Stress fracture, unspecified femur
ICD-10 M84.353 is a billable code used to indicate a diagnosis of stress fracture, unspecified femur.
A stress fracture of the femur is a small crack in the bone that occurs due to repetitive force or overuse, often seen in athletes or individuals with increased physical activity. Unlike acute fractures, stress fractures develop gradually and may not be immediately apparent on standard X-rays. The femur, being the longest and strongest bone in the body, can still be susceptible to stress fractures, particularly in its mid-shaft region. Risk factors for stress fractures include low bone density, osteoporosis, and certain metabolic bone disorders that affect bone strength and resilience. Patients may present with localized pain, swelling, and tenderness along the femur, which typically worsens with activity and improves with rest. Diagnosis often involves imaging studies such as MRI or bone scans, which can detect stress fractures that are not visible on X-rays. Treatment generally includes rest, modification of activities, and in some cases, physical therapy to strengthen surrounding muscles and improve bone health. Monitoring bone density and addressing any underlying metabolic issues is crucial for preventing future fractures.
Detailed notes on the patient's history, physical examination findings, imaging results, and treatment plans.
Athletes presenting with leg pain, patients with osteoporosis experiencing gradual onset of pain.
Ensure that all imaging studies and their interpretations are documented to support the diagnosis.
Assessment of bone density, metabolic evaluations, and treatment plans for osteoporosis.
Patients with a history of fractures and low bone density, individuals on long-term corticosteroid therapy.
Document any metabolic bone disorders that may contribute to the risk of stress fractures.
Used when imaging is performed to assess for stress fractures.
Document the reason for the imaging and findings.
Orthopedic specialists should ensure imaging results are clearly linked to the diagnosis.
Common causes include repetitive activities, sudden increases in physical activity, and underlying conditions such as osteoporosis or other metabolic bone disorders.
Prevention strategies include gradual increases in activity levels, proper footwear, strength training, and regular bone density assessments for at-risk individuals.
