S43.131
Dislocation of right acromioclavicular joint, greater than 200% displacement
Clinical Classification Guidelines
Medical Intelligence & Overview
A dislocation of the acromioclavicular (AC) joint occurs when the collarbone (clavicle) separates from the highest point of the shoulder blade (acromion). Specifically, the ICD-10 code S43.131 refers to a dislocation of the right AC joint with greater than 200% displacement, indicating a severe injury where the bones are significantly separated. This type of injury is often associated with sports, falls, or trauma and can cause substantial shoulder pain and impaired movement. Proper understanding and management are essential for recovery and minimizing long-term complications.
Causes & Symptoms
Clinical Causes: Direct trauma or impact to the shoulder, such as a fall onto the shoulder or outstretched hand Sports injuries, especially contact sports like football, rugby, or cycling accidents High-impact falls from a height Vehicular accidents resulting in shoulder trauma Heavy lifting or sudden forceful movements that strain the shoulder
Key Symptoms: Severe pain at the top of the shoulder, especially near the collarbone Visible deformity or bump at the joint caused by displacement Swelling and tenderness around the shoulder Limited range of motion or difficulty moving the arm A sensation of instability or shoulder 'pop' at the moment of injury Possible bruising around the shoulder and upper arm Weakness in the arm and shoulder area
Diagnostic & Treatment
Diagnosis Path: X-ray imaging: This is the primary method used to visualize bone displacement and assess the severity of the injury. Additional imaging like MRI may be used in complex cases to evaluate surrounding tissues, ligaments, and possible associated injuries.
Treatment Protocols: Immobilization: The use of a shoulder brace or sling to prevent movement and allow healing Pain management: Use of medications such as NSAIDs to reduce pain and inflammation Physical therapy: Rehabilitation exercises to restore strength, stability, and range of motion once initial healing occurs Surgical intervention: In cases of significant displacement like this, surgery may be necessary to realign and secure the joint using screws, plates, or pins Postoperative care: Follow-up rehabilitation to optimize recovery and prevent future issues
Clinical Advice & FAQs
Billing Guidance
Is S43.131 a billable ICD-10 code?
Yes, S43.131 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S43.131?
Clinical documentation must specify the nature of Dislocation of right acromioclavicular joint, greater than 200% displacement and any associated comorbidities for accurate reporting.
Cite this Clinical Reference