires prompt and effective treatment. If you or someone you know is experiencing symptoms associated with this type of injury, it is essential to seek medical attention as soon as possible to prevent further damage and promote healing.