ICD 10 CM S82.102D | Description & Clinical Information

ICD 10 S82.102D describes a type of fracture that occurs in the upper end of the left tibia, which is the larger and stronger of the two bones in the left lower leg, typically just below the knee, resulting from various causes such as falls from high elevations, traffic accidents, or sports injuries, and is more common in the elderly due to thinning of the bones and cancer, and is characterized by a break or discontinuity with or without displacement of the fracture fragments, and is not specified by the provider as a type of fracture at a subsequent encounter for a normally healing, closed fracture that is not exposed through a tear or laceration in the skin.

Official Description Of S82.102D

The ICD 10 CM book defines ICD 10 code S82.102D as:

Unspecified fracture of upper end of left tibia, subsequent encounter for closed fracture with routine healing
Parent Code Notes: S82.1

Excludes2: fracture of shaft of tibia (S82.2-)
physeal fracture of upper end of tibia (S89.0-)

Parent Code Notes: S82

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-)

When To Use S82.102D

The diagnosis describes by the ICD 10 CM S82.102D code is an unspecified fracture of the upper end of the left tibia, commonly known as a proximal tibia fracture. This type of injury occurs when there is a break in the bone located in the upper part of the tibia bone, close to the knee joint. While the exact cause of proximal tibia fractures can vary, they are most commonly the result of trauma due to a fall, accident, or sports-related injury.

One of the primary symptoms of a proximal tibia fracture is extreme pain in the affected area, especially when there is any movement or weight put on the leg. Swelling, tenderness, and bruising around the knee are also typical symptoms. Patients may also experience numbness and tingling sensations if the injury causes damage to nerves or blood vessels. When a proximal tibia fracture occurs, it can restrict leg movement and cause a noticeable deformity, especially around the knee.

To diagnose this condition, medical providers will take a careful medical history and perform a physical examination to detect any issues with nerve function, blood vessels, and reflexes. They may also recommend laboratory studies to assess blood loss, blood clotting, muscle injury, and other factors related to or caused by the injury. Imaging techniques such as anteroposterior and lateral X-rays, computed tomography (CT), magnetic resonance imaging (MRI), and bone scans can also help diagnose the severity of the injury.

Treatment for proximal tibia fractures depend on the type and severity of the fracture. Stable and closed fractures typically require immobilization, which involves skeletal traction, a splint, brace or cast to restrict limb movement. These types of fractures rarely require surgical intervention. However, unstable fractures will require open or closed reduction and fixation, which involves repositioning the bones and fastening them together to promote proper healing. In cases of open fractures, the provider will need to surgically close the wound.

Pain management during recovery will also be a part of treatment. Depending on the severity of pain, healthcare providers may prescribe nonsteroidal anti-inflammatory drugs (NSAIDs) or narcotic analgesics. Once healing progresses, the patient may participate in physical therapy and exercises to increase flexibility, strength, and range of motion. These therapies will help the patient regain function and mobility in the affected leg.

In conclusion, proximal tibia fractures can be a significant issue to one’s health, causing pain and decreased mobility. Proper diagnosis and prompt treatment are important steps to recovery, and it is recommended that individuals seek medical attention if they experience symptoms of this type of fracture. With the right care, patients can recover and regain their quality of life.

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