ICD-10: S62.133

Displaced fracture of capitate [os magnum] bone, unspecified wrist

Additional Information

Description

The ICD-10 code S62.133 refers to a displaced fracture of the capitate bone, also known as the os magnum, located in the wrist. This type of fracture is significant due to the capitate's role in wrist stability and function. Below is a detailed clinical description and relevant information regarding this diagnosis.

Clinical Description

Anatomy of the Capitate Bone

The capitate is the largest carpal bone in the wrist and is centrally located, articulating with several other carpal bones, including the scaphoid, lunate, and hamate. Its position makes it crucial for wrist movement and load-bearing during activities involving the hand.

Mechanism of Injury

Displaced fractures of the capitate typically occur due to high-energy trauma, such as falls onto an outstretched hand, direct blows to the wrist, or during sports activities. The displacement indicates that the fracture fragments have moved from their normal anatomical position, which can complicate healing and function.

Symptoms

Patients with a displaced capitate fracture may present with:
- Severe wrist pain: Often exacerbated by movement.
- Swelling and bruising: Around the wrist area.
- Decreased range of motion: Difficulty in moving the wrist and fingers.
- Tenderness: Notably over the dorsal aspect of the wrist.

Diagnosis

Diagnosis typically involves:
- Clinical examination: Assessing pain, swelling, and range of motion.
- Imaging studies: X-rays are the primary tool for identifying fractures. In some cases, CT scans may be used for a more detailed view of the fracture and its displacement.

Treatment Options

Non-Surgical Management

In cases where the fracture is stable or minimally displaced, treatment may involve:
- Immobilization: Using a cast or splint to restrict movement and allow for healing.
- Pain management: Non-steroidal anti-inflammatory drugs (NSAIDs) may be prescribed to alleviate pain and reduce inflammation.

Surgical Intervention

For displaced fractures, surgical intervention is often necessary to realign the bone fragments. This may involve:
- Open reduction and internal fixation (ORIF): A surgical procedure where the fracture is realigned, and hardware (such as plates or screws) is used to maintain the position of the bone during healing.
- Rehabilitation: Post-surgery, physical therapy is crucial to restore function, strength, and range of motion.

Prognosis

The prognosis for a displaced capitate fracture can vary based on the severity of the fracture, the success of the treatment, and the patient's adherence to rehabilitation protocols. Generally, with appropriate treatment, patients can expect a return to normal wrist function, although some may experience lingering stiffness or pain.

Conclusion

The ICD-10 code S62.133 for a displaced fracture of the capitate bone underscores the importance of timely diagnosis and appropriate management to ensure optimal recovery. Understanding the anatomy, mechanism of injury, and treatment options is essential for healthcare providers in delivering effective care for patients with this type of wrist injury.

Clinical Information

The ICD-10 code S62.133 refers to a displaced fracture of the capitate bone, which is one of the carpal bones located in the wrist. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this type of fracture is crucial for accurate diagnosis and management.

Clinical Presentation

Mechanism of Injury

Displaced fractures of the capitate bone typically occur due to high-energy trauma, such as falls onto an outstretched hand, direct blows to the wrist, or sports-related injuries. These fractures can also result from repetitive stress or overuse, particularly in athletes involved in activities that require extensive wrist motion.

Patient Characteristics

Patients who sustain a displaced fracture of the capitate may vary widely in age and activity level. However, certain demographics are more commonly affected:
- Age: Young adults and middle-aged individuals are often at higher risk due to increased participation in sports and physical activities.
- Gender: Males are generally more prone to wrist injuries due to higher engagement in contact sports and risk-taking behaviors.
- Activity Level: Individuals involved in high-impact sports or occupations that require heavy lifting or repetitive wrist movements may be more susceptible.

Signs and Symptoms

Localized Symptoms

Patients with a displaced capitate fracture typically present with the following symptoms:
- Pain: Severe pain in the wrist, particularly in the area of the capitate bone, which may worsen with movement or pressure.
- Swelling: Noticeable swelling around the wrist joint, often accompanied by bruising.
- Tenderness: Localized tenderness upon palpation of the wrist, especially over the dorsal aspect where the capitate is located.

Functional Impairment

  • Limited Range of Motion: Patients may experience difficulty in moving the wrist, particularly in flexion and extension, due to pain and mechanical instability.
  • Weakness: A feeling of weakness in the wrist, making it challenging to grip objects or perform daily activities.

Neurological Signs

In some cases, patients may exhibit neurological symptoms if there is associated nerve injury or compression:
- Numbness or Tingling: Sensations in the fingers or hand, particularly if the median nerve is affected.
- Decreased Sensation: Reduced ability to feel touch or temperature in the hand.

Diagnosis

Physical Examination

A thorough physical examination is essential for diagnosing a displaced capitate fracture. This includes assessing the range of motion, strength, and any neurological deficits.

Imaging Studies

  • X-rays: Standard radiographs are typically the first step in evaluating wrist injuries. They can reveal the fracture and its displacement.
  • CT or MRI: In complex cases or when there is suspicion of associated injuries, advanced imaging may be necessary to assess the extent of the fracture and any potential complications.

Conclusion

In summary, a displaced fracture of the capitate bone presents with significant pain, swelling, and functional impairment in the wrist. Understanding the clinical presentation, signs, symptoms, and patient characteristics is vital for healthcare providers to ensure timely and appropriate management. Early diagnosis and intervention can help prevent complications and promote optimal recovery for patients suffering from this type of wrist injury.

Approximate Synonyms

The ICD-10 code S62.133 refers specifically to a displaced fracture of the capitate bone, which is one of the carpal bones located in the wrist. Understanding alternative names and related terms for this condition can be beneficial for medical professionals, researchers, and students in the field of healthcare. Below are some alternative names and related terms associated with this diagnosis.

Alternative Names

  1. Displaced Capitate Fracture: This term emphasizes the nature of the fracture (displaced) and specifies the bone involved (capitate).
  2. Fracture of the Os Magnum: The capitate bone is also known as the os magnum, so this term can be used interchangeably.
  3. Wrist Capitate Fracture: This term highlights the location of the fracture within the wrist.
  4. Carpal Bone Fracture: A broader term that includes fractures of any of the carpal bones, including the capitate.
  1. Carpal Fracture: A general term for fractures occurring in any of the carpal bones, which includes the capitate.
  2. Wrist Fracture: This term encompasses fractures in the wrist area, which may include fractures of the capitate and other carpal bones.
  3. Displaced Fracture: A term that describes the type of fracture where the bone fragments are not aligned properly.
  4. Traumatic Wrist Injury: A broader category that includes various types of injuries to the wrist, including fractures.
  5. Osteosynthesis: A surgical procedure that may be performed to stabilize a displaced fracture, including those of the capitate.

Clinical Context

In clinical practice, the terminology used may vary based on the specific context, such as the type of medical documentation, the healthcare provider's preference, or the patient's condition. Understanding these alternative names and related terms can aid in effective communication among healthcare professionals and enhance the accuracy of medical records.

In summary, the ICD-10 code S62.133 for a displaced fracture of the capitate bone can be referred to by various alternative names and related terms, which are essential for precise diagnosis and treatment planning in the medical field.

Diagnostic Criteria

The ICD-10-CM code S62.133 refers to a displaced fracture of the capitate bone, which is one of the carpal bones located in the wrist. Diagnosing this type of fracture involves several criteria and considerations, which can be categorized into clinical evaluation, imaging studies, and specific diagnostic criteria.

Clinical Evaluation

  1. Patient History:
    - A thorough history of the injury is essential. This includes details about how the injury occurred (e.g., fall, direct impact) and any previous wrist injuries.
    - Assessment of symptoms such as pain, swelling, bruising, and loss of function in the wrist.

  2. Physical Examination:
    - Inspection of the wrist for deformity, swelling, or bruising.
    - Palpation to identify tenderness over the capitate bone and other carpal bones.
    - Assessment of range of motion and strength in the wrist and hand.

Imaging Studies

  1. X-rays:
    - Standard X-rays are the first-line imaging modality used to visualize the wrist. They can help identify fractures, dislocations, and any associated injuries.
    - Specific views, such as the PA (posteroanterior), lateral, and oblique views, may be necessary to adequately assess the capitate bone and surrounding structures.

  2. Advanced Imaging:
    - If X-rays are inconclusive or if there is a suspicion of a more complex injury, advanced imaging techniques such as CT (computed tomography) or MRI (magnetic resonance imaging) may be utilized. These modalities provide a more detailed view of the bone and soft tissue structures.

Diagnostic Criteria

  1. Fracture Type:
    - The diagnosis of a displaced fracture specifically indicates that the bone fragments have moved out of their normal alignment. This is critical for determining the appropriate treatment plan.

  2. Location:
    - The capitate bone, also known as os magnum, is the largest carpal bone and is located centrally in the wrist. The diagnosis must specify that the fracture is in this particular bone.

  3. Unspecified Wrist:
    - The term "unspecified wrist" indicates that the fracture is not limited to a specific side (left or right) or does not involve additional complications that would require further specification.

Conclusion

In summary, the diagnosis of a displaced fracture of the capitate bone (ICD-10 code S62.133) involves a combination of patient history, physical examination, and imaging studies to confirm the presence and type of fracture. Proper identification of the fracture's characteristics is crucial for determining the appropriate management and treatment plan. If you have further questions or need more specific information, feel free to ask!

Treatment Guidelines

When addressing the standard treatment approaches for a displaced fracture of the capitate bone (ICD-10 code S62.133), it is essential to consider both the nature of the injury and the specific treatment protocols that are typically employed in clinical practice. The capitate bone, being one of the carpal bones in the wrist, plays a crucial role in wrist stability and function. Here’s a detailed overview of the treatment strategies:

Initial Assessment and Diagnosis

Clinical Evaluation

  • History and Physical Examination: The initial step involves a thorough history-taking to understand the mechanism of injury, followed by a physical examination to assess pain, swelling, and range of motion in the wrist.
  • Imaging Studies: X-rays are the primary imaging modality used to confirm the diagnosis of a displaced fracture. In some cases, advanced imaging such as CT scans may be necessary to evaluate the fracture's complexity and displacement accurately[1].

Treatment Approaches

Non-Surgical Management

In cases where the fracture is stable or minimally displaced, non-surgical management may be appropriate:

  • Immobilization: The wrist is typically immobilized using a splint or cast for a period of 4 to 6 weeks. This helps to stabilize the fracture and promote healing.
  • Pain Management: Analgesics and anti-inflammatory medications are prescribed to manage pain and swelling during the healing process.
  • Rehabilitation: Once the initial healing phase is complete, physical therapy may be initiated to restore range of motion, strength, and function to the wrist[2].

Surgical Management

For displaced fractures or those that do not respond to conservative treatment, surgical intervention may be necessary:

  • Open Reduction and Internal Fixation (ORIF): This is the most common surgical procedure for displaced capitate fractures. The surgeon repositions the bone fragments into their correct alignment and secures them with plates and screws.
  • Bone Grafting: In cases where there is significant bone loss or non-union, bone grafting may be performed to facilitate healing and restore bone integrity[3].
  • Postoperative Care: After surgery, the wrist is usually immobilized again, and a rehabilitation program is initiated to regain function and strength.

Follow-Up and Rehabilitation

Monitoring Healing

Regular follow-up appointments are crucial to monitor the healing process through clinical evaluation and repeat imaging as necessary. The typical follow-up schedule may include:

  • X-rays: To assess the alignment and healing of the fracture.
  • Functional Assessment: Evaluating the wrist's range of motion and strength.

Rehabilitation Program

A structured rehabilitation program is essential for optimal recovery. This may include:

  • Physical Therapy: Focused on exercises to improve flexibility, strength, and coordination.
  • Gradual Return to Activities: Patients are guided on how to safely return to daily activities and sports, depending on their recovery progress[4].

Conclusion

The treatment of a displaced fracture of the capitate bone (ICD-10 code S62.133) involves a comprehensive approach that includes initial assessment, potential non-surgical or surgical management, and a structured rehabilitation program. The choice of treatment depends on the fracture's characteristics and the patient's overall health and activity level. Regular follow-up is essential to ensure proper healing and restore wrist function effectively.

For further information or specific case management, consulting with an orthopedic specialist is recommended.

Related Information

Description

  • Displaced fracture of the capitate bone
  • Capitate located centrally in the wrist
  • Articulates with scaphoid, lunate, and hamate
  • High-energy trauma causes displacement
  • Severe wrist pain exacerbated by movement
  • Swelling and bruising around the wrist area
  • Decreased range of motion due to injury

Clinical Information

  • Displaced fracture of capitate bone
  • High-energy trauma causes fractures
  • Falls onto outstretched hand common cause
  • Repetitive stress or overuse can cause fractures
  • Young adults and middle-aged individuals at higher risk
  • Males more prone to wrist injuries due to sports
  • High-impact sports increase fracture risk
  • Pain in wrist area of capitate bone
  • Severe pain worsens with movement or pressure
  • Noticeable swelling around wrist joint
  • Localized tenderness over dorsal aspect
  • Limited range of motion in wrist
  • Difficulty moving wrist due to pain and instability
  • Weakness in grip strength due to fracture
  • Numbness or tingling if nerve injury occurs
  • X-rays first step in evaluating wrist injuries
  • CT or MRI for complex cases with associated injuries

Approximate Synonyms

  • Displaced Capitate Fracture
  • Fracture of the Os Magnum
  • Wrist Capitate Fracture
  • Carpal Bone Fracture
  • Carpal Fracture
  • Wrist Fracture
  • Displaced Fracture

Diagnostic Criteria

Treatment Guidelines

  • Initial assessment via history and physical examination
  • Confirm diagnosis with X-rays or CT scans
  • Non-surgical management for stable fractures
  • Immobilization with splint or cast for 4-6 weeks
  • Pain management with analgesics and anti-inflammatory meds
  • Rehabilitation after initial healing phase
  • Surgical ORIF for displaced fractures or non-union
  • Bone grafting for significant bone loss
  • Regular follow-up appointments for monitoring healing
  • X-rays to assess fracture alignment and healing
  • Physical therapy for rehabilitation and strength

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It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with questions about your medical condition.