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159: SHOULDER FRACTURE

Jennifer Cabrera, DPT, GCS; Eric Shamus, PhD, DPT, PT, CSCS

CONDITION/DISORDER SYNONYMS

  • Proximal humeral fracture

  • Shoulder fracture

ICD-9-CM CODES1

  • 812.00 Fracture of unspecified part of upper end of humerus closed

  • 812.01 Fracture of surgical neck of humerus closed

  • 812.02 Fracture of anatomical neck of humerus closed

  • 812.03 Fracture of greater tuberosity of humerus closed

  • 812.09 Other closed fractures of upper end of humerus

  • 812.10 Fracture of unspecified part of upper end of humerus open

  • 812.11 Fracture of surgical neck of humerus open

  • 812.12 Fracture of anatomical neck of humerus open

  • 812.13 Fracture of greater tuberosity of humerus open

  • 812.19 Other open fractures of upper end of humerus

ICD-10-CM CODES2

  • S42.209A Unspecified fracture of upper end of unspecified humerus, initial encounter for closed fracture

  • S42.209B Unspecified fracture of upper end of unspecified humerus, initial encounter

  • S42.213A Unspecified displaced fracture of surgical neck of unspecified humerus, initial encounter for closed fracture

  • S42.213B Unspecified displaced fracture of surgical neck of unspecified humerus, initial encounter for open fracture

  • S42.216A Unspecified nondisplaced fracture of surgical neck of unspecified humerus, initial encounter for closed fracture

  • S42.216B Unspecified nondisplaced fracture of surgical neck of unspecified humerus, initial encounter for open fracture

  • S42.253A Displaced fracture of greater tuberosity of unspecified humerus, initial encounter for closed fracture

  • S42.253B Displaced fracture of greater tuberosity of unspecified humerus, initial encounter for open fracture

  • S42.256A Nondisplaced fracture of greater tuberosity of unspecified humerus, initial encounter for closed fracture

  • S42.256B Nondisplaced fracture of greater tuberosity of unspecified humerus, initial encounter for open fracture

  • S42.293A Other displaced fracture of upper end of unspecified humerus, initial encounter for closed fracture

  • S42.293B Other displaced fracture of upper end of unspecified humerus, initial encounter for open fracture

  • S42.295A Other nondisplaced fracture of upper end of left humerus, initial encounter for closed fracture

  • S42.296A Other nondisplaced fracture of upper end of unspecified humerus, initial encounter for closed fracture or open fracture

  • S42.296B Other nondisplaced fracture of upper end of unspecified humerus, initial encounter for open fracture

FIGURE 159-1

AP view of the proximal left humerus. An acute fracture has occurred through an area of bone destruction caused by metastatic carcinoma. Conventional radiographs are used to identify bony metastases that have destroyed enough bone to make a pathologic fracture likely. (From Chen MYM, Pope TL, Ott DJ. Basic Radiology. 2nd ed. http://www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)

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PREFERRED PRACTICE PATTERN

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

PATIENT PRESENTATION

An 83-year-old woman went to use the restroom, slipped and hit her right arm against the sink. She felt immediate pain in her arm and was unable to move her shoulder. Patient has diagnosed osteoporosis × 10 years for which she does not take bisphosphonates. She presented ...

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