S65.31
Laceration of deep palmar arch
Clinical Classification Guidelines
Medical Intelligence & Overview
A laceration of the deep palmar arch is a type of injury involving a cut or tear in the deep arterial arch of the hand. This is a specialized blood vessel network that supplies blood to the deep structures of the palm and fingers. Such injuries can be serious due to potential bleeding and damage to nerves and blood vessels, which may impact hand function if not properly treated. Recognizing the nature of this injury is important for timely medical intervention and to prevent complications.
Causes & Symptoms
Clinical Causes: Sharp objects such as knives, glass, or metal instruments causing a cut across the palm Accidental injuries during activities involving hand tools or machinery Falls or trauma that impact the palm, leading to tearing of the deep palmar vessels Explosive or high-force injuries that cause deep penetrating wounds in the hand
Key Symptoms: Significant bleeding from the wound site Pain and tenderness around the affected area Swelling or bruising in the palm Limited movement or weakness in the fingers Possible numbness or tingling if nerves are affected Difficulty gripping or performing fine motor tasks Visible or palpable abnormality in the hand's deep structures
Diagnostic & Treatment
Diagnosis Path: Visual inspection of the wound and hand Assessment of blood flow to the fingers, including checking for pulse and color changes Imaging tests such as ultrasound or angiography to evaluate blood vessel integrity Nerve function tests if nerve injury is suspected
Treatment Protocols: Control of bleeding through direct pressure or tourniquets if severe Wound cleaning and debridement to prevent infection Surgical repair of the deep palmar arch and associated structures Repair of damaged nerves if necessary Immobilization of the hand with supports or casts to facilitate healing Antibiotics to prevent infection Pain management with appropriate medications Rehabilitation exercises for restoring hand strength and mobility after healing
Clinical Advice & FAQs
Billing Guidance
Is S65.31 a billable ICD-10 code?
Yes, S65.31 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S65.31?
Clinical documentation must specify the nature of Laceration of deep palmar arch and any associated comorbidities for accurate reporting.
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