S62.141
Displaced fracture of body of hamate [unciform] bone, right wrist
Clinical Classification Guidelines
Medical Intelligence & Overview
A displaced fracture of the body of the hamate bone in the right wrist involves a break where the fractured parts are not aligned properly. The hamate is one of the small carpal bones located on the palm side of the wrist, supporting hand movements and connecting the wrist to the fingers. Such fractures typically result from direct trauma or impact, especially in activities involving falls or direct blows to the wrist. Recognizing this injury is crucial to prevent long-term wrist dysfunction and to facilitate appropriate treatment and recovery.
Causes & Symptoms
Clinical Causes: Direct trauma from a fall onto the outstretched hand with the wrist in extension Blow to the ulnar side of the wrist during contact sports or accidental impact Crushing injuries involving heavy objects landing on the wrist Activities involving forceful gripping or twisting of the wrist
Key Symptoms: Pain and tenderness on the ulnar side of the wrist, especially over the hamate area Swelling and possible bruising around the wrist Difficulty in gripping or grasping objects Reduced wrist mobility and stiffness Possible numbness or tingling if nerves are affected
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves clinical examination and imaging studies. The healthcare provider will assess the wrist for tenderness, swelling, and range of motion. To confirm the fracture and assess its displacement, imaging tests such as X-rays are essential. Sometimes, additional imaging like CT scans may be necessary for detailed visualization of the fracture, especially if the displacement is complex or not clearly visible on standard X-rays.
Treatment Protocols: Immobilization with a cast or splint to keep the wrist stable during healing Pain management with medications such as NSAIDs Rest and elevation to reduce swelling In cases of significant displacement, surgical intervention may be required to realign the fracture fragments, which can involve internal fixation with wires, screws, or pins Rehabilitation exercises post-healing to restore strength and range of motion
Clinical Advice & FAQs
Billing Guidance
Is S62.141 a billable ICD-10 code?
Yes, S62.141 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S62.141?
Clinical documentation must specify the nature of Displaced fracture of body of hamate [unciform] bone, right wrist and any associated comorbidities for accurate reporting.
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