Fracture of manubrium
ICD-10 S22.21 is a billable code used to indicate a diagnosis of fracture of manubrium.
A fracture of the manubrium, the upper part of the sternum, typically results from blunt chest trauma, such as a fall or a motor vehicle accident. This type of fracture can be associated with significant chest injuries, including rib fractures, pneumothorax, hemothorax, and potential cardiac injuries. The manubrium serves as an attachment point for several important structures, including the clavicles and the first pair of ribs, making its integrity crucial for thoracic stability. Symptoms may include localized pain, tenderness, and difficulty breathing, particularly if associated with other thoracic injuries. Diagnosis is often confirmed through imaging studies such as X-rays or CT scans, which can reveal the extent of the fracture and any associated complications. Treatment may involve pain management, stabilization, and in some cases, surgical intervention if there is significant displacement or associated injuries. Understanding the implications of a manubrium fracture is essential for proper management and coding, as it can lead to complications that require additional interventions.
Detailed account of the mechanism of injury, physical examination findings, and imaging results.
Patients presenting with chest pain after trauma, difficulty breathing, or signs of shock.
Ensure all associated injuries are documented to support coding for complications.
Surgical notes detailing the fracture type, treatment plan, and any surgical interventions performed.
Patients requiring surgical fixation of displaced manubrium fractures.
Document any pre-existing conditions that may affect healing or surgical outcomes.
Used when a patient with a manubrium fracture also has a joint effusion requiring aspiration.
Document the indication for the procedure and the findings.
Orthopedic documentation should include details of the fracture and any joint involvement.
Common causes include blunt trauma from falls, motor vehicle accidents, or sports injuries. The mechanism of injury often involves significant force applied to the chest.
Diagnosis is typically made through physical examination and confirmed with imaging studies such as X-rays or CT scans, which can also assess for associated injuries.
