Sternal manubrial dissociation, subsequent encounter for fracture with nonunion Save

Sternal Manubrial Dissociation: Understanding Fracture with Nonunion

Sternal manubrial dissociation refers to a rare condition where the sternum, specifically the manubrium, becomes separated from the rest of the sternum. This condition can occur due to high-impact trauma, such as a car accident or a fall from a significant height. If left untreated or improperly managed, sternal manubrial dissociation can lead to a fracture with nonunion.

Nonunion is a term used to describe a fracture that fails to heal properly within the expected timeframe. In the case of sternal manubrial dissociation, nonunion can result from various factors, including inadequate immobilization, poor blood supply to the affected area, or infection.

When a patient presents with a subsequent encounter for sternal manubrial dissociation with nonunion, healthcare professionals must assess the situation thoroughly. It is crucial to evaluate the patient's medical history, including any previous attempts at treatment, to determine the best course of action.

1. The initial step in managing sternal manubrial dissociation with nonunion is to conduct a comprehensive physical examination. This examination allows healthcare providers to assess the stability of the fracture, identify any associated injuries, and evaluate the patient's overall condition.
2. Imaging studies, such as X-rays or CT scans, may be necessary to obtain a detailed view of the fracture site. These images help healthcare professionals determine the extent of the nonunion and plan appropriate treatment strategies.
3. Close monitoring of the patient's symptoms and pain levels is essential. Additionally, healthcare providers should keep an eye out for signs of infection, such as redness, swelling, or drainage from the wound site.

Proper documentation of the subsequent encounter is crucial for accurate medical coding and billing. The documentation should include a description of the patient's symptoms, the findings from the physical examination, and the results of any imaging studies performed. This information ensures that the patient receives the appropriate care and allows for proper reimbursement for healthcare providers.

In conclusion, sternal manubrial dissociation with nonunion is a complex condition that requires careful management. Healthcare professionals must thoroughly evaluate the patient's condition, monitor symptoms closely, and document the subsequent encounter accurately. By following these steps, healthcare providers can provide optimal care for patients with sternal manubrial dissociation and nonunion.