ICD-10: S62.226

Nondisplaced Rolando's fracture, classified under ICD-10 code S62.226, is a specific type of fracture that occurs at the base of the thumb, involving the first metacarpal bone. This fracture is characterized by its unique presentation and associated symptoms, which can significantly impact a patient's functionality and quality of life. Below, we explore the clinical presentation, signs, symptoms, and patient characteristics associated with this condition.

Clinical Presentation

Definition and Mechanism

A Rolando's fracture is a comminuted fracture of the base of the first metacarpal, typically resulting from a high-energy impact or trauma, such as a fall onto an outstretched hand or a direct blow to the thumb. The term "nondisplaced" indicates that the bone fragments remain in their anatomical position, which can influence treatment options and recovery time.

Common Symptoms

Patients with a nondisplaced Rolando's fracture may present with the following symptoms:

• Pain: Localized pain at the base of the thumb, which may worsen with movement or pressure.
• Swelling: Swelling around the thumb and wrist area, often accompanied by bruising.
• Tenderness: Increased sensitivity to touch at the fracture site.
• Decreased Range of Motion: Difficulty in moving the thumb, particularly in opposition and grasping motions.
• Instability: Although the fracture is nondisplaced, patients may feel a sense of instability in the thumb joint.

Signs on Examination

During a physical examination, healthcare providers may observe:

• Swelling and Ecchymosis: Visible swelling and bruising around the base of the thumb.
• Deformity: While the fracture is nondisplaced, there may be subtle changes in the contour of the thumb.
• Palpable Tenderness: Tenderness upon palpation of the first metacarpal base.
• Functional Impairment: Difficulty performing tasks that require thumb opposition, such as pinching or gripping.

Patient Characteristics

Demographics

• Age: Rolando's fractures are more common in younger individuals, particularly those engaged in sports or high-impact activities. However, they can occur in any age group.
• Gender: There may be a slight male predominance due to higher participation in contact sports and activities that increase the risk of trauma.

Risk Factors

• Activity Level: Individuals involved in sports or manual labor are at a higher risk due to increased exposure to potential injuries.
• Bone Health: Patients with underlying conditions affecting bone density, such as osteoporosis, may be more susceptible to fractures, although Rolando's fractures typically occur from acute trauma rather than chronic conditions.

Comorbidities

Patients with a history of previous hand injuries or conditions affecting hand function (e.g., arthritis) may experience more significant functional limitations following a Rolando's fracture. Additionally, individuals with diabetes or vascular diseases may have slower healing processes, impacting recovery.

Conclusion

Nondisplaced Rolando's fractures, coded as S62.226 in the ICD-10 classification, present with distinct clinical features that include localized pain, swelling, and functional impairment of the thumb. Understanding the signs, symptoms, and patient characteristics associated with this injury is crucial for effective diagnosis and management. Early intervention, including appropriate imaging and treatment, can help restore function and minimize complications, ensuring a better outcome for affected individuals.

The ICD-10 code S62.226 refers specifically to a nondisplaced Rolando's fracture of the unspecified hand. This type of fracture is characterized by a specific pattern of injury to the base of the first metacarpal bone, typically resulting from trauma. Below are alternative names and related terms associated with this condition:

Alternative Names

1. Nondisplaced Fracture of the First Metacarpal: This term emphasizes the location of the fracture, which is at the base of the thumb.
2. Rolando Fracture: A more general term that refers to the fracture pattern without specifying displacement.
3. Fracture of the Thumb Base: This term describes the anatomical location of the fracture.
4. Intra-articular Fracture of the First Metacarpal: This term highlights that the fracture involves the joint surface at the base of the thumb.

Related Terms

1. Metacarpal Fracture: A broader term that includes fractures of any of the metacarpal bones in the hand.
2. Hand Fracture: A general term that encompasses any fracture occurring in the hand.
3. Traumatic Thumb Injury: This term can refer to various types of injuries to the thumb, including fractures.
4. Comminuted Fracture: While not specific to nondisplaced fractures, this term may be used in cases where the fracture is more complex.
5. Fracture of the Carpometacarpal Joint: This term may be used when discussing fractures that involve the joint where the metacarpal meets the carpal bones.

Clinical Context

Understanding these alternative names and related terms is crucial for healthcare professionals when diagnosing and coding for injuries. Accurate coding ensures proper treatment and reimbursement processes. The nondisplaced nature of the fracture typically indicates a better prognosis, as it often requires less invasive treatment compared to displaced fractures.

In summary, the ICD-10 code S62.226 is associated with various terms that reflect its clinical significance and anatomical implications. These terms are essential for effective communication among healthcare providers and for accurate medical documentation.

The diagnosis of a nondisplaced Rolando's fracture, classified under ICD-10 code S62.226, involves specific clinical criteria and imaging findings. Here’s a detailed overview of the criteria used for diagnosing this type of fracture:

Understanding Rolando's Fracture

Definition

A Rolando's fracture is a specific type of intra-articular fracture of the base of the first metacarpal bone, which is the bone in the hand that supports the thumb. This fracture is characterized by a T- or Y-shaped fracture pattern and can be classified as displaced or nondisplaced. The nondisplaced variant means that the bone fragments remain in their normal anatomical position.

Diagnostic Criteria

Clinical Evaluation

1. Patient History:
   - The clinician will take a detailed history of the injury, including the mechanism of injury (e.g., a fall onto an outstretched hand or direct trauma).
   - Symptoms such as pain, swelling, and limited range of motion in the thumb and hand will be assessed.

2. Physical Examination:
   - Tenderness over the base of the first metacarpal.
   - Swelling and possible bruising in the area.
   - Assessment of grip strength and thumb function, which may be compromised.

Imaging Studies

1. X-rays:
   - Standard X-rays of the hand are the primary imaging modality used to confirm the diagnosis.
   - The X-ray should show a fracture at the base of the first metacarpal with no significant displacement of the fracture fragments.
   - The presence of a T- or Y-shaped fracture pattern is indicative of a Rolando's fracture.

2. Additional Imaging:
   - In some cases, advanced imaging such as CT scans may be utilized to better visualize the fracture pattern and assess for any subtle displacements or associated injuries.

Exclusion of Other Conditions

• The diagnosis of a nondisplaced Rolando's fracture must exclude other potential injuries, such as:
• Bennett's fracture (which is a displaced fracture of the first metacarpal).
• Other types of metacarpal fractures or injuries to the surrounding ligaments and tendons.

Conclusion

The diagnosis of a nondisplaced Rolando's fracture (ICD-10 code S62.226) relies on a combination of patient history, physical examination, and imaging studies, primarily X-rays. Accurate diagnosis is crucial for determining the appropriate treatment plan, which may include immobilization and rehabilitation to restore function to the hand. If you have further questions or need more specific information, feel free to ask!

Nondisplaced Rolando's fracture, classified under ICD-10 code S62.226, is a specific type of fracture that occurs at the base of the thumb, characterized by a Y- or T-shaped fracture pattern. This injury typically results from a fall or direct trauma to the hand. The treatment for this type of fracture generally involves a combination of immobilization, pain management, and rehabilitation. Below is a detailed overview of the standard treatment approaches for this condition.

Initial Assessment and Diagnosis

Before treatment begins, a thorough assessment is essential. This typically includes:

• Clinical Examination: Evaluating the range of motion, swelling, and tenderness in the affected area.
• Imaging Studies: X-rays are crucial for confirming the diagnosis and assessing the fracture's alignment and displacement.

Treatment Approaches

1. Immobilization

For nondisplaced fractures, the primary treatment method is immobilization to allow for proper healing. This can be achieved through:

• Splinting: A thumb spica splint is commonly used to immobilize the thumb and wrist, preventing movement that could disrupt healing.
• Casting: In some cases, a cast may be applied if the fracture is more complex or if additional support is needed.

2. Pain Management

Managing pain is a critical component of treatment. Options include:

• Over-the-Counter Pain Relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or acetaminophen can help alleviate pain and reduce inflammation.
• Prescription Medications: In cases of severe pain, stronger analgesics may be prescribed.

3. Rehabilitation

Once the initial healing phase is complete, rehabilitation becomes essential to restore function and strength. This may involve:

• Physical Therapy: A structured program focusing on range of motion exercises, strengthening, and functional training to regain full use of the hand.
• Occupational Therapy: This may be recommended to help patients adapt to daily activities and improve hand function.

4. Follow-Up Care

Regular follow-up appointments are necessary to monitor the healing process. This typically includes:

• Repeat X-rays: To ensure that the fracture is healing correctly and remains nondisplaced.
• Assessment of Functionality: Evaluating the recovery of hand function and making adjustments to rehabilitation as needed.

5. Surgical Intervention (if necessary)

While most nondisplaced fractures can be managed conservatively, surgical intervention may be required in certain cases, such as:

• Persistent Pain or Dysfunction: If the patient experiences ongoing issues despite conservative treatment.
• Complications: If there is a risk of displacement or other complications that could affect hand function.

Conclusion

The standard treatment for a nondisplaced Rolando's fracture (ICD-10 code S62.226) primarily involves immobilization, pain management, and rehabilitation. Most patients can expect a good recovery with appropriate care, allowing them to return to their normal activities. Regular follow-up is crucial to ensure proper healing and to address any complications that may arise. If conservative measures fail, surgical options are available to restore function and alleviate pain.

Clinical Description of ICD-10 Code S62.226: Nondisplaced Rolando's Fracture, Unspecified Hand

Overview of Rolando's Fracture

A Rolando's fracture is a specific type of fracture that occurs at the base of the first metacarpal bone, which is located in the thumb. This fracture is characterized by a comminuted fracture pattern, meaning that the bone is broken into multiple pieces. However, in the case of a nondisplaced Rolando's fracture, the fragments remain in their anatomical position, which is crucial for maintaining function and facilitating healing.

ICD-10 Code S62.226

The ICD-10 code S62.226 specifically refers to a nondisplaced Rolando's fracture of the unspecified hand. This classification is part of the broader category of fractures affecting the first metacarpal bone, which is denoted by the code S62.2. The distinction of "nondisplaced" indicates that while the bone is fractured, the alignment of the bone fragments has not been altered significantly, which typically results in a better prognosis and less complicated treatment compared to displaced fractures[1][2].

Clinical Presentation

Symptoms

Patients with a nondisplaced Rolando's fracture may present with the following symptoms:

• Pain: Localized pain at the base of the thumb, which may worsen with movement.
• Swelling: Swelling around the fracture site, often accompanied by bruising.
• Decreased Range of Motion: Difficulty in moving the thumb or gripping objects due to pain and swelling.
• Tenderness: Tenderness upon palpation of the affected area.

Mechanism of Injury

Rolando's fractures are commonly associated with high-energy trauma, such as falls onto an outstretched hand or direct blows to the thumb. They can also occur in sports-related injuries or accidents[3].

Diagnosis

Imaging Studies

Diagnosis typically involves:

• X-rays: Standard radiographs are used to confirm the fracture and assess its displacement. In the case of S62.226, the X-ray will show the fracture without significant displacement of the bone fragments.
• CT Scans: In some cases, a computed tomography (CT) scan may be utilized for a more detailed view of the fracture, especially if surgical intervention is being considered[4].

Treatment

Conservative Management

For nondisplaced fractures, treatment often includes:

• Immobilization: The use of a splint or cast to immobilize the thumb and allow for healing.
• Pain Management: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed to manage pain and inflammation.
• Rehabilitation: Once healing has progressed, physical therapy may be recommended to restore strength and range of motion.

Surgical Intervention

In cases where the fracture is more complex or if there is a risk of complications, surgical intervention may be necessary. This could involve the use of pins or plates to stabilize the fracture fragments, although this is less common for nondisplaced fractures[5].

Prognosis

The prognosis for a nondisplaced Rolando's fracture is generally favorable, with most patients experiencing a full recovery and return to normal function within a few weeks to months, depending on the severity of the injury and adherence to treatment protocols[6].

Conclusion

ICD-10 code S62.226 identifies a nondisplaced Rolando's fracture of the unspecified hand, characterized by a fracture at the base of the first metacarpal without significant displacement. Understanding the clinical presentation, diagnostic methods, and treatment options is essential for effective management and recovery from this type of injury. Proper diagnosis and treatment can lead to a positive outcome, allowing patients to regain full function of their hand.

References:

1. ICD-10-CM Code for Rolando's fracture S62.22.
2. ICD-10-CM - Medical Codes.
3. ICD-10 (2022) Code: S62226 (Diagnosis) - HIPAASpace.
4. 2025 ICD-10-CM Diagnosis Code S62.226 - The Web's Free 2023 ICD-10-CM.
5. Billing and Coding: Physical Therapy - Home Health.
6. 2024 ICD-10-CM Diagnosis Code S62.226 - The Web's Free 2023 ICD-10-CM.