Stress fracture, right shoulder
ICD-10 M84.311 is a billable code used to indicate a diagnosis of stress fracture, right shoulder.
A stress fracture of the right shoulder is a small crack in the bone that occurs due to repetitive force or overuse, rather than a single traumatic event. This condition is particularly common in athletes and individuals who engage in high-impact activities. The shoulder, comprising the humerus, scapula, and clavicle, can be susceptible to stress fractures, especially in the humeral head or neck. Factors contributing to stress fractures include low bone density, osteoporosis, and inadequate nutrition, which can impair bone metabolism and strength. Patients may present with localized pain, swelling, and tenderness in the shoulder area, often exacerbated by movement or weight-bearing activities. Diagnosis typically involves a thorough clinical evaluation, imaging studies such as X-rays or MRI, and assessment of bone density. Treatment focuses on rest, activity modification, and possibly physical therapy to strengthen surrounding muscles and improve function. In cases where osteoporosis is a contributing factor, addressing the underlying bone density disorder is crucial to prevent future fractures.
Detailed notes on the patient's history, physical examination findings, imaging results, and treatment plan.
Athletes presenting with shoulder pain after increased training intensity.
Ensure that the documentation clearly differentiates between stress fractures and other shoulder injuries.
Assessment of bone density, history of osteoporosis, and management plans for bone health.
Patients with a history of osteoporosis presenting with shoulder pain.
Document any medications affecting bone density, such as bisphosphonates.
Used to confirm the diagnosis of a stress fracture.
Document the reason for the imaging and findings.
Orthopedic specialists should ensure imaging correlates with clinical findings.
A stress fracture is a small crack in the bone caused by repetitive force or overuse, while a regular fracture typically results from a single traumatic event.
