S52.5 – Distal Radius Fracture | ICD-10
S52.5 is the ICD-10 code for a fracture of the distal end of the radius – one of the most common wrist fractures, typically caused by a fall on an outstretched hand.
Things worth knowing about "S52.5"
S52.5 is the ICD-10 code for a fracture of the distal end of the radius – one of the most common wrist fractures, typically caused by a fall on an outstretched hand.
What Does the Diagnosis S52.5 Mean?
The ICD-10 code S52.5 refers to a fracture of the distal end of the radius – a break at the lower end of the radius bone in the forearm, just above the wrist joint. This is one of the most frequently occurring fractures in the human body, particularly common in older adults, children, and physically active individuals.
Causes
The most frequent cause of a distal radius fracture is a fall on an outstretched hand (also known as a FOOSH injury). Other causes include:
- Sports injuries (e.g., cycling, skiing, or rollerblading accidents)
- Motor vehicle accidents
- Osteoporosis (reduced bone density, especially in postmenopausal women)
- Direct impact or trauma to the wrist
Symptoms
Typical signs of a distal radius fracture include:
- Severe pain at the wrist
- Swelling and bruising around the wrist and hand
- Visible deformity of the wrist (e.g., the classic “dinner fork” or “bayonet” deformity)
- Limited range of motion in the wrist and fingers
- Numbness or tingling (if nerves are affected)
Important Fracture Types Under S52.5
Several subtypes of distal radius fractures are classified under S52.5, each with specific treatment implications:
- Colles fracture: The most common type; the distal fragment is displaced dorsally (toward the back of the hand).
- Smith fracture: The fragment is displaced volarly (toward the palm) – sometimes called a “reverse Colles fracture.”
- Barton fracture: Involves the articular rim of the radius and is often associated with wrist dislocation.
Diagnosis
The diagnosis of a distal radius fracture (S52.5) is typically established through:
- Physical examination: Assessment of pain, swelling, and deformity
- X-ray imaging: The standard method for visualizing the fracture (in two planes)
- CT scan: Used for complex or intra-articular fractures to assess fragment positioning in detail
- MRI: Occasionally used to detect associated ligament or tendon injuries
Treatment
Conservative Treatment
Stable, minimally displaced fractures may be managed conservatively:
- Immobilization in a plaster or fiberglass cast for approximately 4 to 6 weeks
- Prior closed reduction (manual realignment of the bone) under local anesthesia or sedation if needed
- Regular follow-up X-rays to monitor fracture alignment during healing
Surgical Treatment
Unstable, significantly displaced, or intra-articular fractures often require surgical intervention:
- Volar plate fixation (ORIF): Placement of a metal plate and screws to stabilize the bone fragments (standard approach for complex fractures)
- Kirschner wires (K-wires): Percutaneous pin fixation for simpler fracture patterns
- External fixator: External frame stabilization, used particularly in open fractures
Rehabilitation
Following the immobilization phase, physiotherapy is essential to restore wrist mobility, grip strength, and function. Full recovery may take several months depending on fracture severity and the treatment approach used.
Complications
Potential complications of a distal radius fracture include:
- Post-traumatic wrist arthritis when the joint surface is involved
- Carpal tunnel syndrome due to pressure on the median nerve
- Tendon irritation or rupture (especially extensor tendons)
- Complex Regional Pain Syndrome (CRPS, formerly known as Sudeck atrophy)
- Malunion leading to permanent wrist deformity and functional impairment
References
- World Health Organization (WHO): ICD-10 International Statistical Classification of Diseases and Related Health Problems, 10th Revision – S52.5 Fracture of lower end of radius.
- Netter F.H.: Atlas of Human Anatomy, 7th Edition. Elsevier, 2019 – Section on upper limb fractures.
- Arora R. et al.: Complications following internal fixation of unstable distal radius fracture with a palmar locking-plate. Journal of Orthopaedic Trauma, 2007; 21(5):316–322.
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