S89.211
Salter-Harris Type I physeal fracture of upper end of right fibula
Clinical Classification Guidelines
Medical Intelligence & Overview
A Salter-Harris Type I fracture involves a break through the growth plate (physis) of a bone, often seen in children and adolescents whose bones are still growing. The specific injury classified under ICD-10 code S89.211 refers to a Salter-Harris Type I fracture at the upper end of the right fibula. The fibula is the smaller of the two bones in the lower leg, positioned on the outside of the leg, and plays an important role in ankle stability and leg movement. Recognizing and understanding this fracture is vital for proper management and recovery, especially in young individuals whose growth plates are still open.
Causes & Symptoms
Clinical Causes: Trauma from sports injuries, falls, or accidents Direct blow to the outer lower leg Twisting injuries that cause the ankle to turn unexpectedly Sports-related hyperextension or hyperflexion of the ankle High-impact sports such as football, basketball, or skiing
Key Symptoms: Immediate pain localized on the outer side of the lower leg or ankle Swelling around the upper part of the fibula Tenderness to touch over the affected area Difficulty or pain when bearing weight on the leg Possible visible deformity or abnormal positioning (though less common) Limited range of motion in the ankle or lower leg
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a thorough physical examination by a healthcare professional, who assesses pain, swelling, and mobility. Imaging studies are crucial for confirming the fracture type and location. An X-ray of the lower leg and ankle will reveal the fracture line crossing through the growth plate at the upper end of the right fibula, consistent with a Salter-Harris Type I fracture. In some instances, additional imaging like MRI may be used to assess soft tissue injury or if the fracture is unclear on X-rays.
Treatment Protocols: Treatment strategies focus on realigning the bone and allowing proper healing to prevent future growth disturbances. Options include:
Clinical Advice & FAQs
Billing Guidance
Is S89.211 a billable ICD-10 code?
Yes, S89.211 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S89.211?
Clinical documentation must specify the nature of Salter-Harris Type I physeal fracture of upper end of right fibula and any associated comorbidities for accurate reporting.
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