M92.7
Juvenile osteochondrosis of metatarsus
Clinical Classification Guidelines
Inclusion Terms
- Osteochondrosis (juvenile) of fifth metatarsus [Iselin]
- Osteochondrosis (juvenile) of second metatarsus [Freiberg]
Medical Intelligence & Overview
Juvenile osteochondrosis of the metatarsus, also known as osteochondrosis (juvenile) of the fifth or second metatarsal, is a condition affecting young individuals' foot bones. This disorder involves the disruption of blood supply to developing bone tissue, leading to degeneration or necrosis of the osteochondral area. It predominantly affects children and adolescents during periods of rapid growth, particularly in the metatarsal bones of the foot, such as the fifth metatarsal (often called Iselin disease) or the second metatarsal (known as Freiberg disease). The condition can cause pain, swelling, and deformity in the affected area, potentially impacting walking and daily activities.
Causes & Symptoms
Clinical Causes: Repetitive stress or overuse of the foot bones during sports or physical activity Trauma or injury to the foot, such as fractures or sprains Rapid growth phases in children and adolescents, which can transiently compromise blood flow Abnormal foot mechanics or deformities that increase strain on the metatarsal bones Genetic predisposition affecting bone development
Key Symptoms: Localized pain in the affected metatarsal bone, often worsening with activity Swelling or tenderness around the affected area Sensitivity to touch or pressure on the metatarsal region Potential development of a bony prominence or deformity over time Limited range of motion or difficulty in movement, especially when walking Discomfort during weight-bearing activities
Diagnostic & Treatment
Diagnosis Path: The diagnosis typically involves a combination of clinical examination and imaging studies. Healthcare providers may perform:
Treatment Protocols: Management of juvenile osteochondrosis of the metatarsus often focuses on relieving symptoms and promoting healing. Treatment options include:
Clinical Advice & FAQs
Billing Guidance
Is M92.7 a billable ICD-10 code?
Yes, M92.7 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M92.7?
Clinical documentation must specify the nature of Juvenile osteochondrosis of metatarsus and any associated comorbidities for accurate reporting.
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