Fracture of body of scapula
ICD-10 S42.11 is a billable code used to indicate a diagnosis of fracture of body of scapula.
A fracture of the body of the scapula is a relatively uncommon injury that typically results from high-energy trauma, such as a fall from a height or a motor vehicle accident. The scapula, or shoulder blade, plays a crucial role in shoulder stability and function, and fractures in this area can significantly impact mobility and strength. Patients may present with shoulder pain, swelling, and limited range of motion. Diagnosis is usually confirmed through imaging studies, such as X-rays or CT scans, which can reveal the fracture's location and severity. Treatment often involves conservative management, including rest, ice, and physical therapy, but may require surgical intervention in cases of displaced fractures or associated injuries, such as rotator cuff tears or humeral fractures. Surgical options may include open reduction and internal fixation (ORIF) or arthroscopic techniques, depending on the fracture's complexity and the patient's overall health. Rehabilitation is essential for restoring function and strength post-injury, and the prognosis is generally favorable with appropriate treatment.
Detailed operative notes, imaging reports, and post-operative follow-up documentation.
Fractures resulting from sports injuries, falls, or trauma requiring surgical intervention.
Ensure accurate coding of any associated procedures performed during surgery.
Progress notes detailing rehabilitation exercises and patient response.
Patients recovering from scapular fractures requiring physical therapy for strength and mobility.
Document specific goals and outcomes related to shoulder function.
Used when a rotator cuff tear is identified during surgery for scapular fracture.
Operative report detailing the procedure and findings.
Orthopedic surgeons should document any findings related to the rotator cuff during scapular surgery.
X-rays are typically the first step in diagnosing a scapular fracture, but CT scans may be necessary for complex cases to assess the fracture's extent and any associated injuries.
