S49.132
Salter-Harris Type III physeal fracture of lower end of humerus, left arm
Clinical Classification Guidelines
Medical Intelligence & Overview
A Salter-Harris Type III physeal fracture occurs at the growth plate (physis) of a child's bone, involving a fracture that extends through the growth plate and into the end of the bone. Specifically, this injury affects the lower end of the humerus, which is the upper arm bone near the elbow. Accurate diagnosis and proper treatment are essential to ensure proper healing and to prevent potential growth disturbances or deformities.
Causes & Symptoms
Clinical Causes: Trauma or falls that directly impact the elbow or upper arm, especially in children and adolescents. Sports injuries involving a sudden blow or twisting motion. Accidents or falls from heights that result in a force transmitted through the arm. High-impact collisions or motor vehicle accidents.
Key Symptoms: Pain around the elbow and lower upper arm, especially when moving the arm. Swelling or tenderness near the distal end of the humerus. Decreased range of motion in the elbow joint. Bruising or visible deformity in severe cases. Difficulty or unwillingness to move the arm due to pain.
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a thorough physical examination followed by imaging studies. X-rays are the primary tool used to identify the fracture type, its location, and involvement of the growth plate. Sometimes, additional imaging like MRI or CT scans may be necessary to assess the fracture's extent, especially if the fracture is not clearly visible or to plan surgical intervention.
Treatment Protocols: Immobilization with a cast or splint to allow proper healing, usually for several weeks. Pain management with medications as recommended by healthcare providers. Monitoring through follow-up X-rays to ensure correct alignment and healing. Surgical intervention may be necessary if the fracture is displaced or unstable, which could involve reduction and fixation procedures. Rehabilitation exercises after immobilization to restore strength and range of motion.
Clinical Advice & FAQs
Billing Guidance
Is S49.132 a billable ICD-10 code?
Yes, S49.132 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S49.132?
Clinical documentation must specify the nature of Salter-Harris Type III physeal fracture of lower end of humerus, left arm and any associated comorbidities for accurate reporting.
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