S82.86
Maisonneuve's fracture
Clinical Classification Guidelines
Medical Intelligence & Overview
Maisonneuve's fracture is a specific types of injury involving the ankle and the proximal fibula. It is characterized by a fracture of the proximal fibula associated with a medial malleolar fracture or disruption of the deltoid ligament. This injury often results from high-impact trauma such as falls from a height or car accidents. Recognizing this fracture is important for proper treatment and recovery, as it can be associated with complex damage to ankle structures and the surrounding tissues.
Causes & Symptoms
Clinical Causes: High-energy impacts such as car accidents or falls from significant heights Trauma that involves twisting or rotation of the ankle Sports injuries involving sudden stops, twists, or falls Direct blow to the lower leg or ankle in accidents
Key Symptoms: Severe pain around the ankle and lower leg Swelling and bruising in the ankle area Difficulty bearing weight or walking Deformity or abnormal positioning of the ankle Tenderness to touch around the ankle and proximal fibula Hearing or feeling a possible fracture or snapping at the time of injury
Diagnostic & Treatment
Diagnosis Path: Diagnosing a Maisonneuve's fracture involves a combination of clinical assessment and imaging studies. Medical providers typically perform a physical examination to assess pain, swelling, and deformity. Imaging techniques such as X-rays are essential to identify the fracture of the proximal fibula and assess associated ankle injuries. In some cases, additional imaging like MRI or CT scans can help evaluate soft tissue damage and assess the extent of injury to ligaments and cartilage. A detailed understanding of the injury pattern helps guide appropriate treatment.
Treatment Protocols: Open reduction and internal fixation (ORIF) to repair the fibula and ankle bones Stabilization of the ankle joint with screws or plates Potential repair or reconstruction of damaged ligaments Postoperative immobilization in a cast or brace Rehabilitation therapy to restore strength, flexibility, and function Gradual return to weight-bearing activities under medical supervision
Clinical Advice & FAQs
Billing Guidance
Is S82.86 a billable ICD-10 code?
Yes, S82.86 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S82.86?
Clinical documentation must specify the nature of Maisonneuve's fracture and any associated comorbidities for accurate reporting.
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