Stress fracture, left shoulder
ICD-10 M84.312 is a billable code used to indicate a diagnosis of stress fracture, left shoulder.
A stress fracture of the left shoulder is a small crack in the bone that occurs due to repetitive force or overuse, rather than a single traumatic event. This condition is often seen in athletes or individuals who engage in repetitive overhead activities. The shoulder is a complex joint comprised of the humerus, scapula, and clavicle, and stress fractures can occur in any of these bones, particularly in the humeral head or neck. Risk factors for stress fractures include low bone density, osteoporosis, and certain metabolic bone disorders that affect bone strength and resilience. Patients may present with localized pain, swelling, and tenderness in the shoulder area, which may worsen with activity and improve with rest. Diagnosis typically involves a thorough clinical evaluation, imaging studies such as X-rays or MRI, and assessment of bone density to rule out underlying osteoporosis or other bone metabolism disorders. Treatment often includes rest, physical therapy, and in some cases, the use of braces or surgical intervention if conservative measures fail.
Detailed notes on the mechanism of injury, imaging results, and treatment plan.
Athletes presenting with shoulder pain after repetitive overhead activities.
Ensure documentation reflects the chronic nature of the injury and any underlying bone density issues.
Assessment of bone density and metabolic factors contributing to fracture risk.
Patients with osteoporosis presenting with stress fractures.
Document any medications affecting bone metabolism, such as bisphosphonates.
Used to confirm the diagnosis of a stress fracture.
Include imaging results and clinical findings.
Orthopedic specialists should ensure imaging is appropriate for the suspected diagnosis.
Common causes include repetitive overhead activities, sports-related injuries, and underlying conditions like osteoporosis that weaken bone density.
