S52.27
Monteggia's fracture of ulna
Clinical Classification Guidelines
Inclusion Terms
- Fracture of upper shaft of ulna with dislocation of radial head
Medical Intelligence & Overview
Monteggia's fracture of the ulna is a specific type of arm injury involving a break in the upper part of the ulna (one of the two long bones in the forearm) combined with a dislocation of the radial head at the elbow. Recognized under the ICD-10 code S52.27, this injury often results from direct trauma or falls onto an outstretched arm. Proper diagnosis and treatment are essential to restore function and prevent long-term complications.
Causes & Symptoms
Clinical Causes: Falls onto an outstretched arm, especially from a height or during sports activities Direct blow or trauma to the forearm caused by accidents or falls Motor vehicle accidents leading to high-impact injuries Sports injuries involving falls or collisions Twisting injuries during physical activities
Key Symptoms: Immediate pain in the forearm and elbow Swelling and tenderness over the upper forearm Deformity or abnormal angulation of the arm Limited movement or inability to straighten or bend the elbow Bruising or discoloration around the injury site Numbness or tingling sensations if nerves are affected Difficulty performing usual arm movements
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a physical examination to assess deformity, swelling, and range of motion, followed by imaging studies. X-rays of the forearm and elbow are essential to confirm the fracture of the ulna and the dislocation of the radial head. In some cases, additional imaging, such as CT scans, may be needed to evaluate complex fracture patterns or associated injuries. The healthcare provider will also check for nerve or blood vessel damage during the assessment.
Treatment Protocols: Treatment of Monteggia's fracture typically requires prompt medical attention. Management may include:
Clinical Advice & FAQs
Billing Guidance
Is S52.27 a billable ICD-10 code?
Yes, S52.27 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S52.27?
Clinical documentation must specify the nature of Monteggia's fracture of ulna and any associated comorbidities for accurate reporting.
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