S92.033
Displaced avulsion fracture of tuberosity of unspecified calcaneus
Clinical Classification Guidelines
Medical Intelligence & Overview
A displaced avulsion fracture of the tuberosity of the calcaneus is a specific type of heel bone injury that occurs when a fragment of the heel's bony projection (the tuberosity) is pulled away from the main bone due to strong muscular forces or trauma. The calcaneus, also known as the heel bone, is the largest bone in the foot and plays a crucial role in weight bearing and mobility. When this fracture occurs, it can lead to pain, swelling, and difficulty walking, requiring careful diagnosis and management.
Causes & Symptoms
Clinical Causes: Sudden injury from falls or direct blows to the heel Overuse or repetitive stress during sports, especially jumping or running activities Trauma from accidents, such as car crashes or falls from height Forcible muscle contractions, like during intense physical activity or seizures
Key Symptoms: Severe pain in the heel, especially at the back Swelling and tenderness around the heel area Bruising or discoloration over the injury site Difficulty walking or putting weight on the affected foot Visible deformity or asymmetry of the heel in some cases Reduced range of motion in the foot and ankle
Diagnostic & Treatment
Diagnosis Path: X-rays of the heel to visualize the fracture and assess displacement Computed tomography (CT) scans for detailed bone visualization if needed Magnetic resonance imaging (MRI) may be used to evaluate soft tissue injury or associated damage
Treatment Protocols: Immobilization with a cast or brace to restrict movement and allow healing Rest and elevation to reduce swelling Pain management with medications as prescribed by healthcare providers Surgical intervention in cases of significant displacement or unstable fractures, often involving fixation with screws or pins to realign the bone fragments Physical therapy post-treatment to restore function, strength, and flexibility
Clinical Advice & FAQs
Billing Guidance
Is S92.033 a billable ICD-10 code?
Yes, S92.033 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S92.033?
Clinical documentation must specify the nature of Displaced avulsion fracture of tuberosity of unspecified calcaneus and any associated comorbidities for accurate reporting.
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