Displaced talar neck fractures no longer constitute a surgical emergency; timing of definitive surgery has no bearing on the risk of osteonecrosis. Amount of initial fracture displacement is best predictor of osteonecrosis. Grossly displaced fractures or fracture-dislocations should be provisionally …
The radius is the larger of the two bones of the forearm. The end toward the wrist is called the distal end. A fracture of the distal radius occurs when the area of the radius near the wrist breaks. Distal radius fractures are very common. In fact, the radius is the most commonly broken bone in the arm.
Types of Fractures
ICD-10-CM Code for Unspecified displaced fracture of surgical neck of right humerus, initial encounter for closed fracture S42. 211A.
S42. 302A - Unspecified fracture of shaft of humerus, left arm [initial encounter for closed fracture]. ICD-10-CM.
Comminuted fractures of the proximal humerus impair shoulder function, resulting in more or less severe disability. They rank among the most frequent fractures in adults, with incidence increasing with age and the degree of bone loss (osteoporosis).
Fractures of the anatomical neck of the humerus are an extremely rare pathological entity in the field of orthopedic surgery. One of the most feared complications associated with anatomical neck fracture of the humerus is avascular necrosis (AVN).
ICD-10 code S42. 301A for Unspecified fracture of shaft of humerus, right arm, 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 .
The top of the humerus forms part of the shoulder joint with its connection to the scapula (shoulder blade), and the bottom of the humerus forms part of the elbow with the forearm. The middle of the humerus is called the humeral shaft and fracture of this part of the bone is called a humeral shaft fracture.
What Is a Displaced Proximal Humerus Fracture? When the bone is not in proper alignment, the fracture is called displaced. In proximal humerus fractures, the severity is often described by how many of the major parts of the proximal humerus fracture are displaced.
3-PART FRACTURE: This is when the proximal humerus is broken into three pieces, and there are then two fracture lines on x-ray. This most often involves the greater tuberosity and the surgical neck of the humerus.
Comminuted fractures are a type of broken bone. The term comminuted fracture refers to a bone that is broken in at least two places. Comminuted fractures are caused by severe traumas like car accidents. You will need surgery to repair your bone, and recovery can take a year or longer.
The anatomical neck is the portion that lies just below the head. As the neck continues along the humerus body, it is called the surgical neck (so named because this is the location of many fractures that require surgery).
Fixation with percutaneous techniques, intramedullary nails, locking plates, and arthroplasty are all acceptable treatment options. With internal fixation, special attention should be paid to medial comminution, varus angulation, and restoration of the calcar.
A fracture without displaced fragments is a “one-part”, regardless of the number of fracture lines. “Two-part fractures” (Figure 3) have one displaced fragment. Typically, the displaced fragment is either the greater tuberosity or the shaft (with a fracture across the surgical neck).
Proximal humerus fractures typically require 6 to 8 weeks for the bone to heal, plus a period of rehabilitation of about 3 to 6 months. The goal of rehabilitation is to restore arm function and help you return to regular activities as soon as possible.
The complications of proximal humeral fractures may occur as a result of the injury, or secondary to operative treatment. Several have been previously discussed and they most commonly are related to avascular necrosis and/or tuberosity malunion.
A broken proximal humerus is generally very painful; patients develop significant bruising and swelling that can go into the chest as well as down the arm. Sometimes nerves are damaged at the same time and this can cause numbness and weakness in the arm and shoulder region.
One should wear the sling for a minimum of 3 weeks, and a maximum of 6 weeks. Your doctor will determine this. Between 3 to 6 weeks you may trial not wearing the sling- if you are comfortable then you may keep the sling off. If you are getting a lot of pain then you should keep wearing the sling.