S99.02
Salter-Harris Type II physeal fracture of calcaneus
Clinical Classification Guidelines
Medical Intelligence & Overview
A Salter-Harris Type II physeal fracture of the calcaneus is a specific type of ankle injury involving the growth plate of the heel bone. The calcaneus, or heel bone, forms a crucial part of the foot's structure and plays a significant role in walking and bearing weight. When a fracture occurs through the growth plate in this area, it is classified as a Salter-Harris Type II fracture, which is one of the most common types affecting children and adolescents whose bones are still developing. Proper diagnosis and treatment are essential to ensure normal bone growth and prevent long-term complications.
Causes & Symptoms
Clinical Causes: Falls from height onto the heel Sports injuries involving excessive twisting or impact Direct trauma from accidents or collisions Sudden forced dorsiflexion or plantarflexion of the ankle High-impact activities or accidents in children and adolescents
Key Symptoms: Pain and tenderness in the back or side of the heel Swelling around the heel or ankle Difficulty in walking or bearing weight on the affected foot Bruising or discoloration near the injury site Limited range of motion in the ankle
Diagnostic & Treatment
Diagnosis Path: Diagnosis begins with a detailed medical history and physical examination. To confirm the fracture type and location, imaging studies such as X-rays are performed. X-ray images typically reveal a fracture line through the growth plate of the calcaneus with a fragment of the bone displaced, characteristic of Salter-Harris Type II injuries. In some cases, advanced imaging techniques like MRI may be employed to assess surrounding soft tissue damage or to evaluate the growth plate in more detail.
Treatment Protocols: Management of a Salter-Harris Type II calcaneus fracture depends on the severity and displacement of the fracture. Common treatment options include: - Immobilization with a cast or brace to keep the foot and ankle stable - Rest and elevation to reduce swelling - Pain management with appropriate medications - In cases of significant displacement, surgical intervention might be necessary to realign the fracture and stabilize the growth plate - Follow-up imaging to monitor healing progress Recovery involves a period of restricted activity to allow the growth plate to heal properly and minimize the risk of future complications, such as growth disturbance or deformity.
Clinical Advice & FAQs
Billing Guidance
Is S99.02 a billable ICD-10 code?
Yes, S99.02 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S99.02?
Clinical documentation must specify the nature of Salter-Harris Type II physeal fracture of calcaneus and any associated comorbidities for accurate reporting.
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