Puncture wound without foreign body of left upper arm
ICD-10 S41.132 is a billable code used to indicate a diagnosis of puncture wound without foreign body of left upper arm.
A puncture wound without foreign body of the left upper arm refers to an injury characterized by a small, deep wound caused by a sharp object penetrating the skin and underlying tissues, but not leaving any foreign material embedded in the wound. This type of injury can occur from various incidents, such as accidental punctures from tools, animal bites, or falls onto sharp objects. Clinically, such wounds may present with localized pain, swelling, and potential bleeding. The absence of a foreign body is crucial as it influences the treatment approach and potential complications. Treatment typically involves cleaning the wound to prevent infection, monitoring for signs of complications, and possibly suturing if the wound is deep. In the context of orthopedic concerns, it is essential to assess for any associated injuries, such as shoulder dislocations, humeral fractures, or rotator cuff injuries, which may complicate the clinical picture and require additional interventions.
Detailed notes on the injury mechanism, associated injuries, and treatment plan.
Puncture wounds leading to shoulder dislocations or humeral fractures.
Ensure to document any imaging studies performed to rule out fractures.
Thorough assessment of the wound, including size, depth, and any signs of infection.
Patients presenting with puncture wounds from falls or accidents.
Document tetanus status and any immediate interventions performed.
Used when the puncture wound requires suturing.
Document the size and depth of the wound, and the method of repair.
Orthopedic specialists may need to document any associated injuries.
A puncture wound is a deep, narrow wound caused by a sharp object, while a laceration is a tear or cut in the skin that may be wider and more superficial.
