S82.5
Fracture of medial malleolus
Clinical Classification Guidelines
Excludes Type 1
- pilon fracture of distal tibia (S82.87-)
- Salter-Harris type III of lower end of tibia (S89.13-)
- Salter-Harris type IV of lower end of tibia (S89.14-)
Medical Intelligence & Overview
A fracture of the medial malleolus refers to a break in the bony prominence on the inner side of the ankle. The medial malleolus is part of the tibia (shinbone), and plays a crucial role in ankle stability and movement. Such fractures are common injuries resulting from twisting injuries, falls, or direct trauma to the ankle. Recognizing the symptoms and understanding the causes can aid in prompt treatment and recovery.
Causes & Symptoms
Clinical Causes: Twisting or rotational injuries to the ankle, such as during sports or accidental falls Direct trauma, like a blow or impact to the inner ankle High-impact accidents or falls from significant heights Repetitive stress or overuse in athletes or workers involved in physically demanding activities
Key Symptoms: Pain on the inner side of the ankle, especially worsening with movement or weight-bearing Swelling around the ankle joint Tenderness upon touch over the medial malleolus Bruising or discoloration around the ankle Difficulty walking or bearing weight on the affected foot Deformity or felt abnormal alignment in severe cases
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a physical examination where the healthcare provider assesses pain, swelling, and deformities. Imaging studies are crucial to confirm the fracture. An X-ray of the ankle is the standard imaging technique used to visualize the break in the medial malleolus. In some cases, additional imaging like CT scans may be performed for detailed assessment, especially if complex fractures are suspected.
Treatment Protocols: Treatment options depend on the severity and type of the fracture. Common approaches include: - Rest and immobilization, often with a cast or brace to keep the ankle stable - Elevation and ice application to reduce swelling - Pain management with prescribed medications - Surgical intervention might be necessary if the fracture is displaced or involves multiple fragments, usually requiring internal fixation with screws or plates - Follow-up care involves physical therapy to restore strength, flexibility, and function of the ankle post-healing Recovery times vary based on fracture severity and treatment method, generally taking several weeks to months.
Clinical Advice & FAQs
Billing Guidance
Is S82.5 a billable ICD-10 code?
Yes, S82.5 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S82.5?
Clinical documentation must specify the nature of Fracture of medial malleolus and any associated comorbidities for accurate reporting.
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