Greenstick fracture of shaft of humerus
ICD-10 S42.31 is a billable code used to indicate a diagnosis of greenstick fracture of shaft of humerus.
A greenstick fracture of the shaft of the humerus is a type of incomplete fracture that occurs primarily in pediatric patients, where the bone bends and cracks on one side without breaking completely through. This type of fracture is analogous to bending a green twig, hence the name. The humerus, being the long bone of the upper arm, is susceptible to such fractures due to falls or direct trauma. Clinically, patients may present with localized pain, swelling, and limited range of motion in the shoulder and arm. Diagnosis is typically confirmed through radiographic imaging, which reveals the characteristic incomplete fracture line. Treatment often involves immobilization with a cast or splint, and in some cases, surgical intervention may be necessary if the fracture is unstable or if there is significant displacement. Understanding the nuances of this fracture type is crucial for accurate coding and appropriate management, especially in pediatric populations where growth plate considerations may also come into play.
Detailed operative notes if surgical intervention is performed, including type of fixation used.
Management of pediatric fractures, surgical repair of unstable greenstick fractures.
Consideration of growth plate involvement and potential for future complications.
Thorough history and physical examination notes, including mechanism of injury.
Evaluation of arm pain in children post-fall, monitoring for growth-related issues.
Understanding of developmental milestones and implications of fractures on growth.
Used in conjunction with greenstick fracture management if there is suspicion of associated soft tissue injury.
Operative report detailing findings and any interventions performed.
Orthopedic surgeons should document the rationale for arthroscopy in the context of fracture management.
A greenstick fracture is an incomplete fracture that occurs primarily in children, where the bone bends and cracks on one side without breaking completely through, resembling the bending of a green twig.
