ICD 10 CM S82.112M | Description & Clinical Information

ICD 10 S82.112M describes a type of injury that involves a partial or complete break in the bony ridge located in the knee joint at the top of the shin bone, where the anterior cruciate ligament and knee connect, which is caused by severe trauma or injury that produces a high degree of stress to the ACL, such as from a fall from a bicycle, sports injury, motor vehicle accident, or other accident that causes a forced hyperextension of the knee, or a direct blow to the proximal tibia when the knee is flexed, and is characterized by displacement of the fracture fragments, with type I or II referring to the Gustilo classification for open long bone fractures, and this code is used for a subsequent encounter for an open fracture, exposed through a tear or laceration in the skin caused by the fracture or external trauma, when the fracture fragments fail to unite.

Official Description Of S82.112M

The ICD 10 CM book defines ICD 10 code S82.112M as:

When To Use S82.112M

The diagnosis describes by the ICD 10 CM S82.112M code is a type of injury that affects the tibial spine, which is a bony protrusion located in the front of the knee joint. This condition is commonly known as a tibial eminence fracture and can result from a variety of causes such as sports injuries, falls, and other types of trauma.

One of the most common symptoms of a tibial eminence fracture is severe pain in the front or center of the knee. Patients may also experience swelling, bruising, decreased range of motion, and weakness in the injured knee when weight-bearing. In order to diagnose this condition, healthcare providers typically perform a thorough physical examination, including a complete neurovascular examination of the extremity and a musculoskeletal examination of the knee.

Diagnostic imaging such as anteroposterior (AP) and lateral X-rays, computed tomography (CT), or magnetic resonance imaging (MRI) may be ordered to identify any displacement of the fracture fragments and to assess the severity of the injury, as well as to determine if there is any associated soft tissue damage.

Treatment for a tibial eminence fracture typically involves immobilization of the knee in a brace or cast that is slightly bent in order to promote healing. Patients may also be prescribed narcotic analgesics and/or nonsteroidal anti-inflammatory drugs (NSAIDs) to help manage pain. Physical therapy (PT) may be recommended to reduce pain and swelling, and to improve flexibility and strength. This may include weight-bearing and range-of-motion exercises.

In some cases, surgery may be necessary to treat more severe tibial eminence fractures or those that involve soft tissue entrapment under the fracture. There are different types of surgical procedures available, such as closed reduction, open reduction and internal fixation (ORIF), or arthroscopic reduction and internal fixation (ARIF). These procedures may involve the use of screws or sutures to hold the fracture fragments in place.

Overall, a tibial eminence fracture can be a painful and debilitating condition. However, with appropriate diagnosis and treatment, most patients are able to recover fully with no long-term complications. It is important for healthcare providers to carefully evaluate patients with knee injuries to determine the underlying cause of their symptoms and to provide timely and effective treatment in order to promote optimal outcomes.