S52 Fracture of the bones of the forearm. Fracture of the ulna

The following subcategories are given for optional use in additional characterization of a condition where it is not possible or practical to perform multiple coding for fracture and open wound; if the fracture is not labeled as closed or open, it should be classified as closed: 0 - closed 1 - open

Inferior end of ulna Head of ulna

Item composition

Diagnostics

The diagnosis of injury consists of the patient's complaints, examination data and is confirmed by x-ray examination. The picture is taken in two projections.

Treatment and rehabilitation of the forearm after a fracture

Remedial measures begin immediately at the scene. The person needs to be taken to a medical facility, so be sure to call an ambulance. Instructions for first aid for fractures should be familiar to every person.

First aid

When a person receives an injury, he needs to ensure peace, give an anesthetic drug. The hand must be fixed with improvised materials. Do not attempt to straighten an injured limb on your own.

Basic treatment

If there is no displacement of fragments, a plaster cast is applied to the patient and released for outpatient treatment. Gypsum is applied for a period of 1-1.5 months. X-ray control over the rate of callus formation is periodically carried out.

If the fracture is complex, there is a displacement of bone fragments, surgical treatment is indicated. The doctor compares the fragments and fixes them with metal plates or knitting needles. After that, the patient is put on a cast or a rigid orthosis for a period of 2-3 weeks.

Rehabilitation

Rehabilitation measures begin as early as possible - immediately after the swelling subsides. They include the appointment of therapeutic exercises, massage, physiotherapy. A specialist in the video in this article will tell you more about rehabilitation for a fracture.

In an injury such as a fracture of the ulna, the ICD10 code is used to indicate the location of the injury. It is recorded in the formulation of the diagnosis.

Injuries of the distal metaepiphysis (DME) of the radius account for over 16% of all pathologies of the skeletal system. Fractures of the radius are common in all age groups, but women over 45 years of age become frequent victims of injuries. Doctors attribute this to the weakening of the skeletal system and hormonal changes. A fracture of the radius in a typical location is not a dangerous disorder, but the rate of recovery is determined by the individual characteristics of the organism and the age of the victim.

Fracture of the distal metaepiphysis is often accompanied by complications. These include the presence of many fragments and their displacement relative to each other, damage to the muscles of nerve fibers. A comminuted fracture of the radius is aggravated by muscle activity - the movement of the hand is accompanied by muscle tension. Each pulls the fragments in its direction, the functions of the limb are violated. Damage to the lower third of the radius is often accompanied by dislocation.

The most common fracture is the head of the radius. It occurs when falling with simultaneous movement of the forearm. Traumatism is characteristic of the distal head. This type of damage can be marginal or central. Among the fractures of the radius in a typical place, a special place is occupied by injuries with a split of the bone in half. In another group of injuries, fractures of the neck of the radius are introduced, and in childhood, injuries of the periosteum with pathology of the growth zones are observed.

Among the fractures with displacement, the impacted fracture stands apart. It occurs due to a fall on the hands, when one bone seems to enter another. From the two elements, a single bone is obtained with a connection at the bend. Often this is a closed fracture of the radius without a pronounced bruise of the soft tissues.

Injuries to the left hand account for less damage, and an intra-articular fracture of the right bone is observed more often due to the fact that the hand is the leading one, that is, the supporting one. Reverse recoil results in a fracture of the styloid process.

According to the specifics of injuries, there are:

• oblique injuries - occur when falling on a bent palm;
• spiral - characterized by displacement as a result of bone movement;
• longitudinal - are the result of a compression effect;
• transverse - arise due to a direct impact.

A closed fracture of the radius without displacement is characterized by bruises, but without tissue rupture. An open fracture is quite common and is accompanied by displacement of the fragments.

ICD 10 injury code

In the international classifier, such injuries are assigned the code S52. With a fracture of the head of the radius, S52.1 is assigned. If there is an injury to the diaphysis of the ulna or radius, then codes S52.2 and S52.3 are assigned, respectively. Other types of damage, unspecified, are classified as S52.9.

Causes

Injuries can occur due to accidents, non-compliance with safety regulations at work, due to negligence. The mass fraction of fractures appears as a result of a fall. If there was a fall with support on the palm of your hand, then there are. In the case of a direct blow, a fracture of the radius of the hand in the middle part is guaranteed. The most common causes of injury include:

• the fall of a heavy object on an outstretched hand;
• gunshot wounds;
• osteoporosis and bone diseases;
• extreme sport;
• deficiency of calcium in the body.

Pathological injuries occur as a result of the impact of a small force. In such cases, the bones are destroyed even with slight compression. Endocrine disorders, oncology, osteomyelitis can cause weakening of the bones. Fractures of the styloid process of the radius and damage to part of the hand are observed due to some resistance on impact. A driven fracture is the result of a significant effort or a fall from a great height.

The causes and types of fracture determine the symptoms and first aid. with displaced fragments are accompanied by severe pain and are more difficult to treat. These fractures occur as a result of serious accidents or while working with heavy equipment.

Symptoms

Wounds of the hand are often combined with dislocations, bruises, hemorrhages. One of the most characteristic signs of the destruction of the integrity of the bone tissue is the deformity of the limb. In some cases, there are cracks in the diaphysis of the bone. At the same time, the anatomical shape of the hand is preserved. And signs of a fracture include:

• swelling and swelling at the site of injury;
• pain on palpation and movement;
• hematomas;
• lowering blood pressure.

If the hand is swollen, then this is not always a symptom of a fracture. So a bruise or can manifest itself. When numbness is added to the swelling of the arm after a fracture of the radius, damage to nerve fibers and muscle tissues is not excluded. The symptoms of an open fracture are more pronounced. Rupture of blood vessels and skin increases the risk of infection. In this case, the fingers also go numb, the bone is severely deformed.

Fracture of the head of the radius leads to pathological mobility and crepitus. Swelling in the area of ​​injury may spread to the entire arm. The functioning of the limb is severely limited. If accompanied by rupture of blood vessels, then it is not possible to feel the pulse on the artery.

Due to a violation of the outflow of venous blood, the hand may turn blue. This condition is especially dangerous, as soft tissues and blood vessels begin to die.

Symptoms largely depend on the location of the fracture. With an impacted injury, the affected limb becomes shorter. The functions of the entire arm are impaired, the patient cannot move his fingers, or efforts are given to him hard and respond with unbearable pain. The situation is exacerbated with fragmented trauma. So, fragments destroy internal tissues and damage blood vessels. It is necessary to minimize the negative effect of the traumatic factor on the bone and provide adequate assistance to the victim.

First aid

With minimal trauma, the patient can be delivered to the medical center on their own. In the event of a severe injury, an ambulance is called. Before the arrival of specialists, immobility of the injured hand is created. The main assistance and rehabilitation is carried out in a hospital. On the spot, you can give the victim an anesthetic and apply cold to reduce swelling.

First aid for a suspected fracture involves fixing the elbow. All jewelry should be removed from the hand, it is necessary to hold the hand at an angle, unless we are talking about an impacted fracture of the radius and ulna. A suitable splint is selected, applied from the elbow to and bandaged. In case of damage in the hand, a splint will help out.

If a fracture of the head of the radius is accompanied by a rupture of the skin, then antiseptic treatment is carried out, which avoids infection. With an open injury, protruding fragments protrude, but no manipulations can be performed with them, otherwise the fragments will move.

In order to avoid complications after a fracture of the radius, it is necessary to ensure rest for the limbs. When the vessels and nerves of the forearm are damaged, arterial or venous bleeding may open. In the first case, you can not do without the imposition of a tourniquet. In a thief - a pressure bandage is enough. In order to avoid possible consequences, the victim is urgently taken to the hospital. The tourniquet is not left on the limb for a long time, since after 2 hours of bleeding, necrosis begins.

Diagnostics

The main method of instrumental diagnostics for a fracture of the radius in a typical place is radiography. On the pictures in two projections, it is possible to see the localization of damage and associated injuries. X-ray diagnosis of fractures of the radius is considered an informative method, on the basis of which the optimal treatment is selected.

The traumatologist palpates the hand, evaluates the state of the muscular and vascular systems, and feels the pulse. MRI is recommended if a fracture of the distal epimetaphysis with extensive damage to the radius is suspected. Ultrasound is prescribed for hematomas and edema in order to detect blood accumulation.

CT and radioscopy are considered informative methods. With their help, it is possible to see concomitant disorders and the smallest defects, which eliminates errors in the diagnosis.

Treatment

How to cure a fracture in a particular situation, only a traumatologist will tell. Do not count on folk remedies for the treatment of a fracture. Due to the lack of qualified assistance, complications arise. A consolidated fracture is a typical manifestation of inadequate therapy. As a result, the fragments are spliced ​​on their own, but not always correctly, which is why . It reduces the functionality of the hand and makes the bone tissue vulnerable. Due to improper fusion, contracture occurs - stiffness or complete immobilization.

For uncomplicated wounds, a closed reposition of the fragments is performed, followed by the application of plaster. This is the most common treatment for radius fractures. Fragments are compared under radiological control, which eliminates errors and incorrect fusion. The plaster is applied after reposition. The arm is bent at the elbow and brought to the body. Further treatment takes place at home.

Fracture of the styloid process of the detachable type requires accuracy when comparing fragments. The reduction of the fracture may be open if the injury passes through the joint. The main method of treatment is long-term immobilization with X-ray control. During surgical reposition, not a plaster is used, but an orthosis.

Surgical treatment

It is injuries of the styloid process of the radius that often require surgical treatment. The operation involves fixing fragments with screws or plates. With severe fragmentation, not all fragments can be collected. In this case, part of the bone is increased artificially.

The indications for the operation are:

• concomitant damage to blood vessels, muscles, nerves;
• fragmental fracture of the radius with significant displacement;
• fracture of the head of the radius with dislocation;
• malformed fracture.

One of the methods of surgical treatment is the restoration of the radius with the Ilizarov apparatus. After the operation, the needles remain in the hand. They are removed after the fusion of fragments. A second operation is required if the reduction is incorrect. In this case, the period of healing of a displaced fracture of the radius of the hand will be longer, and the hand will still retain a certain vulnerability.

Long-term immobilization in case of a fracture of the head of the radial bone of the elbow joint is not required. In the case of a fracture of the ulna and radius, the fusion period will take 2-3 times longer. The general terms of treatment, as well as related procedures for recovery, are set by the doctor based on the clinical picture.

How much to be treated and wear a cast

The term for healing of a fracture of the radius of the hand with conservative treatment takes from 4 to 10 weeks. How quickly it will be possible to restore health to the hand is determined by the specifics of the injury, the age of the patient and the individual characteristics of his body. In young people, the time for healing of a fracture of the radius is always less, as well as the negative consequences. In old age, tissues recover more slowly, and in the presence of diseases of the skeletal system or increased fragility, problems arise.

The cast can be removed when the bone is completely healed. If the radius is damaged, it takes 8-10 weeks. In case of simultaneous dislocation and complicated injuries, the plaster is left for 2 months. If the radius is not displaced during a fracture of the arm, a 6-week immobilization is sufficient.

How much to wear a cast for an open fracture of the radius depends on the method of treatment. With surgical reposition, prolonged immobilization is not required. Traditionally used, which limits movement mainly in the hand.

If a hand hurts after a fracture, then analgesics are prescribed, but obsessive pains indicate problems in therapy. If the broken arm hurt after the operation, then after a few days the discomfort should go away. Pain can be caused by inflammation. That is why, with open reposition, antibiotics and drugs for immunity are prescribed.

Rehabilitation

In the case of surgery, rehabilitation after a multiple fracture of the radius with displacement takes 6-8 weeks. Not the least important are the extent of damage and the complexity of surgical procedures. Fractures heal more easily after falls. The recovery period after accidents and disasters is more difficult. Rehabilitation methods affect the recovery of the hand. Patients are advised to engage in limb development under the supervision of a specialist.

At the first stage of rehabilitation after a fracture of the radius of the arm, insignificant loads are given. Forcing the process leads to repeated injuries, because the bone remains vulnerable to external influences. . Adjust nutrition.

At this time, the body needs protein products, vitamins and minerals. It is especially useful to use jelly, sour-milk and seafood after a fracture of the radius. Fish oil remains the best source of vitamin D for humans.

Physiotherapy, balneotherapy, gentle massage will speed up recovery after a complicated fracture of the radius. If the radial nerve is damaged, then the rehabilitation period increases. How long a full recovery will take depends on many factors. But immediately after the removal of the cast, you should develop a brush, restore blood circulation, and train weakened muscles.

Physiotherapy

Physical factors are fundamental in the rehabilitation phase. Exercise therapy for an uncomplicated fracture of the radius is mandatory. But the techniques of physical therapy for a fracture are so diverse that they deserve special attention.

Hardware therapy gives excellent results at the recovery stage. Physiotherapy after a broken arm includes:

• low frequency magnetic therapy– activates molecular and cellular recovery. Anesthetizes, soothes, relieves inflammation and prevents swelling. Shown after plaster removal. It is carried out in a 10-day course of 30 minutes;
• UHF exposure– treatment with a high-frequency electromagnetic field promotes the fusion of bones. The method is shown on the 3rd day after the fracture. 10 sessions are enough for recovery. During the procedure, tissues are warmed up, blood circulation improves, and atrophic processes are inhibited. Regeneration is enhanced, bones grow together faster and without complications;
• electrophoresis– Traditionally, calcium is used to increase the effectiveness of the main treatment. If fractures of the radius are caused by a weakening of the musculoskeletal system, then this method is indispensable. The procedure is carried out from the second week after the injury. The minimum duration of exposure is 20 minutes;
• UV therapy– physiotherapy radiation enhances capillary blood circulation, activates the production of vitamin D, prevents swelling and inflammation. Spend only 3-4 sessions with an interval of 3 days.

Deserves special attention mechanotherapy. It helps to develop the hand and return its functionality. Exercise machines are selected taking into account the allowable load and the desired result. Hydrokinesitherapy has a similar effect, but it is not carried out in all institutions. Therapeutic gymnastics in the first days after the injury is excluded, but the techniques of therapeutic physical culture do not exclude passive gymnastics, which helps to keep the fingers active and normalize the blood supply to the injured limb.

How to develop a hand after a fracture of the radius

Gymnastics is aimed at developing muscles that have been immobilized for a long time. All techniques are available to patients. If it is better to do the exercises for the first time with a specialist, then the help of a doctor is not required during the next workouts. It is important to observe the regime of work and rest, so that the hand recovers gradually.

A set of exercises after a fracture of the radius includes:

• clenching the hand in a fist - after removing the cast, this exercise will be the most useful. It allows you to disperse the blood, use the muscles that were at rest, and at the same time not harm the joint. Working with a small ball or plasticine will help to increase the effectiveness of classes;
• sorting through objects with your fingers - it would seem that this is a simple exercise, but how much benefit it brings! First, the accuracy of movements is honed. After gypsum, the fingers, and the hand as a whole, do not want to obey. Fine motor skills training eliminates this problem. Secondly, the load on the joint is minimal, and the muscles work very well. As a result, blood circulation improves, strength appears in the hands;
• circular rotations - they help restore the mobility of the hand. But rotate the hand should be smooth and slow. There should be no pain, but a slight crunch can accompany the workout. Subsequently, he will leave;
• raising and lowering the shoulders - this exercise can be done synchronously and alternately. The shoulder girdle is not directly related to the site of injury, but its development will increase the motor activity of the limbs and relieve stiffness;
• flexion at the elbow - you should alternately bend and unbend the arm, but this exercise is done after the limbs function well. Such training is necessary to increase the functionality of the joint and relieve muscle tension during prolonged immobilization of the arm in a half-bent position.

When the first stage of recovery is completed, it is worth connecting exercises such as clapping in front of you and behind you, raising your arms to the sides and up, clutching your fingers with a “lock” behind your back. The load, like the time of classes, increases gradually. Pain and discomfort during training should not be.

Massage

If the radius is damaged, massage becomes the main element of training immediately after injury. It is aimed at stimulating blood circulation, preventing atrophy, increasing muscle tone and relieving pain. Due to the immobilization of the tissue, they receive less oxygen, which adversely affects the fusion of bones and the condition of the skin. In case of a fracture of the radius in a typical place, it is advisable to conduct a gentle massage:

• the injured hand is stroked with soft movements along and across. Pressure is off. Fingertips gently run over the surface of the skin. This technique allows you to maintain sensitivity, improve capillary circulation and activate nerve receptors;
• rubbing - imply more intense movements along the arm. We do not deprive the attention of the side of the back surface of the forearm. After the procedure, the hand turns slightly pink, which indicates an improvement in the blood supply to the tissues. There should be no aggressive movements;
• pinching and pressure - they are best done with the help of special massagers, for example, needle rollers. Since the cast eliminates the movement of the internal and external rotation of the hand, you should not worry about possible damage to the hand during the massage. It will remain lying on a flat surface, and applicators and rollers with "bumps" will intensively act on surface tissues, preventing stagnation;
• at the final stage of the massage, they return to stroking. They soothe and relax. You can use special oils for massage, which will make skin care more effective and make it easier to slip during the procedure.

Massage is allowed to be done with a fracture of the radius in a typical place already on the 3rd day. But the doctor will tell about all the necessary manipulations after the patient is discharged home. The main development of the arm will begin as soon as the cast is removed, although it is possible to force the recovery period even at the stage of immobilization.

Complications and consequences

Due to an improperly fused fracture of the radius, the bulk of the negative consequences occur. The functionality of the limb is sharply reduced. Often the problem cannot be solved either by physiotherapy or intensive gymnastics. We have to re-open the injury and re-reposition. Secondary displacement occurs after the restoration of bone fragments. Inadvertent movement of the patient's hand or muscle spasm can provoke the separation of fragments. In the case of open reposition, such manifestations are excluded, because the fragments are fixed with metal structures.

The consequences of a fracture of the radius with displacement also include stiffness. For example, the hand is not able to make a full turn or there are problems with clenching the fingers into a fist. Damage to muscles and nerves is responsible for this. Post-traumatic dystrophy in medicine is called Zudeck's syndrome. Most often, it appears precisely after an injury to the radius (more than 60% of cases). Such a complication can be caused by early removal of the cast, the application of a too tight bandage, or intensive development immediately after the cancellation of the immobilization regimen.

This syndrome, after a fracture of the radius in a typical place, causes severe pain and causes immobilization of the joint. Bone structures and nervous tissues are involved in the pathological process. Severe edema is observed, the skin changes color from red to cyanotic, the bone becomes brittle. To cope with the complication allows drug therapy.

The negative manifestations of fractures of the radius in a typical place can be considered. With improper union after a fracture, a callus is formed. Bone fragments are smoothed out by friction, forming a false joint or pseudarthrosis after a fracture. Violation is detected by X-ray. The picture shows pathological tissues and a gap between the fragments. Traditionally, the problem is solved surgically.

Among the complications after a fracture of the radius is rare, but still there is synostosis - fusion of the ulna and radius. Post-traumatic synostosis limits mobility. It is treated mainly by surgery.

In the event of an open injury, infection is not ruled out. Pathogenic microorganisms multiply rapidly in soft tissues. Microbes can cause purulent inflammation and destruction of bones. Osteomyelitis is considered a particularly dangerous complication of a fracture. That is why they try not to resort to open reposition in case of injury, if this is not urgently needed. The vast majority of episodes of post-traumatic osteomyelitis are associated with surgical treatment.

Dear readers of the 1MedHelp website, if you have any questions on this topic, we will be happy to answer them. Leave your feedback, comments, share stories of how you survived a similar trauma and successfully coped with the consequences! Your life experience may be useful to other readers.

Article author:| orthopedic doctor Education: diploma in the specialty "Medicine" received in 2001 at the Medical Academy. I. M. Sechenov. In 2003, she completed postgraduate studies in the specialty "Traumatology and Orthopedics" at the City Clinical Hospital No. N.E. Bauman.

Collis fracture (A. Colles, Irish surgeon, 1773-1843; synonymous with a fracture of the radius in a typical location) - a fracture of the distal end of the radius.

Typicality K. Associated with the mechanism of injury, the nature of the displacement of fragments and the principles of their reposition.

The nature of the damage is far from typical and is very diverse (extra- and intra-articular fracture, fracture without fragments, multi-comminuted comminuted fracture). Often, a fracture of the distal end of the radius is accompanied by a detachment of the styloid process of the ulna.

Forearm fractures account for 11.5–30.5% of the total number of closed injuries.

Classification Fracture of the olecranon Fracture of the coronoid process Fracture of the head and neck of the radius Isolated fracture of the ulna Isolated fracture of the diaphysis of the radius Fracture of both bones of the forearm Fracture of the ulna with dislocation of the head of the radius Fracture of the radius with dislocation of the head of the ulna Fracture of the radius "in a typical place" .

ICD Class XIX (SS99) | Medical practice - modern medicine of diseases, their diagnosis, etiology, pathogenesis and methods of treatment of diseases

A fracture of the navicular bone is accompanied by swelling and severe pain on the side of the first finger. International Statistical Classification of Diseases and Related Health Problems Tenth Revision Complete list of three-character rubrics, four-character subcategories and their contents I.

International Classification of Diseases Codes of diagnoses, names, standards of medical care. Helical, comminuted, extra- and intra-articular fractures are possible.

Causes of injury

A variety of factors can provoke a fracture of the bones of the forearm (ICD code 10 S52). Most often, these are traumatic injuries, although the pathological nature of the violation of the integrity of the bone tissue is not excluded.

This is possible with the development of diseases that affect the absorption of calcium and a violation of the structure of the bone. Most often it is oncology, osteoporosis, osteomyelitis.

There is a traumatic fracture.

Nasal fractures are among the most common facial injuries. Usually the cause of injury is blows during a fall, after a fight, playing sports, an accident.

Fractures of the bones of the nose are more often recorded in men whose age is in the range of 15-40 years.

The bones of the nose are more often injured due to localization in the center, protrusion of this area above the surface of the face. A strong blow in the region of the external nose causes a fracture of the nasal bones, the lateral cartilages of the nose, the frontal processes of the upper jaw, the nasal septum in two sections (bone, cartilage).

In almost every case (even in the absence of displacement of the nasal pyramid), there is a displacement of bone fragments relative to each other.

Prone to pathology are those patients who have an anatomical feature of the structure of the joint: an increase in size, protrusion to the side. Together with the articulation, the feet, shins, and knees are often damaged.

An anomaly is detected by collecting anamnesis of the victim and visual examination of the diseased joint.

A false joint is a pathology in which there is a violation of the integrity of the bone, as a result of which it loses stability and becomes mobile. The second name of the pathological phenomenon used in medicine is pseudoarthrosis. A false joint can be cured, and in some cases conservative methods are sufficient.

Thanks to the use of modern equipment and medications, the patient has every chance to return to a full life, avoiding disability.

It is important to correctly diagnose, establish the causes of the development of pathology and eliminate them by starting treatment as early as possible.

Types and features of a false joint

A false joint is a pathological change in the tubular bone, as a result of which its continuity is lost and it becomes mobile. According to the international classification of diseases, this disease has the ICD code 10. It means:

• Pathological nonunion of bone tissue after a fracture;
• Bone fusion as a complication of other joint diseases;
• Arthrodesis.

Distinguish fibrous and true false joint. With a fibrous false joint, a small gap is formed between the fragments of the damaged tubular bone, in which fibrous tissue begins to form. The ends of the fragments grow, transforming into bone plates that cover the medullary canal.

Sometimes bone fragments are covered with cartilaginous tissue, and a dense shell is formed around them, resembling the articular one in its structure. Synovial fluid can accumulate inside it. In this case, a fibro-synovial false type of joint is diagnosed. With this form of pathology, sclerosis of bone fragments can develop.

In addition, such a joint may be congenital or acquired. Congenital false joint type accounts for only 0.5% of all cases of the disease. The pathology is caused by a violation of the intrauterine formation of bone tissue.

At birth, their structure is broken, and by the age of 2-3 years, the bones lose their continuity. Most often, a false joint of the lower leg is congenital, but pathologies of the collarbone, elbow or thigh can be found.

Acquired false joint develops after a bone fracture, if it is incorrect or not completely fused.

Acquired pseudoarthrosis is divided in turn into normotrophic, atrophic and hypertrophic.

Reasons for the development of a false joint

2 S00-T98 Injury, Poisoning and Certain Other Consequences of External Causes

Included: injuries: . ear. eyes. face (any part). gums. jaws. region of the temporomandibular joint. oral cavity. sky. periocular region. scalp. language. tooth.

ICD 10 injury code

ICD code 10S82 - fracture of the bones of the lower leg and ankle joint:

• ICD 10 S50 - internal closed fracture of the ankle;
• ICD 10 S51 - internal open fracture of the ankle;
• ICD 10 S60 - external closed fracture of the ankle;
• ICD 10 S61 - external open fracture of the ankle;

ICD 10 code: S82 Fracture of the lower leg, including the ankle joint. Included: ankle fracture The following subcategories are for optional. Search and decoding of the ICD T10 classifier code. Broken arm NOS Fractured arm NOS The following subcategories are given for optional use in additional characterization of a condition where it is impossible or inappropriate to perform multiples.

ICD 1.0 - Fractures involving several areas of the body (T0.

The following subcategories are given for optional use in additional characterization of a condition where it is not possible or practical to perform multiple coding to identify a fracture and an open wound; if the fracture is not labeled as closed or open, it should be classified as closed: 0 - closed 1 - open.

0 Fractures in the head and neck. Fractures of sites classified under S0.

S1. 2. Excludes: involving other area(s) of the body (T0. T0. 2. 1 Fractures in the chest, lower back and pelvis. Fractures of sites classified under S2. S3. 2.- and T0 8 Excluded: in combination with fractures: .

A bruise of the forearm has its own code according to ICD 10. According to the international classifier of diseases, this injury is indicated by the code S50.1 (“Bruise of another and unspecified part of the forearm”).

The severity of a bruise is always determined by the type and mass of the traumatic agent, as well as the speed of its fall.

Bruises of the forearm can be combined with other types of injuries, which include open wounds of the specified area, bone fractures, dislocations. Also, damage is often accompanied by inflammation of the joints and muscles, which can act as separate disorders involving the immune mechanism of the disease, a violation of the integrity of tendons and ligaments.

Nerve endings are also damaged, which is immediately manifested by pain. And since the vessels in the subcutaneous tissue have ruptured, bruises are formed in the place where the elbow joint is located.

Elecampane is no less useful, or rather, its tincture. With such folk remedies, you need to treat the affected elbow area or make a compress.

Fracture of an unspecified part of the bones of the forearm S Printable version Download or send the file. E "Closed injuries of the elbow joint, bones of the forearm" Profile: ICD code S52 Fracture of the bones of the forearm.

S53 Dislocation, sprain and damage to the capsular-ligamentous apparatus of the elbow joint. Injury to a blood vessel in another finger.

Injury to several blood vessels at the level of the wrist and hand. Injury to other blood vessels at the level of the wrist and hand.

Injury to an unspecified blood vessel at the level of the wrist and hand. Injury to the muscle and tendon at the level of the wrist and hand.

Injury of the flexor of the other finger and its tendon at the level of the wrist and hand. Injury to several flexor muscles and tendons at the level of the wrist and hand.

Injury to several extensor muscles and tendons at the level of the wrist and hand.

Injury to other muscles and tendons at the level of the wrist and hand. Injury to unspecified muscles and tendons at the level of the wrist and hand. Crushing of the wrist and hand. Crushing of the thumb and other finger of the hand. Crushing of another and unspecified part of the wrist and hand. Traumatic amputation of the wrist and hand.

Traumatic amputation of the thumb, complete partial. Traumatic amputation of the other one finger of the hand is complete partial. Traumatic amputation of two or more fingers, complete partial. Traumatic amputation of the hand at the level of the wrist.

ekonom-magnit.ru

A nose fracture cannot go unnoticed; this injury is a fracture of the bone or cartilaginous skeleton of the external nose and its septum. As a result of the injury, all functions of the nose are affected. If the patient has a broken nose, the severity of the damage to health can be determined by the doctor, who should be contacted immediately.

Fracture of the bones of the nose, ICD-10 code - S02.2 Fracture of the bones of the nose.

The main cause of fracture of the bones of the nose is trauma - a direct or side impact on any hard surface or hard blunt object. Most often, such injuries occur during falls, in road accidents, street fights, in the sports field (boxing, martial arts, hockey, etc.), at work.

The ankle joint is a large articulation, which is formed by the lower condyles of the tibia and fibula and the foot, connected together with the help of ligaments and the articular capsule. Pathology belongs to class 19, which includes contusion of the foot according to ICD-10 and diseases of the ankle joints.

In accordance with the International Classification of Diseases (ICD) of the tenth revision, an ankle bruise has the code S90.0 and denotes an injury received from a blow or a fall.

Accompanying trauma to the ankle joint are superficial skin injuries, finger bruising (damage to the nail plate, fracture of the phalanges), and ankles.

In severe cases, hemarthrosis develops (accumulation of blood in the joint cavity).

Back pain on the right above the lower back causes

Fracture of the ulna, ICD10 code

A fracture of the olecranon, as mentioned above, occurs as a result of a fall from a height when the victim's arm was slightly extended. Very often, for example, this happens precisely when the process is fractured with displacement.

With a fracture of the coronoid process of the ulna, they speak of an indirect injury, which occurs as a result of a fall on the arm, in particular on the back surface of the forearm, when its maximum flexion occurred.

Shaft fractures occur due to the impact of a direct blow, which is also called a “baton fracture”. Most often, this type of damage is diagnosed in an accident or fights.

In addition to the above causes of elbow injury, which are classified as a traumatic factor, there is also a group of pathologies in which fractures occur with the most minimal pressure on the bone. Most often, this happens when a patient has a lack of calcium, or when he has diseases of the musculoskeletal system, for example, osteoporosis, arthrosis, osteoarthritis.

The symptoms of an elbow fracture are similar, but there are some differences. Since they depend on the location of the damage.

With a fracture of the olecranon of the ulna, the signs of a fracture are characterized by acute pain, swelling of the joint itself. At the same time, its limited effect is noted. The elbow cannot be flexed or extended. Hemorrhage in the joint is also diagnosed. Pain may also be experienced when the site of injury is palpated.

Bruising around the eye Excluded: This will allow you to make your own choice based on the facts.

Types of damage

If a fracture of the forearm is implied, the ICD code for it is S52. There is a separate classification of injuries in this zone.

A fracture of the forearm with and without displacement according to ICD 10 is also distinguished by adding 0 or 1 to the main code in the prescribed order of numbers.

The radius in the zone of articulation with the carpal joint has the thinnest cortical layer. Almost always, it breaks only in this area, which is why such injuries began to be called "beam fracture in a typical place" (ICD-10 code - S52.5). Depending on how the hand was twisted during the fall, the injury is classified into two categories:

• Smith's fracture or flexion (when the blow fell on the back of the hand);
• Colles fracture or extensor (when the blow fell on the open palm).

When falling on an outstretched hand in the position of dorsal flexion of the bone in adults, an impacted fracture of the radius is usually observed without obvious displacement of bone fragments.

The general classification of bone fractures also applies to this type of injury, so damage to the radius can be: open (when the skin and soft tissues are torn) or closed (when the integrity of the covers is not broken); with displacement of bones or their fragments or without displacement.

Symptoms and signs

Only a specialist can recognize a fracture of the left forearm according to ICD 10. However, you can independently identify the most characteristic symptoms of injury. It is their active manifestation that is the reason for immediate treatment in traumatology.

Signs of a fracture of the forearm are expressed as follows:

• severe pain, especially when trying to feel the arm, strain or make any movement with it;
• swelling at the site of a possible fracture;
• the appearance of a hematoma;
• numbness;
• inability to move fingers normally;
• limitation of mobility of the elbow or wrist joint;
• change in the shape of the limb;
• bleeding and viewing bone fragments with an open wound.

In no case should you endure pain and rely on the fact that it is only a bruise and everything will pass by itself soon. In some cases, the symptoms of a bruise and a fracture are indeed similar, but with serious injuries, delay can lead to a number of complications.

How to recognize a broken nose

With an injury to the bones of the nose, you must initially stop the bleeding. It is recommended to apply cold, you can insert tampons into the nostrils. If a fracture with a displacement of the victim should be taken to the medical center as soon as possible. You cannot do anything on your own. It is forbidden to tilt the head back when bleeding from the nostrils.

Conservative therapy

If the fracture is not displaced, it is treated with a conservative method (they cool the area of ​​injury, prescribe painkillers "Ketanov", "Dexalgin", vasoconstrictor drugs, ointments to relieve edema, bruises "Rescuer", "Troxevasin").

Local, general antibiotic therapy can also be carried out.

Surgery

Displaced fractures are usually treated surgically. The procedure consists in repositioning the bones of the nose. Experts say that it is advisable to carry out this operation in the first 7-10 days after the fracture. During this period, the procedure can be performed without general anesthesia. Reposition of the nose is usually stopped when its shape is completely restored, breathing has improved.

The operation begins with anesthesia (application, injection) with lidocaine 2%. After anesthesia, the sunken bone is lifted with a special elevator, the nose is fixed with tampons impregnated with an antibiotic.

Symptoms

The first signs and symptoms of a fracture begin to appear immediately after injury. Typical symptoms are:

• Massive swelling at the fracture site;
• Deformation of parts of the joint;
• A sharp limitation of the motor ability of the foot;
• Sharp pain when trying to lean on an injured leg;
• Severe pain in the joint;
• Hematoma.

In the presence of these symptoms, it is necessary to contact the nearest emergency room for the help of specialists as soon as possible.

The clinical picture of such injuries presents no particular difficulties in diagnosis. Typically, a fracture is accompanied by a bayonet deformity of the wrist. In the distal part of the arm, swelling is observed, a hematoma is possible, but not necessarily.

Of course, pain. The functional mobility of the hand does not disappear, but is greatly reduced due to pain. Movement in the wrist joint is usually limited.

A broken nose can lead to a deviated septum. So, a fracture of the cartilage of the nose, craniocerebral trauma, a fracture of the base of the skull, a hematoma of the nasal septum can become complicated.

All this is very dangerous, if a person has a broken nose, the severity of harm to health should be determined immediately when contacting a doctor. In some severe cases, prompt medical attention is vital.

Diagnostics

In any case, it is important to seek medical help as soon as possible.

In order not to harm the victim until the moment of rendering professional assistance, it is necessary to learn the following rules:

Further examination should be carried out by a specialized doctor. Diagnosis consists not only in a physical examination, but also in special events.

The main of them is radiography, since defects in bone tissue are clearly visible in the picture. For a more accurate study of the structure of the bone, tomography is prescribed.

Patients complain of pain at the site of injury. In the distal section of the radius, swelling, painful limitation of mobility in the wrist joint and deformity of the "fork" or "bayonet" type are noted due to the displacement of the peripheral fragment to the radial side and to the rear.

The examination should be painless. It is necessary to check the sensitivity in the area innervated by the median nerve. A displaced distal fragment can lead to irritation of the median nerve with the development of carpal tunnel syndrome. With significant damage, compartment syndrome may develop in the region of the deep flexors of the forearm.

The diagnosis and nature of the displacement of fragments is specified by radiographs made in two projections.

In order to make an accurate diagnosis, the traumatologist needs to conduct a thorough examination of the site of injury and examine all the symptoms present. After that, he appoints the injured ankle x-ray in 2 projections (straight and side).

If the obtained images are not informative, the doctor may decide to refer the patient to more accurate and modern diagnostic procedures (CT, MRI), which will show the condition of the joint and bones from all sides.

Do you have any questions? Ask them to our staff doctor right here on the site. You will definitely get an answer!Ask a question

megan92 () 2 weeks ago

Tell me, who is struggling with pain in the joints? My knees hurt terribly ((I drink painkillers, but I understand that I am struggling with the effect, and not with the cause ...

Daria () 2 weeks ago

I struggled with my sore joints for several years until I read this article by some Chinese doctor. And for a long time I forgot about the "incurable" joints. So it goes

megan92 () 13 days ago

Daria () 12 days ago

megan92, so I wrote in my first comment) I will duplicate it just in case - link to professor's article.

Sonya 10 days ago

Isn't this a divorce? Why sell online?

Yulek26 (Tver) 10 days ago

Sonya, what country do you live in? .. They sell on the Internet, because shops and pharmacies set their margins brutal. In addition, payment is only after receipt, that is, they first looked, checked and only then paid. And now everything is sold on the Internet - from clothes to TVs and furniture.

Editorial response 10 days ago

Sonya, hello. This drug for the treatment of joints is really not sold through the pharmacy network in order to avoid inflated prices. Currently, you can only order Official site. Be healthy!

Sonya 10 days ago

Sorry, I didn't notice at first the information about the cash on delivery. Then everything is in order for sure, if the payment is upon receipt. Thanks!!

Margo (Ulyanovsk) 8 days ago

Has anyone tried traditional methods of treating joints? Grandmother does not trust pills, the poor woman suffers from pain ...

Andrew a week ago

What kind of folk remedies I have not tried, nothing helped ...

Ekaterina a week ago

I tried to drink a decoction of bay leaves, to no avail, only ruined my stomach !! I no longer believe in these folk methods ...

Maria 5 days ago

Recently I watched a program on the first channel, there is also about this Federal program for the fight against diseases of the joints spoke. It is also headed by some well-known Chinese professor. They say that they have found a way to permanently cure the joints and back, and the state fully finances the treatment for each patient.