ICD-10: S62.625
Displaced fracture of middle phalanx of left ring finger
Additional Information
Description
The ICD-10 code S62.625 specifically refers to a displaced fracture of the middle phalanx of the left ring finger. This classification falls under the broader category of injuries to the fingers, which are common in various activities, including sports, manual labor, and accidents.
Clinical Description
Definition
A displaced fracture occurs when the bone breaks and the fragments are misaligned, which can lead to complications if not properly treated. In the case of the middle phalanx of the left ring finger, this type of fracture can significantly impact hand function and may require surgical intervention to realign the bone fragments.
Symptoms
Patients with a displaced fracture of the middle phalanx may experience:
- Pain: Severe pain at the site of the fracture, especially when moving the finger or applying pressure.
- Swelling: Swelling around the affected finger, which may extend to the surrounding areas.
- Deformity: Visible deformity or abnormal positioning of the finger.
- Bruising: Discoloration of the skin due to bleeding under the skin.
- Reduced Mobility: Difficulty in moving the finger or gripping objects.
Diagnosis
Diagnosis typically involves:
- Physical Examination: A thorough examination by a healthcare provider to assess the injury.
- Imaging Studies: X-rays are commonly used to confirm the fracture and determine the degree of displacement. In some cases, CT scans may be utilized for a more detailed view.
Treatment Options
Non-Surgical Management
In cases where the fracture is stable and not significantly displaced, treatment may include:
- Immobilization: Using a splint or cast to keep the finger stable and prevent movement during the healing process.
- Pain Management: Over-the-counter pain relievers or prescribed medications to manage pain and inflammation.
Surgical Intervention
If the fracture is significantly displaced or involves joint surfaces, surgical options may be necessary:
- Reduction: The process of realigning the bone fragments, which can be done either through closed reduction (manipulating the bone without surgery) or open reduction (surgical exposure of the fracture site).
- Internal Fixation: Inserting pins, screws, or plates to hold the bone fragments in place during healing.
Prognosis
The prognosis for a displaced fracture of the middle phalanx of the left ring finger is generally good, especially with appropriate treatment. Most patients can expect to regain full function of the finger, although rehabilitation exercises may be necessary to restore strength and flexibility.
Conclusion
ICD-10 code S62.625 is crucial for accurately documenting and billing for the treatment of a displaced fracture of the middle phalanx of the left ring finger. Understanding the clinical implications, treatment options, and potential outcomes is essential for healthcare providers managing such injuries. Proper diagnosis and timely intervention can lead to effective recovery and restoration of hand function.
Clinical Information
When discussing the clinical presentation, signs, symptoms, and patient characteristics associated with the ICD-10 code S62.625, which refers to a displaced fracture of the middle phalanx of the left ring finger, it is essential to understand the nature of this injury and its implications for patient care.
Clinical Presentation
A displaced fracture of the middle phalanx of the left ring finger typically occurs due to trauma, such as a fall, direct impact, or crush injury. The clinical presentation can vary based on the severity of the fracture and the specific circumstances surrounding the injury.
Signs and Symptoms
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Pain: Patients often report significant pain at the site of the fracture, which may be exacerbated by movement or pressure on the finger. The pain can be sharp and localized to the middle phalanx.
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Swelling and Bruising: Swelling is common in the affected area, often accompanied by bruising. This can extend to adjacent fingers or the hand, depending on the extent of the injury.
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Deformity: A visible deformity may be present, particularly if the fracture is displaced. The finger may appear misaligned or bent at an unusual angle.
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Reduced Range of Motion: Patients typically experience limited mobility in the affected finger. Attempting to move the finger may result in increased pain and discomfort.
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Tenderness: The area around the fracture site is usually tender to touch, and palpation may elicit pain.
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Numbness or Tingling: In some cases, patients may report sensations of numbness or tingling, which could indicate nerve involvement or compression due to swelling.
Patient Characteristics
The characteristics of patients presenting with a displaced fracture of the middle phalanx can vary widely, but certain factors may be more prevalent:
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Age: This type of fracture can occur in individuals of all ages, but it is particularly common in younger individuals engaged in sports or activities that pose a risk of hand injuries. Older adults may also be at risk due to falls.
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Activity Level: Patients who are physically active or participate in contact sports may have a higher incidence of such fractures.
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Medical History: A history of osteoporosis or other bone-related conditions can predispose individuals to fractures. Additionally, patients with previous hand injuries may be more susceptible.
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Gender: While fractures can occur in any gender, certain studies suggest that males may experience hand fractures more frequently due to higher participation in riskier activities.
Conclusion
In summary, a displaced fracture of the middle phalanx of the left ring finger (ICD-10 code S62.625) presents with distinct clinical signs and symptoms, including pain, swelling, deformity, and reduced range of motion. Patient characteristics such as age, activity level, and medical history can influence the likelihood and presentation of this injury. Proper assessment and management are crucial for optimal recovery and restoration of function in the affected finger.
Approximate Synonyms
The ICD-10 code S62.625 specifically refers to a "Displaced fracture of middle phalanx of left ring finger." Understanding alternative names and related terms can be beneficial for medical professionals, coders, and researchers. Below is a detailed overview of alternative names and related terms associated with this specific diagnosis.
Alternative Names
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Displaced Fracture of the Middle Phalanx: This term is a more general description that can apply to any finger, but in this context, it specifically refers to the left ring finger.
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Fracture of the Middle Phalanx of the Left Ring Finger: This is a straightforward alternative that omits the term "displaced," focusing on the anatomical location of the fracture.
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Left Ring Finger Phalanx Fracture: A simplified version that indicates the fracture's location without specifying the type of fracture.
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Left Ring Finger Middle Phalanx Fracture: Similar to the above, this term emphasizes the specific phalanx involved.
Related Terms
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Phalanx Fracture: A broader term that encompasses fractures of any phalanx in the fingers or toes.
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Displaced Fracture: This term refers to fractures where the bone fragments are not aligned properly, which is a critical aspect of S62.625.
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Fracture of the Ring Finger: A general term that can refer to any fracture occurring in the ring finger, including those of the proximal or distal phalanx.
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Hand Fracture: A more general term that includes fractures of any bone in the hand, including the phalanges.
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Traumatic Finger Injury: This term encompasses various types of injuries to the fingers, including fractures, dislocations, and soft tissue injuries.
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ICD-10 Code S62.625B: This is a related code that may refer to a specific variant or additional detail regarding the fracture, such as laterality or specific characteristics of the injury.
Conclusion
Understanding the alternative names and related terms for ICD-10 code S62.625 can enhance communication among healthcare providers and improve the accuracy of medical records. These terms can also assist in coding and billing processes, ensuring that patients receive appropriate care and that healthcare providers are reimbursed correctly for their services. If you need further details or specific applications of these terms, feel free to ask!
Diagnostic Criteria
The ICD-10 code S62.625 specifically refers to a displaced fracture of the middle phalanx of the left ring finger. To accurately diagnose this condition, healthcare providers typically follow a set of criteria that includes clinical evaluation, imaging studies, and consideration of the patient's medical history. Below are the key components involved in the diagnostic process for this specific fracture:
Clinical Evaluation
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Patient History:
- The clinician will gather a detailed history of the injury, including the mechanism of trauma (e.g., fall, direct blow, or crush injury).
- Previous injuries or conditions affecting the hand or fingers may also be relevant. -
Physical Examination:
- Inspection: The affected finger may show signs of swelling, bruising, or deformity.
- Palpation: Tenderness over the middle phalanx is assessed, along with any abnormal mobility or crepitus (a grating sensation).
- Range of Motion: The clinician will evaluate the range of motion of the finger to determine functional impairment.
Imaging Studies
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X-rays:
- X-rays are the primary imaging modality used to confirm the diagnosis of a displaced fracture. They help visualize the fracture line, displacement, and any associated injuries to surrounding structures.
- Multiple views (e.g., anteroposterior and lateral) are often taken to fully assess the fracture. -
CT or MRI (if necessary):
- In complex cases or when there is suspicion of associated injuries (e.g., ligamentous injuries), a CT scan or MRI may be utilized for a more detailed evaluation.
Diagnostic Criteria
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Fracture Identification:
- The fracture must be confirmed as a displaced fracture of the middle phalanx of the left ring finger, as indicated by the specific ICD-10 code S62.625. -
Displacement Assessment:
- The degree of displacement (e.g., angulation, translation) is crucial for determining the treatment approach and is documented in the medical record. -
Exclusion of Other Conditions:
- The clinician must rule out other potential injuries, such as fractures of adjacent bones or soft tissue injuries, which may require different management.
Documentation
- Accurate documentation is essential for coding purposes. The medical record should clearly state the diagnosis, the mechanism of injury, the findings from the physical examination, and the results of any imaging studies performed.
In summary, the diagnosis of a displaced fracture of the middle phalanx of the left ring finger (ICD-10 code S62.625) involves a comprehensive approach that includes patient history, physical examination, imaging studies, and thorough documentation. This ensures that the condition is accurately identified and appropriately managed.
Treatment Guidelines
When addressing the standard treatment approaches for a displaced fracture of the middle phalanx of the left ring finger, designated by ICD-10 code S62.625, it is essential to consider both the nature of the injury and the best practices in orthopedic care. This type of fracture typically results from trauma, such as a fall or direct impact, and requires careful management to ensure proper healing and restoration of function.
Initial Assessment and Diagnosis
Clinical Evaluation
Upon presentation, a thorough clinical evaluation is conducted, which includes:
- History Taking: Understanding the mechanism of injury and any associated symptoms, such as pain, swelling, or loss of function.
- Physical Examination: Assessing the range of motion, tenderness, and any visible deformity in the affected finger.
Imaging Studies
Radiographic imaging, typically X-rays, is essential to confirm the diagnosis and assess the extent of the fracture. X-rays will help determine:
- The degree of displacement.
- The presence of any associated injuries to surrounding structures.
Treatment Approaches
Non-Surgical Management
For non-displaced or minimally displaced fractures, conservative treatment is often sufficient:
- Immobilization: The finger may be immobilized using a splint or buddy taping to an adjacent finger to maintain alignment and prevent movement.
- Pain Management: Over-the-counter analgesics, such as acetaminophen or NSAIDs, can be prescribed to manage pain and inflammation.
- Rehabilitation: Once the initial healing phase is complete, physical therapy may be recommended to restore range of motion and strength.
Surgical Intervention
In cases of significant displacement or if the fracture is unstable, surgical intervention may be necessary:
- Open Reduction and Internal Fixation (ORIF): This procedure involves realigning the fractured bone fragments and securing them with plates and screws. This approach is often preferred for displaced fractures to ensure proper alignment and healing.
- Closed Reduction: In some cases, a closed reduction may be performed, where the fracture is realigned without surgical exposure, followed by immobilization.
Postoperative Care
Following surgical treatment, the following steps are typically taken:
- Follow-Up Imaging: X-rays may be repeated to confirm proper alignment post-surgery.
- Rehabilitation: A structured rehabilitation program is crucial for regaining function. This may include exercises to improve flexibility and strength, typically starting after a few weeks of immobilization.
Complications and Considerations
Patients should be informed about potential complications, which may include:
- Nonunion or malunion of the fracture.
- Stiffness or loss of motion in the finger.
- Infection, particularly if surgical intervention is performed.
Patient Education
Educating the patient about the importance of adhering to treatment protocols, recognizing signs of complications, and engaging in rehabilitation exercises is vital for optimal recovery.
Conclusion
The management of a displaced fracture of the middle phalanx of the left ring finger involves a combination of careful assessment, appropriate treatment strategies, and ongoing rehabilitation. Whether treated conservatively or surgically, the goal is to restore function and minimize complications, ensuring the best possible outcome for the patient. Regular follow-ups and patient education play crucial roles in the recovery process.
Related Information
Description
- Displaced fracture of middle phalanx
- Left ring finger involved
- Severe pain experienced
- Swelling and deformity present
- Reduced mobility and bruising common
- Imaging studies used for diagnosis
- Immobilization or surgery may be necessary
Clinical Information
- Displaced fracture of middle phalanx
- Typically due to trauma or fall
- Significant pain at site of fracture
- Swelling and bruising common
- Visible deformity may be present
- Reduced range of motion and tenderness
- Numbness or tingling possible
Approximate Synonyms
- Displaced Fracture of the Middle Phalanx
- Fracture of the Middle Phalanx of the Left Ring Finger
- Left Ring Finger Phalanx Fracture
- Left Ring Finger Middle Phalanx Fracture
- Phalanx Fracture
- Displaced Fracture
- Fracture of the Ring Finger
- Hand Fracture
- Traumatic Finger Injury
Diagnostic Criteria
- Patient history of injury mechanism
- Detailed physical examination including inspection and palpation
- Tenderness over middle phalanx confirmed
- Abnormal mobility or crepitus present
- Range of motion evaluated for functional impairment
- X-rays confirm fracture line, displacement, and associated injuries
- Fracture identified as displaced middle phalanx fracture
- Degree of displacement (angulation, translation) documented
Treatment Guidelines
- Assess displacement on X-ray
- Immobilize finger with splint or buddy taping
- Prescribe pain management with analgesics
- Consider ORIF for significant displacement
- Monitor for nonunion, malunion, stiffness, and infection
- Follow up with imaging to confirm proper alignment post-surgery
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