$icd 10 code for right humerus fracture$ $icd 10 code for right humerus fracture$

The objective of this study was to investigate the trends in treatment selection and compare complication, reoperation, and readmission rates for proximal humeral fractures treated with either ORIF or RSA using an up-to-date nationwide cross-sectional population. As shoulder arthroplasties, specifically RSA, are becoming more popular, these procedures are performed on younger patients with expanded surgical indications 9, 10. RSA has traditionally been a surgical treatment option for cuff tear arthropathy, massive irreparable cuff tears, and certain proximal humeral fractures. There has been an increase in shoulder arthroplasties performed in the United States, largely because of increases in RSA, with projections continuing to rise over the next decade 8. reviewed 60 matched elderly patients who underwent either ORIF or RSA for proximal humeral fractures and found that ORIF resulted in numerically although not significantly greater shoulder range of motion, but with a higher complication rate (30% compared with 10%) and a higher revision rate (20% compared with 3%) 5. Complications of RSA for proximal humeral fractures include periprosthetic fracture, instability, component loosening, and infection 7. Potential complications of ORIF include osteonecrosis, nonunion, malunion, implant failure, periprosthetic fracture, infection, and rotator cuff tear, among others 6. In other cases, either surgical treatment option (RSA or ORIF) may be reasonable and up to patient and surgeon discretion.įor select proximal humeral fractures, ORIF can be an appropriate surgical treatment option as it preserves bone and restores anatomy better compared with RSA, theoretically leading to more favorable patient outcomes 5. For example, in a geriatric patient who has a severely comminuted proximal humeral fracture that is not amenable to fixation and has baseline rotator cuff weakness and low functional demand, surgical treatment in the form of RSA may be preferred, whereas a younger patient with a less comminuted fracture and a high level of function at baseline may be better served with ORIF. In some scenarios, one operation is clearly more favored and indicated than the other. When surgical treatment is pursued, the decision to treat with open reduction and internal fixation (ORIF) or reverse shoulder arthroplasty (RSA) can be dictated by the fracture pattern, patient functional status, baseline rotator cuff status, and surgeon preference. The treatment of proximal humeral fractures depends on patient age, activity level, demands, fracture pattern, bone quality, and expectations, among other factors. An epidemiologic study showed that, in 2008, proximal humeral fractures accounted for approximately 185,000 emergency room visits in the United States alone, as well as an increasing incidence of these fractures over time 3, 4. 566 Other musculoskeletal system and connective tissue diagnoses without cc/mccĬonvert S42.Proximal humeral fractures are common fragility fractures accounting for up to 6% of all fractures, have a peak incidence in the 60 to 90-year-old age group, and have an economic impact on all health-care systems 1, 2.565 Other musculoskeletal system and connective tissue diagnoses with cc.564 Other musculoskeletal system and connective tissue diagnoses with mcc.ICD-10-CM S42.461K is grouped within Diagnostic Related Group(s) (MS-DRG v41.0): S42.461K is considered exempt from POA reporting.'Present On Admission' is defined as present at the time the order for inpatient admission occurs - conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.

$icd 10 code for right humerus fracture$

Icd 10 code for right humerus fracture