S59.239
Salter-Harris Type III physeal fracture of lower end of radius, unspecified arm
Clinical Classification Guidelines
Medical Intelligence & Overview
A Salter-Harris Type III physeal fracture at the lower end of the radius involves a specific type of growth plate injury near the wrist. This kind of fracture occurs in children and adolescents whose bones are still growing, potentially affecting bone development if not treated properly. Recognizing the features of this injury is important for timely and appropriate medical care to ensure the best possible recovery.
Causes & Symptoms
Clinical Causes: Falls onto an outstretched hand, especially during sports or physical activities Trauma from direct impacts or collisions Accidents involving sports injuries or bicycle crashes Slip and fall incidents on uneven surfaces
Key Symptoms: Pain around the wrist or lower forearm, especially with movement Swelling or tenderness near the wrist joint Bruising in the surrounding area Restricted range of motion in the wrist Deformity or abnormal positioning of the wrist or forearm (in some cases)
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a detailed physical examination followed by imaging tests. Conventional X-rays are usually the primary tools to identify the fracture type and location. In some cases, additional imaging such as MRI or CT scans may be needed to assess the extent of the injury and determine involvement of the growth plate and surrounding tissues. Confirmation of a Salter-Harris Type III fracture requires careful analysis of the growth plate and fracture line relative to the bone and epiphyseal plate.
Treatment Protocols: Management of this type of fracture aims to realign the bone fragments (reduction) and promote proper healing. Treatment options include:
Clinical Advice & FAQs
Billing Guidance
Is S59.239 a billable ICD-10 code?
Yes, S59.239 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S59.239?
Clinical documentation must specify the nature of Salter-Harris Type III physeal fracture of lower end of radius, unspecified arm and any associated comorbidities for accurate reporting.
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