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Condition/Disorder Synonym

  • Proximal humeral fracture

ICD-9-CM Code

  • 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 Code

  • 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

  • for open fracture

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

Preferred Practice Pattern1

Key Features

Description

  • Fracture

  • Any defect in continuity of the proximal humerus

  • Displaced (proximal humerus is moved on either side of the fracture) or nondisplaced (proximal humerus has not moved)

  • Closed (skin is intact) or open (skin is breached)

Essentials of Diagnosis

  • Diagnosis is usually made by clinical examination

  • May not be a fracture but a dislocation, an acromioclavicular (AC) sprain, or a rotator cuff strain

General Considerations

  • Account for 5% of all fractures

Demographics

  • Occur primarily in older patients

Clinical Findings

Signs and Symptoms

  • Pain

  • Point tenderness

  • Edema

  • Ecchymosis

  • Loss of general function

  • Loss of ...

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