S42.261
Displaced fracture of lesser tuberosity of right humerus
Clinical Classification Guidelines
Medical Intelligence & Overview
A displaced fracture of the lesser tuberosity of the right humerus is an injury involving a break in a small bony prominence on the upper arm bone near the shoulder. This type of fracture occurs when the bone fragment is displaced from its normal position due to trauma or injury, often resulting from falls or direct blows to the shoulder. Recognizing this injury is crucial as it can impair shoulder movement and strength, affecting daily activities and sports participation.
Causes & Symptoms
Clinical Causes: Falls onto the shoulder or outstretched arm Direct trauma or blow to the shoulder region Sports injuries involving shoulder impact High-impact accidents, such as car crashes Repetitive stress or overuse in certain sports or activities
Key Symptoms: Sudden onset of shoulder pain, especially when moving or lifting the arm Swelling and tenderness around the shoulder joint Limited range of motion or difficulty raising the arm Deformity or unnatural bump in the shoulder area Muscle weakness in the shoulder and upper arm Pain that worsens with shoulder rotation or lifting
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a physical examination where the healthcare provider assesses tenderness, swelling, range of motion, and stability of the shoulder. Imaging studies are essential to confirm the fracture and evaluate its displacement. These may include: - X-rays: To visualize the bone break and its displacement - MRI or CT scans: Occasionally used for detailed assessment in complex cases The precise identification of displacement helps guide appropriate treatment strategies.
Treatment Protocols: Management of a displaced fracture of the lesser tuberosity generally requires surgical intervention to realign and stabilize the bone fragment. Treatment options include: - Open or arthroscopic surgery for internal fixation using screws or pins - Immobilization with a shoulder brace or sling following surgery or conservative management - Physical therapy to restore shoulder function, strength, and mobility after the initial healing phase Recovery time varies depending on the severity of the fracture and the success of surgical or conservative treatment, often ranging from several weeks to a few months.
Clinical Advice & FAQs
Billing Guidance
Is S42.261 a billable ICD-10 code?
Yes, S42.261 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S42.261?
Clinical documentation must specify the nature of Displaced fracture of lesser tuberosity of right humerus and any associated comorbidities for accurate reporting.
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