3-part fracture of surgical neck of humerus
ICD-10 S42.23 is a billable code used to indicate a diagnosis of 3-part fracture of surgical neck of humerus.
A 3-part fracture of the surgical neck of the humerus is a complex injury typically resulting from a fall or direct trauma to the shoulder. This type of fracture involves three distinct fragments of the humerus: the greater tuberosity, the lesser tuberosity, and the humeral shaft. The surgical neck is located just below the head of the humerus and is a common site for fractures, especially in elderly patients with osteoporosis. Clinically, patients may present with severe shoulder pain, swelling, and limited range of motion. Diagnosis is confirmed through imaging studies, such as X-rays or CT scans, which reveal the fracture pattern and any associated dislocations. Treatment often involves orthopedic intervention, which may include surgical fixation or shoulder replacement, depending on the severity and displacement of the fracture. Rehabilitation is crucial for restoring function and strength to the shoulder joint post-injury. Understanding the nuances of this fracture type is essential for accurate coding and appropriate management.
Detailed operative reports, imaging studies, and pre-operative assessments.
Fractures resulting from falls, sports injuries, or trauma requiring surgical intervention.
Ensure documentation reflects the complexity of the fracture and any associated procedures performed.
Progress notes detailing rehabilitation goals, treatment plans, and patient responses.
Post-operative rehabilitation following surgical repair of the fracture.
Document functional limitations and progress to justify therapy sessions.
Used for surgical repair of a 3-part fracture of the surgical neck.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the complexity of the fracture and the surgical approach.
A 3-part fracture involves three separate fragments of bone, typically including the greater tuberosity, lesser tuberosity, and the humeral shaft, while a 2-part fracture involves only two fragments. The complexity of treatment and rehabilitation may differ significantly between the two.
