The ankle is the largest joint in the human body. It includes three dice:
- tibia tibia (lower articular surface, condyle);
- tibialis minor (condyle);
- ram (foot).
These bones are attached to each other by a thin joint capsule and ligamentous apparatus.
Both basic movements, which include extension and flexion, are provided with a block-like device of the joint. In the process of walking, the ankle joint is involved. This joint is subject to a very strong load due to body weight, because in a standing position most of the weight falls on it.
What is the ICD code for an ankle bruise?
ICD
According to ICD-10, bruises and similar diseases correspond to class 19, which is called "Poisoning, injuries and other consequences arising from external causes." Diseases and injuries related to the foot and ankle joint are collected in one common block, indicated by numbersS90-S99.
Ankle injury: classification
Ankle injuries can have several varieties:
- Stretching.
- Bruised.
- Dislocation.
- Combined fracture.
- Bone fracture located in the lower leg.
And bruises are divided into some subspecies in accordance with the nature of displacements and complications.
In this article we will analyze how serious the consequences of an ankle bruise can be, how to eliminate the pain that occurs with this injury.
Main signs of injury
First of all, injury to the ankle is characterized by damage to the skin, as well as subcutaneous tissue and muscles. In addition, the injury has a negative effect on the nerve endings and blood vessels, which leads to the formation of bruises. As a result of a bruised ankle joint, hemorrhage occurs, and swelling appears on the affected area.
In this case, the symptoms may worsen over time, which in the future can lead to hemarthrosis - the accumulation of blood in the joint cavity. It is for this reason that a bruise appears at the site of the bruise. If the injury is severe enough, then necrosis of skin tissue may occur in the damaged area.
Injury to the ankle occurs as a result of falling or hitting an object with a bone. In this case, mainly the soft tissues surrounding the joint are affected,after all, the ankle and ankle are not protected by muscles and fiber. The symptoms of a bruise are:
- Severe pain in the foot that occurs immediately after injury and may accompany the patient for several days.
- Severe lameness, harder to step on.
- The soft tissues that surround the joint swell. There is swelling in the area of the foot.
- As a result of rupture of small vessels, a hematoma occurs.
- If the swelling is significant, then numbness of the foot and toes is possible.
Ankle injury: symptoms
Thus, the symptoms of a bruised ankle are very similar to those accompanying a sprain, tendon rupture, or ankle fracture. The correct diagnosis can only be made by a competent doctor after a careful examination and radiography.
Complications that may occur
There are some significant complications that can result from an ankle bruise:
- As a result of the accumulation of a significant amount of blood in the joint bag, hemarthrosis may occur. If the bleeding is severe, then this will be an indication for a puncture of the joint in order to remove the blood accumulated in its cavity. Then, sanitation is recommended using novocaine solution.
- If you do not turn to a trauma specialist in a timely manner, then two days after the injury, synovitis may begin to develop. The inflammatory process occurring in the capsule causesaccumulation of exudate in the joint.
- Dangerous contusion of the ankle joint, the ICD-10 code of which we already know, the possibility of developing post-traumatic arthrosis. The disease occurs as a result of damage to the cartilage and develops for quite a long time, sometimes for several years.
As a result of a bruise, the ankle joint is immobilized, and this can cause Zudek's syndrome. It is characterized by disturbances in the process of blood circulation, resulting in trophic tissue changes and osteoporosis.
The affected area in this case has a pronounced swelling, thinned skin. It becomes impossible to move the joint. Therefore, doctors recommend avoiding prolonged immobilization after you have received an ankle bruise (ICD-10 code - S90-S99).
First aid for injury
If a person has a bruised ankle joint, then the time during which first aid will be provided is very important. The following rules should be followed:
- Position the bruised limb slightly above the position of the body. This will reduce pain and swelling. Cover the bruised area with a special agent, such as Ratsiniol emulsion.
- After that, bandage the bruised area with a simple handkerchief or elastic bandage. Bandaging should start from the toes and go up the leg. In order for the bandaging process not to disturb the blood circulation at the site of the bruise, it should be carried out sufficientlyslowly.
- Apply a chilled compress to the bruised area and leave it on for at least an hour.
- If the pain is too strong, then it is possible to use painkillers, such as Analgin, Ketonal, Diclofenac.
Injury treatment
In case of an ankle injury, treatment should be carried out in accordance with the following scheme:
- At first, you need to reduce the load on the leg, place it on a soft pillow. If the bruise is severe, then the patient is recommended to use a cane when walking. At the same time, it is possible to move only over short distances, at this time the bruised limb must be bandaged. Most often, a bandage or elastic bandage is used for this. To avoid excessive swelling, the patient can use a special splint.
- On the second day after getting a bruise, it is necessary to start rubbing the bruised area with gels, creams and ointments containing anti-inflammatory nonsteroidal substances. They should be applied three times a day. In this case, the daily use of "Raciniol" is mandatory. And in order to restore blood circulation and tissues, you can apply "Polymedel", cover with a film and keep for about 30 minutes.
But these are not all recommendations for an ankle injury (ICD-10 code we reviewed):
- It is necessary to regularly massage the foot and lower leg. After the pain subsides, it is recommended to conduct a light massage of the joint area. If therapy for a bruised joint is carried out at home, then do not neglectspecial gymnastic complex. The warm-up should be carried out either in a lying or sitting position - this is flexion and extension of the toes of the injured leg. At the end of this exercise, it is worth warming up the foot with circular movements.
- A week after the injury, you can start taking warm baths with the addition of sea or rock s alt. Don't overheat the water.
- It will not be superfluous to use alcohol compresses that are applied at the site of the bruise.
- Physiotherapy procedures such as electrophoresis, paraffin packs can be done on the recommendation of a doctor.
An ankle bruise (it is included in the ICD-10) is not always harmless. Therefore, in order to prevent complications, you should think about special therapy.
Specialized treatment
Specialized treatment for a bruise can be carried out in medical institutions. In this case, the traumatologist fixes the position of the foot with medical bandages or plaster splints. If the inflammation is pronounced, then it is possible to prescribe non-steroidal anti-inflammatory drugs.
In order to exclude a fracture, dislocation and other possible injuries, the patient is assigned an X-ray examination. Subsequently, he is prescribed medications that will speed up the healing process of tissues and eliminate the acute manifestations of a bruise. Most often, for this purpose, drugs are used to eliminate edema: B-group vitamins and venotonics. To avoidside effects, take such drugs in strict accordance with the recommendations of your doctor.
Thus, we can conclude that it is possible to eliminate the symptoms and consequences of a bruise in a fairly short time if you seek qualified help in time and start therapy in a timely manner.
We have considered such an injury as a contusion of the ankle joint. In ICD-10, this is grade 19.
