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CONDITION/DISORDER SYNONYMS
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Elbow subluxation
Nursemaid’s elbow
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832 Dislocation of elbow
832.0 Closed dislocation of elbow
832.00 Closed dislocation of elbow, unspecified
832.01 Closed anterior dislocation of elbow
832.02 Closed posterior dislocation of elbow
832.03 Closed medial dislocation of elbow
832.04 Closed lateral dislocation of elbow
832.09 Closed dislocation of elbow, other
832.1 Open dislocation of elbow
832.10 Open dislocation of elbow, unspecified
832.11 Open anterior dislocation of elbow
832.12 Open posterior dislocation of elbow
832.13 Open medial dislocation of elbow
832.14 Open lateral dislocation of elbow
832.19 Open dislocation of elbow, other
832.2 Nursemaid’s elbow
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S53.016A Anterior dislocation of unspecified radial head, initial encounter
S53.116A Anterior dislocation of unspecified ulnohumeral joint, initial encounter
S53.146A Lateral dislocation of unspecified ulnohumeral joint, initial encounter
S53.136A Medial dislocation of unspecified ulnohumeral joint, initial encounter
S53.033A Nursemaid’s elbow, unspecified elbow, initial encounter
S53.096A Other dislocation of unspecified radial head, initial encounter
S53.196A Other dislocation of unspecified ulnohumeral joint, initial encounter
S53.026A Posterior dislocation of unspecified radial head, initial encounter
S51.009A Unspecified open wound of unspecified elbow, initial encounter
S53.006A Unspecified dislocation of unspecified radial head, initial encounter
S53.106A Unspecified dislocation of unspecified ulnohumeral joint, initial encounter
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PREFERRED PRACTICE PATTERN
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4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion (ROM) Associated with Connective Tissue Dysfunction
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PATIENT PRESENTATION
A 17-year-old male presents with elbow pain, weakness, and lack of mobility. Patient sustained an elbow dislocation 2 weeks ago due to a fall on an extended elbow while playing football. He reports immediate pain and inability to move his elbow, necessitating transport to urgent care for relocation. He reports that pre-and postreduction X-rays did not reveal a fracture. He was placed in a hinged brace with ROM limits as set by the orthopedic physician.
He currently presents with moderate global swelling and bruising into his forearm. The patient has difficulty with writing while at school and dressing, grooming, and eating due to decreased mobility. He also notes weakness with carrying objects due to diminished grip strength. He has negative varus and valgus stress tests. Patient has normal capillary refill and no sensory deficits in hand.
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Traumatic injury to the elbow
Displacement of the ulna and radius in a posterior, anterior, or lateral direction
Mechanism of injury is a forced hyperextension
Typically from fall on outstretched elbow
Traumatic unidirectional blow to the elbow
Forceful twisting of the elbow while in a flexed ...