![]() ![]() This article highlights the different types of splints and casts that are used in various circumstances and how each is applied. Indications and accurate application techniques vary for each type of splint and cast commonly encountered in a primary care setting. Selection of a specific cast or splint varies based on the area of the body being treated, and on the acuity and stability of the injury. All patients who are placed in a splint or cast require careful monitoring to ensure proper recovery. 2023 ICD-10-CM Codes S82.2: Fracture of shaft of tibia ICD-10-CM Codes S00-T88 S80-S89 S82- Fracture of shaft of tibia S82.2 Fracture of shaft of tibia S82.2- S82.2 Fracture of shaft of tibia S82.20 Unspecified fracture of shaft of tibia S82.201 Unspecified fracture of shaft of right tibia S82. The ligaments holding the tibia and fibula together are shown in green. LTP lateral tibial plateau MTP medial tibial plateau TT tibial tubercle TS tibial shaft Plaf tibial plafond MM medial malleolus LM lateral malleolus FS fibular shaft FN fibular neck. ![]() Excessive immobilization from continuous use of a cast or splint can lead to chronic pain, joint stiffness, muscle atrophy, or more severe complications (e.g., complex regional pain syndrome). Figure 1: Bony Anatomy of the Tibia and Fibula. To maximize benefits while minimizing complications, the use of casts and splints is generally limited to the short term. Because of this, casts provide superior immobilization but are less forgiving, have higher complication rates, and are generally reserved for complex and/or definitive fracture management. The diagnosis and management of fibular fractures is discussed here. Initial management is often provided by primary care and emergency clinicians, who must therefore be familiar with these injuries. This quality makes splints ideal for the management of a variety of acute musculoskeletal conditions in which swelling is anticipated, such as acute fractures or sprains, or for initial stabilization of reduced, displaced, or unstable fractures before orthopedic intervention. INTRODUCTION Fibular fractures, particularly those involving the ankle and the shaft just proximal, are common. Seek immediate medical help if you notice any numbness, pale skin or circulation problems. Leg fractures can injure nearby nerves and blood vessels. This is particularly common in an open fracture of the tibia because of lower blood flow to this bone. Codes within the T section that include the external cause do. Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. This is the American ICD-10-CM version of S82.24 - other international versions of ICD-10 S82.24 may differ. ![]() Splints are noncircumferential immobilizers that accommodate swelling. A severe leg fracture may not heal quickly or completely. The 2023 edition of ICD-10-CM S82.24 became effective on October 1, 2022. Management of a wide variety of musculoskeletal conditions requires the use of a cast or splint. ![]()
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