Pathological fracture, humerus
ICD-10 M84.42 is a billable code used to indicate a diagnosis of pathological fracture, humerus.
A pathological fracture of the humerus occurs when the bone breaks due to an underlying disease process rather than from trauma. This type of fracture is often associated with conditions that weaken bone density, such as osteoporosis, metastatic cancer, or other metabolic bone disorders. In patients with osteoporosis, the structural integrity of the bone is compromised, leading to an increased risk of fractures even with minimal or no trauma. The humerus, being a long bone in the upper arm, is particularly susceptible to such fractures in elderly populations or those with significant bone density loss. Diagnosis typically involves imaging studies such as X-rays or CT scans to confirm the fracture and assess the extent of the underlying bone pathology. Treatment may include surgical intervention, such as fixation or replacement, alongside management of the underlying condition to improve bone health and prevent future fractures. Understanding the etiology of the fracture is crucial for effective treatment and prevention strategies.
Detailed imaging reports, surgical notes, and follow-up assessments are essential.
Patients presenting with fractures after minimal trauma, particularly in older adults.
Ensure that the underlying bone density issues are well-documented to support the diagnosis.
Comprehensive evaluation of bone density tests and metabolic assessments.
Patients with osteoporosis or other metabolic bone diseases experiencing fractures.
Documenting the patient's history of bone health and any treatments for osteoporosis is crucial.
Used in conjunction with M84.42 when joint aspiration is needed due to swelling or pain.
Document the reason for aspiration and findings during the procedure.
Orthopedic specialists should ensure that the aspiration is justified based on clinical findings.
A pathological fracture occurs due to an underlying disease that weakens the bone, while a traumatic fracture results from an external force or injury.
