Stress fracture, right tibia
ICD-10 M84.361 is a billable code used to indicate a diagnosis of stress fracture, right tibia.
A stress fracture of the right tibia 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. This condition is particularly prevalent in those with underlying bone density disorders such as osteoporosis, where the bones are more fragile and susceptible to fractures. The tibia, being a weight-bearing bone, is commonly affected by stress fractures, especially in the lower leg region. Symptoms typically include localized pain that worsens with activity and improves with rest, swelling, and tenderness along the bone. Diagnosis is often confirmed through imaging studies such as X-rays or MRI, which can reveal the fracture line or bone edema. Management includes rest, modification of activities, and in some cases, physical therapy to strengthen surrounding muscles and improve bone health. Understanding the relationship between bone metabolism and stress fractures is crucial, as factors like vitamin D deficiency and hormonal imbalances can exacerbate bone fragility, leading to increased risk of fractures.
Detailed notes on the mechanism of injury, imaging results, and treatment plan.
Athletes presenting with leg pain, patients with osteoporosis experiencing new onset pain.
Ensure that all imaging studies are documented and correlate with the diagnosis.
Assessment of bone density, hormonal evaluations, and management of osteoporosis.
Patients with a history of fractures presenting for evaluation of bone health.
Document any treatments for osteoporosis that may affect fracture risk.
Used when imaging is performed to confirm 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 stress, while an acute fracture is a complete break in the bone typically resulting from a sudden injury.
