![]() Subscribe to Codify by AAPC and get the code details in a flash. Type II: nonweight-bearing immobilization vs. Query: Repair of 5th Metatarsal Fracture (Non-union) I'd very much appreciate any suggestions on how to code the following: - Resection of non-union and hypertrophic bone at the 5th metatarsal base Application of allograft and Screw fixation. The Current Procedural Terminology (CPT ) code 28485 as maintained by American Medical Association, is a medical procedural code under the range - Fracture and/or Dislocation Procedures on the Foot and Toes. Type I: nonweight-bearing immobilization for six to eight weeks (may require up to 20 weeks) You are here: / What we treat / Surgery / Foot / Orif. Please e-mail .uk or contact us by calling 03. If you have had or are due to have ORIF metatarsal surgery, you can book in with our specialist physiotherapists for an assessment. Stress fracture of the proximal metatarsal within 1.5 cm of tuberosity Physiotherapy ensures a safe return to normal daily activity and sport. Types II, III: variable healing potential surgical fixation for active athletes or patients preferring surgical therapy Type II: nonweight-bearing immobilization vs. Type I: nonweight-bearing immobilization for six to eight weeks Laterally directed force on forefoot with ankle in plantar flexion Malunion of fracture (733.81) Nonunion of fracture (733.82) Radius / Ulna. Although most fractures of the proximal portion of the fifth metatarsal respond well to appropriate management, delayed union, muscle atrophy and chronic pain may be long-term complications.Īcute fracture of the proximal metatarsal within 1.5 cm of tuberosity (Jones fracture) ![]() All displaced fractures and type III fractures should be managed surgically. Type II fractures may also be treated conservatively or may be managed surgically, depending on patient preference and other factors. Type I fractures are generally treated conservatively with a nonweight-bearing short leg cast for six to eight weeks. Management and prognosis of both acute (Jones fracture) and stress fracture of the fifth metatarsal within 1.5 cm of the tuberosity depend on the type of fracture, based on Torg's classification. Nondisplaced tuberosity fractures are usually treated conservatively, but orthopedic referral is indicated for fractures that are comminuted or displaced, fractures that involve more than 30 percent of the cubo-metatarsal articulation surface and fractures with delayed union. Local bruising, swelling and other injuries may be present. Tuberosity avulsion fractures cause pain and tenderness at the base of the fifth metatarsal and follow forced inversion during plantar flexion of the foot and ankle. Background: Internal fixation is a popular first-line treatment method for proximal fifth metatarsal Jones fractures in athletes however, nonunions and screw breakage can occur, in part because of nonspecific fixation hardware and poor blood supply. Please e-mail or contact us by calling 03.Fractures of the proximal portion of the fifth metatarsal may be classified as avulsions of the tuberosity or fractures of the shaft within 1.5 cm of the tuberosity. Physiotherapy ensures a safe return to normal daily activity and sport. ![]() Your physiotherapist will give you a programme of exercises and sports specific drills to get you back to your previous sporting level. Once movement has been regained, resistance exercises will be given to increase the strength of the foot muscles. Mobility exercises will begin to reduce joint stiffness and muscle tightness, regaining of full range of movement. You will begin weight bearing and aim towards regaining full mobility without any walking aids. Ice, elevation and gentle exercises are important for reducing swelling. When your cast is removed your foot is likely to still be swollen. Physiotherapy rehabilitation will involve a combination of many treatment techniques including: ![]() Physiotherapy rehabilitation begins when the cast is removed, about 6-8 weeks after surgery, to aid restoration of movement, strength and function. Physiotherapy Rehabilitation Post-Surgery Above: Friction massage of the ligaments in the foot ![]()
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