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Incisural Ankle Fracture S82.209A 823.80

 

synonyms:

Incisural Ankle Fracture ICD-10

 

A- initial encounter for closed fracture

B- initial encounter for open fracture type I or II

C- initial encounter for open fracture type IIIA, IIIB, or IIIC

D- subsequent encounter for closed fracture with routine healing

E- subsequent encounter for open fracture type I or II with routine healing

F- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing

G- subsequent encounter for closed fracture with delayed healing

H- subsequent encounter for open fracture type I or II with delayed healing

J- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing

K- subsequent encounter for closed fracture with nonunion

M- subsequent encounter for open fracture type I or II with nonunion

N- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion

P- subsequent encounter for closed fracture with malunion

Q- subsequent encounter for open fracture type I or II with malunion

R- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion

S- sequela

 

Incisural Ankle Fracture ICD-9

  • 823.80(closed fracture of unspecified part of tibia)
  • 823.81(closed fracture lower leg NOS; fibula alone)
  • 823.82 (closed fracture lower leg NOS; fibula with tibia)
  • 823.90(open fracture of unspecified part of tibia)
  • 823.91(open fracture of unspecified part fibula alone)
  • 823.92 (Unspecified part, open, fibula with tibia)

Incisural Ankle Fracture Etiology / Epidemiology / Natural History

  • A form of transitional ankle fracture related to the asymmetric pattern of distal tibial physeal closure.
  • Thought to be caused by external rotation forces.

Incisural Ankle Fracture Anatomy

  • Fragment is avulsed by the intraosseous ligament.

Incisural Ankle Fracture Clinical Evaluation

  • Pain and deformity in the ankle, degree dependent on fracture severity.
  • Evaluate skin integrity, swelling, and neurovascular status of the leg/foot.

Incisural Ankle Fracture Xray / Diagnositc Tests

  • A/P, lateral and mortise views of the ankle. Appears like a Tillaux fracture on A/P and mortise views.
  • CT demonstrates that fracture line does not extend through the anterior cortex.
  • MRI generally not indicated although can provide information on ligamentous and physeal injury. (Lohman M, Skeletal Tadiol 2001;30:504).

Incisural Ankle Fracture Classification / Treatment

Incisural Ankle Fracture Associated Injuries / Differential Diagnosis

  • Triplane Ankle Fracture
  • Juvenile Tillaux Ankle Fracture
  • Adolescent Pilon Fracture
  • Pediatric Distal Tibial Fracture

Incisural Ankle Fracture Complications

  • Delayed union, nonunion
  • Malunion
  • Growth arrest
  • Arthritis
  • Osteonecrosis of the distal tibial epiphysis
  • Compartment syndrome

Incisural Ankle Fracture Follow-up Care

Incisural Ankle Fracture Review References

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