ICD-10: S82.829

The ICD-10 code S82.829 refers to a torus fracture of the lower end of the unspecified fibula. This type of fracture is characterized by a specific type of bone injury that typically occurs in children, where the bone bends and creates a bulge or "torus" without breaking completely. Below is a detailed clinical description and relevant information regarding this diagnosis.

Clinical Description

Definition of Torus Fracture

A torus fracture, also known as a buckle fracture, is a common injury in pediatric patients. It occurs when one side of the bone compresses and bulges outward, while the other side remains intact. This type of fracture is often the result of a fall or direct impact, and it is less severe than complete fractures, making it a frequent occurrence in children due to their softer, more pliable bones.

Location and Implications

The fibula is one of the two long bones in the lower leg, located parallel to the tibia. The lower end of the fibula is near the ankle joint, and injuries in this area can affect mobility and stability. A torus fracture in this region may lead to localized pain, swelling, and tenderness, particularly around the ankle.

Symptoms

Patients with a torus fracture of the fibula may present with:
- Localized pain: Often exacerbated by movement or pressure.
- Swelling: Around the ankle or lower leg.
- Bruising: May occur in some cases.
- Limited range of motion: Due to pain and swelling.

Diagnosis

Diagnosis typically involves:
- Clinical examination: Assessing the site of injury for tenderness and swelling.
- Imaging studies: X-rays are the primary tool for diagnosing torus fractures. They may show the characteristic bulging of the bone without a complete fracture line.

Treatment

The treatment for a torus fracture generally involves conservative management, including:
- Rest: Avoiding weight-bearing activities to allow healing.
- Immobilization: A splint or cast may be used to stabilize the area.
- Pain management: Over-the-counter pain relievers can help alleviate discomfort.

Most torus fractures heal well with appropriate care, typically within a few weeks, and do not usually lead to long-term complications.

Coding and Billing

The ICD-10 code S82.829 is used for billing and coding purposes in medical records. It is essential for healthcare providers to accurately document the type of fracture to ensure proper treatment and reimbursement. This code specifically indicates a torus fracture of the lower end of the fibula that is unspecified, meaning that the exact location or side (left or right) is not specified in the documentation.

Related Codes

• S82.829D: Indicates a torus fracture with a subsequent encounter.
• S82.829G: Refers to a torus fracture with a specific type of treatment or complication.
• S82.829P: Used for a torus fracture that is a sequela, indicating a condition resulting from the initial injury.

Conclusion

The ICD-10 code S82.829 for a torus fracture of the lower end of the unspecified fibula is a critical classification for understanding and managing this common pediatric injury. With appropriate diagnosis and treatment, patients typically recover fully, allowing them to return to normal activities without lasting effects. Proper coding ensures that healthcare providers can deliver effective care while also facilitating accurate billing and record-keeping.

Torus fractures, also known as buckle fractures, are common injuries, particularly in pediatric populations. The ICD-10 code S82.829 specifically refers to a torus fracture of the lower end of the unspecified fibula. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this type of fracture is essential for accurate diagnosis and management.

Clinical Presentation

Definition and Mechanism of Injury

A torus fracture is characterized by a compression injury that causes the bone to bulge or buckle without breaking completely. This type of fracture typically occurs in children due to their softer, more pliable bones. The lower end of the fibula, located near the ankle, is susceptible to such injuries, often resulting from falls, sports injuries, or accidents.

Patient Characteristics

• Age: Torus fractures are most prevalent in children aged 5 to 15 years, as their bones are still developing and are more prone to such injuries[1].
• Activity Level: Active children involved in sports or play are at a higher risk of sustaining these types of fractures due to falls or direct impacts[1].
• Gender: There may be a slight male predominance in the incidence of torus fractures, although this can vary based on specific activities and sports participation[1].

Signs and Symptoms

Common Symptoms

• Pain: Patients typically present with localized pain around the lower end of the fibula. The pain may be exacerbated by movement or pressure on the affected area[1].
• Swelling: Swelling around the ankle or lower leg is common, indicating inflammation and potential soft tissue injury[1].
• Bruising: Ecchymosis may be present, although it is less common than in more severe fractures[1].
• Limited Range of Motion: Patients may exhibit difficulty in moving the ankle or foot due to pain and swelling, leading to a reluctance to bear weight on the affected limb[1].

Physical Examination Findings

• Tenderness: On examination, there is often tenderness directly over the lower fibula, which may be assessed by palpation[1].
• Deformity: While torus fractures typically do not result in significant deformity, any visible misalignment or abnormal positioning of the ankle should be noted[1].
• Neurological and Vascular Assessment: It is crucial to assess for any signs of neurovascular compromise, although this is rare in isolated torus fractures[1].

Diagnosis

Imaging Studies

• X-rays: Standard radiographs are the primary diagnostic tool for identifying torus fractures. The characteristic appearance of a buckle or bulge in the cortex of the fibula will be evident on X-ray images[1].
• CT or MRI: In cases where the fracture is not clearly visible or if there are concerns about associated injuries, advanced imaging may be utilized, although this is less common for straightforward torus fractures[1].

Conclusion

Torus fractures of the lower end of the fibula, coded as S82.829 in the ICD-10 system, are common injuries in children, characterized by specific clinical presentations and symptoms. Recognizing the signs of pain, swelling, and limited mobility is crucial for timely diagnosis and management. Proper imaging techniques, primarily X-rays, are essential for confirming the diagnosis and guiding treatment, which typically involves immobilization and rest to allow for healing. Understanding these aspects can aid healthcare providers in delivering effective care for affected patients.

The ICD-10 code S82.829 refers specifically to a torus fracture of the lower end of the unspecified fibula. This type of fracture is characterized by a compression fracture that typically occurs in children, where the bone bends and creates a bulge without breaking completely. Below are alternative names and related terms associated with this specific code:

Alternative Names

1. Buckle Fracture: This term is often used interchangeably with torus fractures, particularly in pediatric cases, as it describes the same mechanism of injury where the bone compresses and bulges.
2. Greenstick Fracture: While not identical, this term is related as it describes a fracture that occurs on one side of the bone, bending it without breaking it completely, similar to how a young tree branch might break.
3. Incomplete Fracture: This term can also describe a torus fracture, emphasizing that the fracture does not extend completely through the bone.

Related Terms

1. Fibula Fracture: A broader term that encompasses any fracture of the fibula, including torus fractures.
2. Lower Extremity Fracture: This term refers to fractures occurring in the lower limb, which includes the fibula.
3. Pediatric Fracture: Since torus fractures are more common in children, this term is relevant when discussing the demographic most affected by this type of injury.
4. Non-displaced Fracture: This term describes fractures where the bone fragments remain in alignment, which is often the case with torus fractures.

Clinical Context

Understanding these alternative names and related terms is crucial for healthcare professionals involved in diagnosis, treatment, and coding of fractures. Accurate terminology ensures proper communication among medical staff and aids in the billing and coding process, particularly in outpatient and home health occupational therapy settings[5][7].

In summary, the ICD-10 code S82.829 for a torus fracture of the lower end of the unspecified fibula can be associated with several alternative names and related terms that reflect its nature and the context in which it occurs.

The diagnosis of a torus fracture, specifically for the ICD-10 code S82.829, which refers to a torus fracture of the lower end of the unspecified fibula, involves several clinical criteria and considerations. Here’s a detailed overview of the diagnostic criteria and relevant information regarding this type of fracture.

Understanding Torus Fractures

Definition

A torus fracture, also known as a buckle fracture, is a type of incomplete fracture commonly seen in children. It occurs when one side of the bone buckles upon itself without breaking all the way through, typically due to a compressive force. This type of fracture is often associated with lower extremity injuries, particularly in the fibula.

Common Symptoms

• Localized Pain: Patients typically experience pain at the site of the fracture, which may worsen with movement.
• Swelling: There may be noticeable swelling around the affected area.
• Tenderness: The area may be tender to touch, indicating injury to the bone and surrounding tissues.
• Limited Mobility: Patients may have difficulty bearing weight or moving the affected limb.

Diagnostic Criteria

Clinical Evaluation

1. Patient History: A thorough history is taken to understand the mechanism of injury, including any falls or trauma that may have led to the fracture.
2. Physical Examination: The physician will perform a physical examination to assess pain, swelling, and range of motion in the affected limb.

Imaging Studies

• X-rays: The primary diagnostic tool for identifying a torus fracture is an X-ray. The X-ray will typically show:
• A bulging or buckling of the cortex of the fibula.
• No complete fracture line, which distinguishes it from more severe fracture types.
• Follow-up Imaging: In some cases, follow-up imaging may be necessary to monitor healing or to rule out other injuries.

Differential Diagnosis

• It is essential to differentiate a torus fracture from other types of fractures, such as:
• Complete fractures
• Greenstick fractures
• Other soft tissue injuries

ICD-10 Coding Considerations

• The specific code S82.829 is used when the fracture is located at the lower end of the fibula and is unspecified, meaning that the exact location or type of fracture is not detailed further in the documentation.
• Additional codes may be used to specify the nature of the injury, such as whether it is a subsequent encounter or if there are complications.

Conclusion

Diagnosing a torus fracture of the lower end of the fibula (ICD-10 code S82.829) involves a combination of clinical evaluation, patient history, and imaging studies, primarily X-rays. The characteristic features of a torus fracture, including localized pain and swelling without a complete fracture line, help healthcare providers confirm the diagnosis. Proper identification and coding are crucial for effective treatment and management of the injury.

Torus fractures, also known as buckle fractures, are common in pediatric populations and typically occur in long bones, including the fibula. The ICD-10 code S82.829 specifically refers to a torus fracture of the lower end of the unspecified fibula. Here’s a detailed overview of the standard treatment approaches for this type of fracture.

Understanding Torus Fractures

Torus fractures are characterized by a compression of the bone that causes it to bulge or buckle without breaking completely. This type of fracture is often less severe than complete fractures and generally has a good prognosis, especially in children whose bones are still developing.

Standard Treatment Approaches

1. Initial Assessment and Diagnosis

• Clinical Evaluation: A thorough physical examination is essential to assess the extent of the injury, including checking for swelling, tenderness, and range of motion.
• Imaging: X-rays are typically performed to confirm the diagnosis of a torus fracture and to rule out more serious injuries. In some cases, advanced imaging like MRI may be used if the diagnosis is unclear.

2. Immobilization

• Casting or Splinting: The standard treatment for a torus fracture involves immobilizing the affected limb. A short arm cast or a splint may be applied to prevent movement and allow the bone to heal. The duration of immobilization usually ranges from 3 to 6 weeks, depending on the patient's age and the specific characteristics of the fracture[1].

3. Pain Management

• Analgesics: Over-the-counter pain relievers such as acetaminophen or ibuprofen can be administered to manage pain and discomfort associated with the fracture. It is important to follow dosing guidelines appropriate for the patient's age and weight[1].

4. Follow-Up Care

• Regular Monitoring: Follow-up appointments are crucial to monitor the healing process. X-rays may be repeated to ensure that the fracture is healing correctly and that there are no complications.
• Rehabilitation: Once the cast is removed, physical therapy may be recommended to restore strength and range of motion. This is particularly important in children to ensure proper recovery and return to normal activities[1].

5. Activity Modification

• Limit Weight Bearing: During the healing process, it is advised to limit weight-bearing activities to prevent further injury. Crutches may be provided to assist with mobility if necessary[1].

Prognosis and Recovery

The prognosis for torus fractures is generally excellent, especially in children. Most patients experience complete recovery with appropriate treatment, and the risk of long-term complications is low. Full recovery typically allows for a return to normal activities, including sports and physical play, once the fracture has healed and strength has been regained[1].

Conclusion

In summary, the standard treatment for a torus fracture of the lower end of the fibula involves immobilization, pain management, and regular follow-up care to ensure proper healing. With appropriate treatment, patients can expect a favorable outcome and a return to their usual activities. If you have further questions or need more specific information regarding individual cases, consulting with a healthcare professional is recommended.

[1] Information derived from clinical guidelines on the management of torus fractures and general orthopedic practices.