Nondisplaced fracture of lesser tuberosity of left humerus
ICD-10 S42.265 is a billable code used to indicate a diagnosis of nondisplaced fracture of lesser tuberosity of left humerus.
A nondisplaced fracture of the lesser tuberosity of the left humerus typically occurs due to trauma, such as a fall or direct impact to the shoulder. The lesser tuberosity serves as an attachment point for the subscapularis muscle, which is a key component of the rotator cuff. While the fracture itself does not displace the bone fragments, it can lead to significant pain, limited range of motion, and potential complications if not properly managed. Patients may present with shoulder pain, swelling, and difficulty with arm movement, particularly with internal rotation. Diagnosis is often confirmed through imaging studies, such as X-rays or MRI, which can help assess the extent of the injury and rule out associated injuries to the rotator cuff or other structures in the shoulder. Treatment typically involves conservative management, including rest, ice, and physical therapy, although surgical intervention may be necessary in cases where the fracture affects shoulder function or is associated with other injuries.
Detailed operative notes if surgery is performed, including type of fracture and fixation method.
Fractures resulting from falls, sports injuries, or accidents requiring surgical intervention.
Ensure documentation reflects the complexity of the injury and any associated procedures.
Progress notes detailing patient response to therapy and functional improvements.
Rehabilitation following nondisplaced fractures and rotator cuff injuries.
Document specific therapeutic interventions and patient compliance.
Used when a rotator cuff tear is present alongside the fracture.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the relationship between the fracture and any surgical interventions.
The lesser tuberosity is crucial for the attachment of the subscapularis muscle, and a fracture can impact shoulder function and stability.
