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ICD-9-CM CODES1

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  • 813.05 Fracture of head of radius closed

  • 813.06 Fracture of neck of radius closed

  • 813.15 Fracture of head of radius open

  • 813.16 Fracture of neck of radius open

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ICD-10-CM CODES2

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  • S52.123A Displaced fracture of head of unspecified radius, initial encounter for closed fracture

  • S52.126A Nondisplaced fracture of head of unspecified radius, initial encounter for closed fracture

  • S52.133A Displaced fracture of neck of unspecified radius, initial encounter for closed fracture

  • S52.136A Nondisplaced fracture of neck of unspecified radius, initial encounter for closed fracture

  • S52.123B Displaced fracture of head of unspecified radius, initial encounter for open fracture type I or II

  • S52.123C Displaced fracture of head of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC

  • S52.126B Nondisplaced fracture of head of unspecified radius, initial encounter for open fracture type I or II

  • S52.126C Nondisplaced fracture of head of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC

  • S52.133B Displaced fracture of neck of unspecified radius, initial encounter for open fracture type I or II

  • S52.133C Displaced fracture of neck of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC

  • S52.136B Nondisplaced fracture of neck of unspecified radius, initial encounter for open fracture type I or II

  • S52.136C Nondisplaced fracture of neck of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC

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PREFERRED PRACTICE PATTERN

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  • 4G: Impaired Joint Mobility, Muscle Performance, and Range of Motion Associated with Fracture3

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PATIENT PRESENTATION

A 38-year-old woman arrives to the emergency room complaining of 10/10 elbow pain. She reports she was running in the street, did not see a hole in the road and experienced a “hard” fall against the concrete. She continued to report putting out her arm to attempt to dampen the fall, but felt immediate sharp pain in her elbow upon impact. The woman demonstrated increased upper extremity (UE) guarding with any attempted elbow movements and visible deformity at the distal elbow with edema. Upon palpation, patient demonstrated tenderness directly over radial head. Crepitus was noted with forearm supination. X-rays were performed and patient was found to have a displaced proximal radial head fracture.

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FIGURE 163-1

(A) Supination and (B) flexion techniques for radial head subluxation reduction. (From Simon RR, Sherman SC. Emergency Orthopedics. 6th ed. http://www.accessemergencymedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)

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FIGURE 163-2

Salter II fracture of the distal radius in a child. This fracture requires reduction in the emergency department. (From Simon RR, Sherman SC. Emergency Orthopedics. 6th ed. http://www.accessemergencymedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)

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