S72.461
Displaced supracondylar fracture with intracondylar extension of lower end of right femur
Clinical Classification Guidelines
Medical Intelligence & Overview
A displaced supracondylar fracture with intracondylar extension of the lower end of the right femur is a serious injury involving a break near the bottom of the thigh bone (femur), just above the knee. In this type of fracture, the bone fragments are moved out of their normal positions, and the fracture extends into the intracondylar region, which is within the structure of the bone near the knee joint. This injury is often caused by high-energy trauma and requires prompt medical assessment and treatment to restore function and prevent complications.
Causes & Symptoms
Clinical Causes: Motor vehicle accidents or vehicular collisions High-impact falls, especially onto the knee or lower leg sports injuries involving direct blows or falls on the knee Direct trauma or crushing injuries to the thigh area Falls from significant heights, landing on the lower limb
Key Symptoms: Severe pain around the knee and thigh area Swelling and tenderness near the knee joint Deformity or abnormal positioning of the leg Inability or difficulty moving the knee or leg Bruising and skin discoloration over the injury site Numbness or tingling if nerves are affected Crepitus or a grinding sensation when the limb is moved
Diagnostic & Treatment
Diagnosis Path: Diagnosis is typically established through a combination of medical history, physical examination, and imaging studies. X-rays are essential to visualize the fracture, determine the degree of displacement, and assess the extent of intracondylar involvement. In some cases, additional imaging such as CT scans may be ordered for detailed assessment, especially if complex fracture patterns are suspected.
Treatment Protocols: Open reduction and internal fixation (ORIF) with screws, plates, or pins Immobilization with a cast or brace post-surgery to ensure proper healing Pain management using medications prescribed by the healthcare provider Physical therapy to regain strength and mobility after initial healing Monitoring for potential complications such as infection, nerve or blood vessel damage, or improper healing
Clinical Advice & FAQs
Billing Guidance
Is S72.461 a billable ICD-10 code?
Yes, S72.461 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S72.461?
Clinical documentation must specify the nature of Displaced supracondylar fracture with intracondylar extension of lower end of right femur and any associated comorbidities for accurate reporting.
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