2017 icd 10 code for sustentaculum tali fracture

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What is the prevalence of sustentaculum tali fractures?

Background: Sustentaculum tali fractures are rare foot fractures accounting for 1% of all calcaneal fractures, which accounts for about 1-2% of all bone fractures. Since the importance of sustentaculum tali in maintaining the medial foot arch, its fractures should be dealt with anatomical fixation to avoid post-traumatic arthrosis.

What is the AOFAS score for a sustentaculum fracture?

At the time of follow-up, 15 sustentaculum tali fractures had an average Foot Function Index of 21.6 and an average AOFAS Ankle-Hindfoot Score of 83.6. Patients with isolated fractures of the sustentaculum tali had significantly better scores than those with additional injuries.

What is the importance of sustentacular Tali fractures fixation?

Since the importance of sustentaculum tali in maintaining the medial foot arch, its fractures should be dealt with anatomical fixation to avoid post-traumatic arthrosis. Objective: Is to delineate the importance of sustentacular tali fractures fixation mentioning operative technique and the post-operative outcome.

What is the sustentaculum tali?

The sustentaculum tali is a horizontal shelf that arises from the anteromedial portion of the calcaneus. The superior surface is concave and articulates with the middle calcaneal surface of the talus. The inferior surface has a groove for the ten...

What is a tongue type calcaneal fracture?

Tongue-type calcaneus fractures are longitudinal fractures that exit the calcaneal tuberosity posteriorly and involve a portion of the articular surface. They are often superiorly displaced because of the insertion of the Achilles tendon and pull of the gastroc-soleus complex.

What is the ICD-10 code for left calcaneus fracture?

012A for Displaced fracture of body of left calcaneus, initial encounter for closed fracture is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .

What is the ICD-10 code for right calcaneal fracture?

ICD-10 Code for Unspecified fracture of right calcaneus, initial encounter for closed fracture- S92. 001A- Codify by AAPC.

What are the two most common types of calcaneal fractures?

Calcaneal fractures can be divided into two groups: intra-articular and extra-articular calcaneal fractures. Intra-articular fractures have a lower prognosis.

What is left calcaneus?

The calcaneus (heel bone) is the largest of the tarsal bones in the foot. It lies at the back of the foot (hindfoot) below the three bones that make up the ankle joint.

What is the ICD 10 code for left heel pain?

M79. 671 is the code for bilateral foot or heel pain, or pain in the right foot. M79. 672 is the code for pain in the left foot or heel.

Where is the calcaneal tuberosity?

On the lateral side is commonly a tubercle called the calcaneal tubercle (or trochlear process). This is a raised projection located between the tendons of the peroneus longus and brevis. It separates the two oblique grooves of the lateral surface of the calcaneus (for the tendons of the peroneal muscles).

What is posterior calcaneus?

The calcaneus is the largest bone in the foot. It projects posterior to the tibia and fibula and acts as a short lever for the calf muscles (gastrocnemius and soleus) which insert onto its posterior surface via the Achilles tendon. It also plays an important role in weight bearing and stability.

What is the ICD-10 code for right foot pain?

671 Pain in right foot.

Why is it called Lover's fracture?

The name "lover's fracture" is derived from the fact that a suitor may jump from great heights while trying to escape from the lover's spouse 2. There is an important association between lover's fractures and burst fractures of the lumbar spine.

What kind of splint is used for calcaneal fracture?

A posterior splint that allows for ankle and subtalar joint range of motion is advised at 2-5 days. Weight-bearing is not allowed except toe touch for 6 weeks. After that, fracture healing is assured and pro- gression to full weight bearing is allowed.

How do you treat a calcaneal stress fracture?

How is a calcaneal stress fracture treated? To treat a calcaneal stress fracture, you limit or avoid putting weight on your foot for four to eight weeks. Your provider may also prescribe a boot, cast or splint to keep your foot in one position while the fracture heals.

How common are calcaneal fractures?

Calcaneal fractures are relatively uncommon, comprising 1 to 2 percent of all fractures, but important because they can lead to long-term disability. Axial loading of the foot following a fall from a height is the most common mechanism for severe calcaneal fractures.

What causes a calcaneal stress fracture?

What causes Calcaneal Stress Fracture? A broken heel bone usually happens due to an acute, high-stress injury like a motor vehicle accident, a fall from a high position, or a traumatic twist of the ankle.

How painful is a calcaneal fracture?

Pain is usually severe enough to require an emergency room visit. If the fracture is caused by a stress fracture, over time, then symptoms may be far more vague. There may be some pain, increasing throughout the day, often described as being dull and achy. Bruising may or may not be present.

Can you walk on a fractured calcaneus?

Symptoms. Symptoms of a heel fracture include pain, swelling and bruising of the heel. Patients usually are unable to walk. In fractures with severe swelling, blisters may develop around the heel.

What is the ICd 10 code for calcaneus fracture?

Nondisplaced fracture of body of left calcaneus, initial encounter for closed fracture 1 S92.015A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Nondisp fx of body of left calcaneus, init for clos fx 3 The 2021 edition of ICD-10-CM S92.015A became effective on October 1, 2020. 4 This is the American ICD-10-CM version of S92.015A - other international versions of ICD-10 S92.015A may differ.

What is the secondary code for Chapter 20?

Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.

What is the sustentaculum tali?

The sustentaculum tali is a horizontal shelf that arises from the anteromedial portion of the calcaneus. The superior surface is concave and articulates with the middle calcaneal surface of the talus. The inferior surface has a groove for the tendon of flexor hallucis longus.

Is a fracture of the sustentaculum tali isolated?

Fracture of the sustentaculum tali is rare, and usually not isolated. Such fractures usually occur in high-energy activities and should be suspected when the patient presents with pain and hematoma directly over the sustentaculum tali.

What is a fracture of the sustentaculum tali?

Fractures of the sustentaculum tali are rare injuries associated with high energy mechanisms. These fractures have a high incidence of misdiagnosis. A high index of suspicion is, therefore, required when there is pain and hematoma directly over the sustentaculum tali. Open reduction and internal fixation of these fractures is reliable and possible through a medial approach.

What is the calcaneal fracture?

Calcaneal fractures account for 1–2% of all body fractures. Isolated fractures involving the sustentaculum tali are rare. It is usually associated with midtarsal, subtalar dislocations or foot fractures. Few published series exist and most publications are limited to case reports [1], [2]. The name is derived from the Latin word-sustenus which means to support and tali that refers to the talus bone. Sustentaculum tali or (talar shelf) is a bony eminence that lies at the medial surface of the calcaneus, below the middle talar facet. It provides a vital support for the medial column of the foot and it gives attachment to the plantar calcaneonavicular (spring) ligament, tibiocalcaneal ligament and medial talocalcaneal ligament. This eminence is concave above, and articulates with the middle calcaneal articular surface of the talus; below, it is grooved for the tendon of the flexor hallucis longus; its anterior margin gives attachment to the plantar calcaneonavicular ligament, and its medial margin to a part of the deltoid ligament of the ankle joint [3], [4], [5], [6]. Due to the strong and thick cortical bone, solitary fractures of the sustentaculum tali without additional calcaneal injuries occur in less than 1% of all calcaneal fractures [7]. Mechanism of trauma is either due to fall from a height with the foot in supination during impact or due to a direct trauma. Patients always complain of pain, which lies distal and anterior to the medial malleolus and increases by passive motion of the flexor hallucis longus tendon. Clinically, there is an area of ecchymosis that lies over the sustentaculum ( Fig. 1 ). In lateral radiographic images sustentaculum tali fractures are difficult to diagnose, so misdiagnosis is a common finding. Radiographic diagnosis can be achieved by obtaining an axial (calcaneal) view or CT scan [8], [9]. Misdiagnosis and mistreatment of the sustentaculum tali are reported to cause severe complications such as a rapidly evolving post-traumatic subtalar joint arthritis, non-union, chronic impingement of the flexor hallucis longus tendon, varus of the hindfoot, parasthesia of the medial plantar nerve, persistent pain and swelling of the medial hindfoot, progressive pes-planovalgus deformity or even symptoms of a tarsal tunnel syndrome [9], [10].

What percentage of calcaneal fractures are calcaneal?

Sustentaculum tali fractures are rare foot fractures accounting for 1% of all calcaneal fractures, which accounts for about 1–2% of all bone fractures. Since the importance of sustentaculum tali in maintaining the medial foot arch, its fractures should be dealt with anatomical fixation to avoid post-traumatic arthrosis.

What is the AoFAS score for ankle?

In the present study, the AOFAS score of the ankle-hindfoot was 97 (range 78–100). Isolated sustentaculum fractures showed 100 score which is equivalent to the maximum score, while there was a decrease in the score when it was associated by other fractures. There was no recorded complication.

Which approach is best for a fractured calcaneus?

The ideal approach to deal with this fracture is through the medial sustentacular approach, as it cannot be accessed through the ordinary extensile lateral approach of the calcaneus [11], [12]. This supports Dürr et al. findings that direct sustentaculum approach is a safe one and admit full access of the fractured sustentaculum tali.

Where is the 4-fracture line?

4-Fracture line extending into the posterior facet of the calcaneus.

Is a sustentaculum tali fracture rare?

Sustentaculum tali fractures are relatively rare, as illustrated by the paucity of reports available in the literature. Nevertheless, they do occur, and little has been written about their characteristics and treatment methods. The sustentaculum tali is formed mainly from cortical bone and has an important function in maintaining the medial column of the foot, so conservative management may not be appropriate in displaced sustentacular fractures [11].