jilogc.blogg.se - Icd 10 lateral malleolus fracture

$Icd 10 lateral malleolus fracture$

$icd 10 lateral malleolus fracture$

#Icd 10 lateral malleolus fracture full

#Icd 10 lateral malleolus fracture full

full length tib/fib films if proximal fibula is tender to evaluate for Maisonneuve fracture.Document whether tender medially or not(bimalleolar equivalent).Document neurovascular exam before and after any treatment.Evaluate soft tissue injury and for open fractures.Ankle pain and swelling, inability to ambulate.Medial Malleolus Fracture Clinical Evaluation Posterior malleolus is the attachemnet site for the posterior talofibular ligament.superficial peroneal nerve supplies majority of dorsum of foot.deep peroneal nerve supplies 1 stdorsal web space.saphenous nerve supples medial border of foot.medial and lateral plantar nerves (from tibial N) supply sole of foot.sural nerve supplies lateral heel and lateral border of foot.lateral displacement of the talus by 1mm reduces the weight bearing area by 42%.fusion=neutral dorsiflexion, 5-10°valgus, 5-10 external rotation, neutral mediolateral displacement, posterior translation of the talus with respect to the tibia of 1cm.

$icd 10 lateral malleolus fracture$

Dorsiflexion causes ER of talus and posterlateral translation and ER of fibula. Saphenous nerve supplies medial NWB side of middle and hind foot. Saphenous nerve runs with long saphenous vein in front of medial malleolus usually dividing into two branches running on either side of the vein.

saphenous nerve and posterior tibial nerve medially.

superficial peroneal n & sural n lateral.

PITFL runs from posterior malleolus ie Volkmann's tubercle. AITFL runs from Chaputs tubercle on anterolateral tibia to Wagstaffe's tubercle on anterior lateral malleolus.

syndesmosis=anterior inferior tibiofibular(intracapsular), posterior inferior tibiofibular, inferior transverse, interosseus.

lateral ligaments=anterior talofibular, calcaneofibular, posterior talofibular.

Deep deltoid is from posterior colliculus of tibia to talus Superficial deltoid is from anterior colliculus of medial malleolus to.

medial ligaments=superficial & deep(strongest) deltoid.

10 dorsiflexion required for normal gait, 20-30 for athletics.

ROM=32 dorsiflexion, 45 plantar flexion.

Unstable fractures treated non-operatively can lead to increased lateral malleolar malunion, medial maleolar nonunion, delayed rehab,.

Medial Malleolus Fracture Etiology / Epidemiology / Natural History R- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion Q- subsequent encounter for open fracture type I or II with malunion P- subsequent encounter for closed fracture with malunion N- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion

$icd 10 lateral malleolus fracture$

M- subsequent encounter for open fracture type I or II with nonunion K- subsequent encounter for closed fracture with nonunion J- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing H- subsequent encounter for open fracture type I or II with delayed healing G- subsequent encounter for closed fracture with delayed healing S82.56XA - Nondisplaced fracture of medial malleolus of unspecified tibia, initial encounter for closed fractureī- initial encounter for open fracture type I or IIĬ- initial encounter for open fracture type IIIA, IIIB, or IIICĭ- subsequent encounter for closed fracture with routine healingĮ- subsequent encounter for open fracture type I or II with routine healingį- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing.S82.55XA - Nondisplaced fracture of medial malleolus of left tibia, initial encounter for closed fracture.S82.54XA - Nondisplaced fracture of medial malleolus of right tibia, initial encounter for closed fracture.S82.53XA - Displaced fracture of medial malleolus of unspecified tibia, initial encounter for closed fracture.S82.52XA - Displaced fracture of medial malleolus of left tibia, initial encounter for closed fracture.S82.51XA - Displaced fracture of medial malleolus of right tibia, initial encounter for closed fracture.Synonyms: medial malleolus fracture, bimalleolar fracture, trimalleolar Medial Malleolus Fracture Associated Injuries / Differential Diagnosis

$Icd 10 lateral malleolus fracture$