Fracture of sternum
ICD-10 S22.2 is a billable code used to indicate a diagnosis of fracture of sternum.
A fracture of the sternum, commonly resulting from blunt chest trauma, can occur due to various mechanisms such as motor vehicle accidents, falls, or direct blows to the chest. This injury may present with localized pain, tenderness, and swelling over the sternum, and can be associated with other thoracic injuries, including rib fractures, pneumothorax, and hemothorax. The sternum, being a flat bone located at the center of the chest, plays a crucial role in protecting vital organs such as the heart and lungs. Complications from a sternal fracture can include cardiac injuries, which may manifest as arrhythmias or contusions, and respiratory complications due to associated lung injuries. Diagnosis typically involves physical examination and imaging studies, such as chest X-rays or CT scans, to assess the extent of the fracture and rule out other injuries. Treatment may vary from conservative management with pain control and monitoring to surgical intervention in cases of significant displacement or associated injuries.
Detailed documentation of the mechanism of injury, vital signs, and any immediate interventions performed.
Patients presenting with chest pain after trauma, suspected rib or sternal fractures.
Ensure all associated injuries are documented to support coding for S22.2.
Comprehensive surgical notes detailing the procedure performed, including any fixation methods used.
Surgical intervention for displaced sternal fractures or associated thoracic injuries.
Document any pre-existing conditions that may affect healing or surgical outcomes.
Used in cases where joint involvement is suspected due to trauma.
Document the joint involved and the reason for the procedure.
Orthopedic specialists should ensure clear linkage between the procedure and the diagnosis.
Sternal fractures are commonly caused by blunt trauma, such as motor vehicle accidents, falls, or direct blows to the chest.
Sternal fractures typically present with pain localized to the sternum, while rib fractures may cause pain that worsens with deep breathing or movement. Imaging studies can help confirm the diagnosis.
