S49.12
Salter-Harris Type II physeal fracture of lower end of humerus
Clinical Classification Guidelines
Medical Intelligence & Overview
A Salter-Harris Type II physeal fracture involves a break through the growth plate (physis) and adjacent bone. Specifically, when this fracture affects the lower end of the humerus, it concerns the area near the elbow in children and adolescents. This type of fracture is common in young people due to the vulnerability of the growing bones and typically occurs following trauma or falls. Recognizing this injury early is crucial to ensure proper healing and prevent potential growth disturbances or deformities.
Causes & Symptoms
Clinical Causes: Sports injuries, particularly during activities involving falls or direct impact on the arm Falls onto an outstretched hand or elbow Trauma resulting from accidents, such as car crashes or sports collisions Direct blow to the lower arm or elbow region Injuries sustained during physical activities or playground accidents
Key Symptoms: Severe pain in the elbow or lower humerus area Swelling around the elbow joint Tenderness when touching the affected area Limited movement or inability to straighten or bend the elbow Deformity or misalignment visible in some cases Bruising around the injury site
Diagnostic & Treatment
Diagnosis Path: Diagnosis is generally established through a combination of physical examination and imaging tests. An X-ray is the primary tool used to visualize the fracture and assess the extent of the growth plate involvement. In some cases, additional imaging techniques like MRI or CT scans may be necessary for a detailed evaluation, especially if the fracture involves complex patterns or growth disturbances are suspected.
Treatment Protocols: Immobilization with a cast or splint to keep the elbow steady and support healing Closed reduction procedures to realign the fracture without surgery, if necessary Surgical intervention, such as percutaneous pinning, if the fracture is displaced or unstable Regular follow-up appointments to monitor healing progress through X-rays Physical therapy post-healing to restore movement and strength
Clinical Advice & FAQs
Billing Guidance
Is S49.12 a billable ICD-10 code?
Yes, S49.12 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S49.12?
Clinical documentation must specify the nature of Salter-Harris Type II physeal fracture of lower end of humerus and any associated comorbidities for accurate reporting.
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