Understanding Closed Displaced Fracture of Right Femoral Neck diagnosis, coding, and documentation? Learn about Right Femoral Neck Fracture, Displaced and Displaced Hip Fracture, Right, including clinical implications, ICD-10 codes, treatment options, and best practices for accurate healthcare documentation. Find comprehensive information for medical professionals on this specific femoral neck fracture.
Also known as
Fracture of neck of femur
This range covers fractures specifically at the femoral neck.
Fracture of femur
Encompasses a broader category of femur fractures, including other regions.
Injury, poisoning, and certain other consequences of external causes
Includes various injuries and external cause-related conditions.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the fracture of the right femoral neck?
Yes
Is the fracture closed?
No
This decision tree is for right femoral neck fractures. Review documentation for correct site and/or consult with physician.
When to use each related code
| Description |
|---|
| Closed displaced right femoral neck fracture |
| Closed nondisplaced right femoral neck fracture |
| Open displaced right femoral neck fracture |
Coding requires specifying displacement type (e.g., lateral, medial) for accurate reimbursement. CDI should clarify.
Accurate laterality (right) and anatomical site (femoral neck, not intertrochanteric) are crucial for proper coding.
Documenting and coding associated injuries (e.g., head trauma) impacts severity and reimbursement. Often missed.
Q: What are the best evidence-based surgical treatment options for a closed displaced fracture of the right femoral neck in an elderly patient with osteoporosis?
A: Choosing the optimal surgical approach for a closed displaced femoral neck fracture in an elderly patient with osteoporosis requires careful consideration of various factors, including the patient's age, functional status, bone quality, and fracture displacement. Current evidence suggests that arthroplasty (either total hip arthroplasty or hemiarthroplasty) is generally preferred over internal fixation for displaced fractures, especially in patients over 65 with limited mobility pre-fracture due to the higher risk of nonunion and avascular necrosis with internal fixation in this population. However, for younger, more active patients with good bone quality and less displacement, internal fixation with cannulated screws or a sliding hip screw may be considered. The choice between total hip arthroplasty (THA) and hemiarthroplasty (HA) also depends on the patient's pre-fracture activity level and overall health. THA offers better long-term functional outcomes and lower revision rates, but carries a higher risk of dislocation. HA is a less invasive procedure with a quicker recovery time, making it suitable for more frail patients. Explore how different surgical implants and techniques influence outcomes in femoral neck fracture management to personalize treatment plans.
Q: How do I differentiate between a closed displaced and a non-displaced femoral neck fracture on imaging, and what are the implications for management?
A: Differentiating a closed displaced from a non-displaced femoral neck fracture hinges on accurately interpreting radiographic findings. On plain radiographs (X-rays), a displaced fracture will show a clear disruption of the Shenton's line, a smooth curve along the inferior border of the superior pubic ramus and the medial aspect of the femoral neck. You might also observe shortening of the femoral neck and varus or valgus angulation. In contrast, a non-displaced fracture might be subtle, potentially appearing as a hairline crack with minimal or no disruption of Shenton's line. For complex cases, advanced imaging like CT or MRI might be necessary to fully characterize the fracture and identify any occult fractures not apparent on X-rays. This distinction is crucial for guiding management. Non-displaced fractures are often treated conservatively with protected weight-bearing, whereas displaced fractures typically require surgical intervention, such as internal fixation or arthroplasty, to ensure stability and prevent complications like nonunion or avascular necrosis. Learn more about the specific radiographic signs of femoral neck fractures and their correlation with treatment algorithms.
Patient presents with complaints of severe right hip pain following a fall. Physical examination reveals significant pain with any movement of the right leg, shortening of the right lower extremity, and external rotation. Palpation elicits tenderness over the right hip joint. The patient is unable to bear weight. Radiographic imaging of the right hip confirms a closed displaced fracture of the right femoral neck. Differential diagnosis included hip dislocation, femoral shaft fracture, and pelvic fracture. Given the displacement and location of the fracture, surgical intervention is indicated. Diagnosis of closed displaced right femoral neck fracture is consistent with ICD-10 code S72.011A. Treatment plan includes open reduction internal fixation (ORIF) to stabilize the fracture and restore hip function. Risks and benefits of surgical intervention, including infection, nonunion, and avascular necrosis, were discussed with the patient, and informed consent was obtained. Postoperative care will include pain management, physical therapy, and close monitoring for complications. Patient education regarding fall prevention and bone health will be provided. This displaced femoral neck fracture represents an acute orthopedic injury requiring prompt surgical treatment to minimize morbidity and optimize functional outcomes.