Osteonecrosis due to previous trauma of radius, ulna and carpus
ICD-10 M87.23 is a billable code used to indicate a diagnosis of osteonecrosis due to previous trauma of radius, ulna and carpus.
Osteonecrosis, also known as avascular necrosis, is a condition characterized by the death of bone tissue due to a lack of blood supply. In the case of M87.23, this condition specifically arises from previous trauma to the radius, ulna, and carpus. Trauma can lead to microvascular injury, resulting in compromised blood flow to the affected bones. This can occur after fractures, dislocations, or severe contusions. The clinical presentation may include pain, swelling, and limited range of motion in the wrist and forearm. As the condition progresses, it can lead to joint dysfunction and osteoarthritis. Diagnosis typically involves imaging studies such as X-rays or MRI to assess bone integrity and blood supply. Treatment options may include conservative management, such as physical therapy and pain management, or surgical interventions like core decompression or joint replacement in advanced cases. Understanding the underlying cause of osteonecrosis is crucial for effective management and prevention of further complications.
Detailed history of trauma, imaging results, and treatment plans.
Post-fracture complications, chronic pain management, surgical interventions.
Ensure clear documentation of the relationship between trauma and osteonecrosis.
Functional assessments, rehabilitation goals, and progress notes.
Rehabilitation post-surgery, pain management strategies.
Documenting the impact of osteonecrosis on functional abilities.
Used for pain management in osteonecrosis cases.
Document the joint involved and the reason for the procedure.
Orthopedic specialists should ensure clear linkage between the diagnosis and the procedure.
The primary cause is previous trauma to the radius, ulna, and carpus, which disrupts blood supply to the bone.
Diagnosis typically involves clinical evaluation, imaging studies such as X-rays or MRI, and a thorough history of trauma.
Treatment options may include conservative management, physical therapy, pain management, or surgical interventions like core decompression.
