S49.01
Salter-Harris Type I physeal fracture of upper end of humerus
Clinical Classification Guidelines
Medical Intelligence & Overview
A Salter-Harris Type I physeal fracture of the upper end of the humerus is a specific type of growth plate injury occurring near the shoulder. This type of fracture involves a fracture through the growth plate (physis) without involving the surrounding bone. It typically results from trauma and is most common among children and adolescents whose bones are still growing. Recognizing and understanding this injury is essential for appropriate treatment and recovery.
Causes & Symptoms
Clinical Causes: Trauma from falls onto the shoulder or arm Sports injuries involving direct impact to the shoulder Bicycle or motorcycle accidents Physical assault or other blows to the shoulder Overuse or repetitive stress, although less common
Key Symptoms: Sudden shoulder pain, especially near the top of the upper arm Swelling or tenderness around the shoulder joint Limited range of motion in the shoulder Deformity or visible swelling in severe cases Pain that worsens with movement or touching the shoulder
Diagnostic & Treatment
Diagnosis Path: X-rays of the shoulder, focusing on the upper end of the humerus, to identify the fracture line through the growth plate Magnetic Resonance Imaging (MRI) may be used if the diagnosis is unclear or to assess soft tissue damage Comparative imaging of the contralateral shoulder might sometimes assist in assessment
Treatment Protocols: Immobilization with a shoulder sling or cast to prevent movement and support healing Pain management with analgesics as recommended by healthcare providers Monitoring through follow-up X-rays to ensure proper alignment during healing Physical therapy may be recommended after immobilization to restore shoulder strength and mobility In rare cases, surgical intervention might be necessary if the fracture is displaced significantly
Clinical Advice & FAQs
Billing Guidance
Is S49.01 a billable ICD-10 code?
Yes, S49.01 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S49.01?
Clinical documentation must specify the nature of Salter-Harris Type I physeal fracture of upper end of humerus and any associated comorbidities for accurate reporting.
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