Sternal manubrial dissociation
ICD-10 S22.23 is a billable code used to indicate a diagnosis of sternal manubrial dissociation.
Sternal manubrial dissociation is a rare but serious condition that occurs when the manubrium, the upper part of the sternum, separates from the body of the sternum. This injury is often the result of significant blunt chest trauma, such as that sustained in motor vehicle accidents or falls from heights. The dissociation can lead to instability of the thoracic cage, which may compromise respiratory function and increase the risk of associated injuries, including rib fractures, pneumothorax, and hemothorax. Patients may present with severe chest pain, difficulty breathing, and signs of shock. Diagnosis typically involves imaging studies such as chest X-rays or CT scans to assess the extent of the injury and rule out other thoracic injuries. Management may require surgical intervention to stabilize the sternum and address any associated injuries, particularly if there is damage to the heart or major vessels. The prognosis depends on the severity of the injury and the presence of any complications.
Detailed operative notes, imaging results, and post-operative care plans.
Management of blunt chest trauma with sternal injuries, surgical stabilization of the sternum.
Ensure all associated injuries are documented to support coding for S22.23.
Comprehensive assessment notes, imaging interpretations, and initial management plans.
Initial evaluation of trauma patients presenting with chest pain and respiratory distress.
Accurate documentation of the mechanism of injury and vital signs is crucial.
Used in cases of sternal manubrial dissociation requiring surgical stabilization.
Operative report detailing the procedure and any complications.
Trauma surgeons should ensure that the rationale for surgery is clearly documented.
The primary cause is typically high-energy blunt trauma, such as that experienced in motor vehicle accidents or severe falls.
Diagnosis is made through imaging studies, including chest X-rays and CT scans, which reveal the separation of the manubrium from the body of the sternum.
Complications can include respiratory distress, cardiac injuries, and the risk of pneumothorax or hemothorax due to associated rib fractures.
