ICD 10 CM S82.14 | Description & Clinical Information

ICD 10 S82.14 describes a specific type of fracture known as a bicondylar fracture of the tibia, which occurs when the slightly curved projections at the upper end of the larger of the two lower leg bones are broken due to high impact trauma from a direct blow to the knee area, resulting from causes such as a fall, pedestrian-motor vehicle encounter, sports activities, or even minor trauma in the elderly who have osteoporosis or cancer.

Official Description Of S82.14

The ICD 10 CM book defines ICD 10 code S82.14 as:

Clinical Information

The diagnosis described by the ICD 10 CM S82.14 code refers to a bicondylar fracture of the tibia. This type of injury can cause severe pain with movement of the leg or weightbearing, which can severely restrict a patient’s mobility. Additionally, such fractures can lead to instability, deformity, and swelling in the knee, as well as bruising and a limited range of motion due to injury to the ligaments. In more severe cases, the fracture can also cause compartment syndrome, numbness and tingling if accompanied by nerve and blood vessel damage, and even associated patella (kneecap) fractures.

To diagnose this condition, medical providers rely on a combination of the patient’s history of trauma, a thorough physical examination, and laboratory studies to assess or follow up on blood loss, blood clotting, muscle injury, and other factors contributing to or caused by the injury. The physical examination focuses particularly on the nerves, blood vessels, reflexes, and ligament stability. In addition, imaging techniques such as anteroposterior and lateral view plain X-rays with oblique and traction views may be utilized, with CT scans or MRI studies as necessary for a complete diagnosis.

Treatment options for bicondylar fractures of the tibia vary depending on the severity of the fracture. Stable and minimally displaced closed fractures can often be treated with a cast followed later by a hinged brace. However, unstable, severely depressed, or displaced fractures usually necessitate reduction and fixation. Ligament and vascular injuries require repair, and open fractures require surgery to close the wound. In addition, immediate application of an ice pack, compression, rest, and elevation can help to manage pain and swelling. Medications such as narcotic analgesics and nonsteroidal anti-inflammatory drugs may also be administered to manage pain to the level deemed necessary.

As the patient’s condition improves, exercises to improve flexibility, strength, and range of motion, such as weight-bearing exercises, can be introduced as tolerated. It is important to note that the recovery time for this type of injury can vary greatly depending on the severity of the fracture, the age and general health of the patient, and the treatment plan utilized. It is essential for patients to follow their provider’s instructions carefully and to attend all follow-up appointments to track their progress and ensure optimal healing.

In conclusion, bicondylar fractures of the tibia are a severe injury that can cause significant pain and mobility restrictions. Effective diagnosis and a thorough treatment plan that incorporates rest, immobilization, exercise, and possibly surgery when necessary can help to alleviate pain and restore mobility to patients with this type of injury.