The ankle joint, the region where the leg and foot meet, consists of three articulations: the talocrural joint, the tibiofibular joint, and the subtalar joint. Nevertheless, treatment recommended will depend on the patient’s condition, underlying medical concerns if any, the extent of the injury and the future activity expectations. Surgery may be the better alternative as it will reduce the risk of repeat rupture. There are two options for the management of Achilles tendon rupture: surgical repair and nonoperative treatment which involves referral to a functional rehabilitation program. M76.60 Achilles tendinitis, unspecified leg.The ICD-10 codes for Achilles tendon rupture are: X-rays, ultrasound, and MRI may be used if the diagnosis remains uncertain after the physical examination. Pulses and sensation in the foot may be also checked. The Thompson test which involves squeezing the calf with the patient prone and the knee on the affected side flexed can help diagnose the condition. However, as patients can present without any signs or symptoms, cases may be initially misdiagnosed. Symptoms include a feeling of a sudden snap at the back of the leg, intense pain and swelling near the heel, and inability to climb stairs, run, or stand on the toes. Applying the right ICD-10 codes based on the documentation is critical to create and submit claims for appropriate reimbursement.Īn acute rupture of the Achilles tendon is amongst the common tendon injuries in the US adults. Achilles tendon rupture, ankle fracture, and Lisfranc injury are three types of painful foot and ankle injuries that medical coding service providers help physicians report to payers. Foot and ankle injuries usually occur during sport participation, but can also occur when the foot or ankle is forced into an awkward position when walking or performing other everyday activities. Fractures of the Ankle Joint: Investigation and Treatment Options. Goost H, Wimmer M, Barg A, Kabir K, Valderrabano V, Burger C. Evaluation of the Syndesmotic-Only Fixation for Weber-C Ankle Fractures with Syndesmotic Injury. CURRENT Diagnosis & Treatment in Orthopedics, Fourth Edition. Musculoskeletal Eponyms: Who Are Those Guys? Radiographics. It was later modified and popularized by the Swiss orthopedic surgeon, Bernhard Georg Weber (1929-2002), in 1972 2. This classification was first described by the Belgian general surgeon, Robert Danis (1880-1962), in 1949. Usually associated with an injury to the medial side Weber C fractures can be further subclassified as 6Ĭ1: diaphyseal fracture of the fibula, simpleĬ2: diaphyseal fracture of the fibula, complexĪ fracture above the syndesmosis results from external rotation or abduction forces that also disrupt the joint Medial malleolus fracture or deltoid ligament injury often presentįracture may arise as proximally as the level of fibular neck and not visualized on ankle films, requiring knee or full-length tibia-fibula radiographs ( Maisonneuve fracture) Tibiofibular syndesmosis disruption with widening of the distal tibiofibular articulation Weber B fractures could be further subclassified as 9ī2: associated with a medial lesion (malleolus or ligament)ī3: associated with a medial lesion and fracture of posterolateral tibiaĪbove the level of the syndesmosis (suprasyndesmotic) Variable stability, dependent on the status of medial structures (malleolus/ deltoid ligament) and syndesmosis may require open reduction and internal fixation (ORIF) Tibiofibular syndesmosis usually intact, but widening of the distal tibiofibular joint (especially on stressed views) indicates syndesmotic injuryĭeltoid ligament may be torn, indicated by widening of the space between the medial malleolus and talar dome Usually stable if medial malleolus intact treat with CAM Walker or Moon Boot with crutches and weight bear as tolerated with them for 6 weeksĭistal extent at the level of the syndesmosis (trans-syndesmotic) may extend some distance proximally Below the level of the syndesmosis (infrasyndesmotic)
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