Spiral fracture of shaft of femur
ICD-10 S72.34 is a billable code used to indicate a diagnosis of spiral fracture of shaft of femur.
A spiral fracture of the shaft of the femur is a type of fracture characterized by a helical break in the femoral shaft, typically resulting from a twisting or rotational force applied to the bone. This injury is commonly seen in high-energy trauma situations, such as motor vehicle accidents or falls from significant heights. The femur, being the longest and strongest bone in the body, can withstand considerable force; however, when subjected to torsional stress, it can fracture in a spiral pattern. Clinically, patients may present with severe pain, swelling, and inability to bear weight on the affected leg. Physical examination may reveal deformity and tenderness along the femoral shaft. Imaging studies, particularly X-rays, are essential for diagnosis, revealing the characteristic spiral fracture pattern. Treatment often involves orthopedic intervention, which may include surgical fixation with intramedullary nails or plates, depending on the fracture's location and stability. Rehabilitation is crucial for restoring function and strength post-injury, and the prognosis is generally favorable with appropriate management.
Detailed operative reports, imaging studies, and follow-up notes.
Surgical fixation of femoral fractures, management of complications such as non-union.
Accurate coding of surgical procedures performed in conjunction with fracture repair.
Comprehensive initial assessment, imaging results, and treatment plans.
Initial evaluation and stabilization of trauma patients with femur fractures.
Timely documentation of mechanism of injury and initial management steps.
Used in conjunction with S72.34 for surgical fixation.
Operative report detailing the procedure and findings.
Orthopedic documentation must reflect the complexity of the fracture.
A spiral fracture is characterized by a helical break in the bone, typically resulting from a twisting force, whereas other types, such as transverse or oblique fractures, have different fracture patterns and mechanisms of injury.
