Fracture of tibial tuberosity
ICD-10 S82.15 is a billable code used to indicate a diagnosis of fracture of tibial tuberosity.
A fracture of the tibial tuberosity is a specific type of fracture that occurs at the bony prominence on the anterior aspect of the tibia, where the patellar tendon attaches. This injury is commonly seen in adolescents and young adults, particularly those involved in sports that require jumping or running, such as basketball or soccer. The mechanism of injury often involves a sudden forceful contraction of the quadriceps muscle, which can lead to avulsion of the tibial tuberosity. Clinically, patients may present with localized pain, swelling, and tenderness over the tibial tuberosity, along with difficulty in extending the knee. Diagnosis is typically confirmed through physical examination and imaging studies, such as X-rays or MRI, which can reveal the extent of the fracture and any associated soft tissue injuries. Treatment may involve conservative management with rest, ice, and immobilization, or surgical intervention in more severe cases. Rehabilitation is crucial for restoring function and strength to the knee joint following the injury.
Detailed operative notes, imaging reports, and follow-up assessments are essential for accurate coding.
Fractures resulting from sports injuries, falls, or direct trauma to the knee.
Documentation must clearly indicate the type of fracture, treatment provided, and any complications.
Progress notes detailing rehabilitation protocols and patient response to treatment.
Post-operative rehabilitation following surgical fixation of tibial tuberosity fractures.
Therapists should document functional limitations and goals to support the need for therapy.
Used when surgical intervention is required for displaced fractures.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the surgical approach and fixation method.
Recovery time can vary based on the severity of the fracture and treatment method, but generally ranges from 6 to 12 weeks, with rehabilitation required to restore function.
