ICD-10: S42.242A. Short Description: 4-part fracture of surgical neck of left humerus, init. Long Description: 4-part fracture of surgical neck of left humerus, initial encounter for closed fracture. Version 2019 of the ICD-10-CM diagnosis code S42.242A. Valid for Submission. The code S42.242A is valid for submission for HIPAA-covered transactions.
How painful is a broken humerus? A broken upper arm (fractured humerus) can be extremely painful, so much so that you may feel sick, dizzy or faint. Other symptoms of a broken upper arm are: You will be unable to use your arm. Your elbow or upper arm may be swollen. Your elbow or upper arm may bruise.
What You Need to Know
There are three types of humerus fracture, depending on the location of the break: Proximal. A proximal humerus fracture is a break in the upper part of your humerus near your shoulder. Mid-shaft. A mid-shaft humerus fracture is a break in the middle of your humerus. Distal. Distal humerus fractures occur near your elbow.
2-PART FRACTURE: This is when the proximal humerus is broken into two pieces, meaning there is one fracture line on x-ray. Commonly, this will be a fracture of the greater tuberosity, which is the part of the humerus where the rotator cuff attaches.
Osteology. The humerus begins proximally as a rounded head and joins the greater and lesser tubercles via the anatomical neck of the humerus. The surgical neck is found just inferior to the tubercles where the shaft begins.
Clinical significance. The surgical neck is much more frequently fractured than the anatomical neck of the humerus. This type of fracture takes place when the humerus is forced in one direction while the joint capsule and the rotator cuff muscles remain intact.
The most frequently fractured site of the humerus especially in elderly is the surgical neck which is an area of constriction distal to the tuberosities.
The anatomical neck of the humerus is located distal to the head of the humerus, at an oblique angle to the shaft of the humerus. The surgical neck of the humerus on the other hand is a constriction of the humerus located inferior to the greater and lesser tubercles.
There is a portion called the anatomical neck and one called the surgical neck. 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).
The anatomical neck divides the head of the humerus from the greater and lesser tubercles of the humerus It gives attachment to the capsular ligament of the shoulder joint except at the upper inferior-medial aspects.
A proximal humeral fracture refers to a break involving the area surrounding the humeral head, which is commonly known as the ball of the shoulder's ball-and-socket joint. The humeral head is located at the top of the humerus (upper arm bone).
As well as its true anatomical neck, the constriction below the greater and lesser tubercles of the humerus is referred to as its surgical neck due to its tendency to fracture, thus often becoming the focus of surgeons.
The proximal humerus consists of the humeral head, anatomical neck, greater tuberosity, lesser tuberosity, surgical neck, and proximal shaft. Fractures of the proximal humerus (Box 4-8) are associated with osteoporosis. The majority of fractures are the result of indirect forces such as a fall onto an outstretched arm.
The posterior circumflex humeral artery is one of two circumflex humeral arteries that surround the surgical neck of the humerus. It arises from the third part of the axillary artery and supplies the shoulder joint and a number of its associated muscles.