Acquired clubhand
ICD-10 M21.52 is a billable code used to indicate a diagnosis of acquired clubhand.
Acquired clubhand, also known as acquired radial club hand, is a congenital or acquired deformity characterized by a shortened or absent radius bone in the forearm, leading to a wrist and hand that are positioned in a characteristic 'club' shape. This condition can arise from various factors, including trauma, infections, or neurological conditions that affect the growth and development of the forearm bones. Patients may present with limited range of motion, functional impairment, and cosmetic concerns. The condition can also lead to associated deformities in the fingers, such as syndactyly or polydactyly, and may be accompanied by other abnormalities like hallux valgus in the toes. Treatment often involves corrective procedures, such as osteotomies or tendon transfers, to improve function and appearance. Rehabilitation plays a crucial role in recovery, focusing on strengthening and improving the range of motion. Accurate coding requires a thorough understanding of the patient's history and the specific nature of the deformity, as well as any associated conditions.
Detailed operative reports, pre-operative assessments, and post-operative follow-ups are essential for accurate coding.
Surgical correction of clubhand deformities, management of associated finger abnormalities, and rehabilitation planning.
Orthopedic surgeons must ensure that all aspects of the deformity and its treatment are documented, including any associated conditions.
Growth and developmental assessments, family history, and any associated congenital conditions should be documented.
Evaluation of children with acquired clubhand due to trauma or other factors, and referral for surgical intervention.
Pediatricians should be aware of the psychosocial impact of the condition on children and their families.
Used in surgical correction of acquired clubhand.
Operative report detailing the procedure and indications.
Orthopedic surgeons must document the rationale for surgery and expected outcomes.
Congenital clubhand is present at birth and is typically due to genetic factors, while acquired clubhand develops later in life due to trauma, infections, or other medical conditions affecting bone growth.
