Salter-Harris Type IV physeal fracture of unspecified calcaneus, subsequent encounter for fracture with nonunion digital illustration

Salter-Harris Type IV physeal fracture of unspecified calcaneus, subsequent encounter for fracture with nonunion Save

ICD-10 code: S99.049K

Disease category: S99.049: Salter-Harris Type IV physeal fracture of unspecified calcaneus

Salter-Harris Type IV Physeal Fracture of Unspecified Calcaneus: Understanding Nonunion

A Salter-Harris Type IV physeal fracture of the calcaneus occurs when there is a break in the growth plate of the heel bone. This type of fracture is common among children and adolescents who are still growing. In some cases, despite proper treatment, the fracture may not heal correctly, leading to a condition called nonunion. In this article, we will explore the concept of nonunion in Salter-Harris Type IV physeal fractures of the calcaneus.

Nonunion refers to the failure of a fracture to heal within the expected timeframe. Typically, a fractured bone will undergo a series of stages to heal properly. However, factors such as inadequate immobilization, poor blood supply, infection, or excessive motion at the fracture site can hinder the healing process and result in nonunion.

When it comes to Salter-Harris Type IV physeal fractures of the calcaneus, nonunion can lead to long-term complications. The heel bone plays a crucial role in walking and bearing weight, so if the fracture does not heal correctly, it can cause persistent pain, difficulty walking, and even deformities.

  1. Causes of nonunion

    2. Nonunion can occur due to various reasons:

    • Inadequate immobilization
    • Improper alignment of the fracture
    • Insufficient blood supply to the fractured area
    • Excessive movement at the fracture site
    • Infection
  2. Symptoms of nonunion

    3. Signs of nonunion may include:

    • Persistent pain at the fracture site
    • Swelling and tenderness
    • Difficulty bearing weight on the affected foot
    • Limited range of motion
  3. Diagnosing nonunion

    4. A healthcare professional will conduct a thorough examination and may use imaging tests such as X-rays or CT scans to confirm the presence of nonunion and assess the extent of the problem.

  4. Treatment options

    5. Treating nonunion may involve:

    • Revision surgery
    • Bone grafting
    • External fixation
    • Physical therapy

It is essential to seek medical attention if you suspect nonunion following a Salter-Harris Type IV physeal fracture

Treatment of Salter-Harris Type IV physeal fracture of unspecified calcaneus, subsequent encounter for fracture with nonunion:

Treatment Options for Salter-Harris Type IV Physeal Fracture of Unspecified Calcaneus

A Salter-Harris Type IV physeal fracture of the calcaneus is a specific type of fracture that occurs in the growth plate of the heel bone. If left untreated, it can result in nonunion, meaning the fracture does not heal properly. This subsequent encounter for fracture with nonunion requires approp...

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