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Dislocations

doi: 10.1097/BOT.0000000000001057
Supplement Article

The coding is as follows:

  • The first number represents the distal bone of the dislocated joint.
  • The second number is 0 which represents the dislocation (with the exception of the shoulder girdle where all dislocations are 10).
  • The third character (A, B, C, D, and E) is used when there are more than two bone articulations in the anatomical region.
  • The direction of the dislocation is coded using the universal modifier for dislocation direction, within square brackets [5_ ].
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10

Anatomical region: Shoulder girdle 10

CV

CV

Qualifications are optional and applied to the fracture code where the asterisk is located as a lower-case letter within rounded brackets. More than one qualification can be applied for a given fracture classification, separated by a comma. For a more detailed explanation, see the compendium introduction.

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20

Anatomical region: Elbow 20

CV

CV

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30

Anatomical region: Hip joint 30[5_]

CV

CV

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40

Anatomical region: Knee 40

CV

CV

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70

Anatomical region: Hand and wrist 70

CV

CV

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70D

Location: Hand and wrist, carpal-metacarpal joint 70D

Types: Hand and wrist, carpal-metacarpal joint, 1st metacarpal-trapezial joint 70D1[5_]

Hand and wrist, carpal-metacarpal joint, 2nd metacarpal-trapezoid joint 70D2[5_]

Hand and wrist, carpal-metacarpal joint, 3rd metacarpal capitate joint 70D3[5_]

Hand and wrist, carpal-metacarpal joint, 4th metacarpal hamate joint 70D4[5_]

Hand and wrist, carpal-metacarpal joint, 5th metacarpal triquetrum joint 70D5[5_]

Hand and wrist, carpal-metacarpal joint, multiple carpal-metacarpal joint 70D6[5_]

CV

CV

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70E

Location: Hand and wrist, phalangeal joint 70E

Type: Hand and wrist, phalangeal joint, metacarpal phalangeal joint 70E1

CV

CV

Groups: Hand and wrist, phalangeal joint, 1st metacarpal phalangeal joint 70E1.1.[5_ ]

Hand and wrist, phalangeal joint, 2nd metacarpal phalangeal joint 70E1.2.[5_ ]

Hand and wrist, phalangeal joint, 3rd metacarpal phalangeal joint 70E1.3.[5_ ]

Hand and wrist, phalangeal joint, 4th metacarpal phalangeal joint 70E1.4.[5_ ]

Hand and wrist, phalangeal joint, 5th metacarpal phalangeal joint 70E1.5.[5_]

Type: Hand and wrist, phalangeal joint, proximal interphalangeal joint 70E2

Groups: Hand and wrist, phalangeal joint, proximal interphalangeal joint, thumb (1st) 70E2.1[5_]

Hand and wrist, phalangeal joint, proximal interphalangeal joint, index (2nd) 70E2.2[5_]

Hand and wrist, phalangeal joint, proximal interphalangeal joint, long (3rd) 70E2.3[5_]

Hand and wrist, phalangeal joint, proximal interphalangeal joint, ring (4th) 70E2.4[5_]

Hand and wrist, phalangeal joint, proximal interphalangeal joint, little (5th) 70E2.5[5_]

Type: Hand and wrist, phalangeal joint, distal interphalangeal joint 70E3

Groups: Hand and wrist, phalangeal joint, distal interphalangeal joint, index (2nd) 70E3.2[5_]

Hand and wrist, phalangeal joint, distal interphalangeal joint, long (3rd) 70E3.3[5_]

Hand and wrist, phalangeal joint, distal interphalangeal joint, ring (4th) 70E3.4[5_]

Hand and wrist, phalangeal joint, distal interphalangeal joint, little (5th) 70E3.5[5_]

Type: Hand and wrist, sesamoid joint dislocation 70E4[5_ ]

Type: Hand and wrist, multiple phalangeal joint dislocations 70E5

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80

Anatomical region: Foot and ankle 80D

CV

CV

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80D

Location: Foot and ankle, midfoot 80D

Types: Foot and ankle, midfoot, talonavicular joint 80D1[5_]

Foot and ankle, midfoot, calcaneocuboid joint 80D2[5_]

Foot and ankle, midfoot, navicular-cuneiform joint 80D3[5_]

Foot and ankle, midfoot, intercuneiform joint 80D4[5_]

Foot and ankle, midfoot, tarsal-metatarsal joint 80D5

CV

CV

Groups: Foot and ankle, midfoot, tarsal-metatarsal joint, 1st metatarsal medial cuneiform 80D5.1[5_]

Foot and ankle, midfoot, tarsal-metatarsal joint, 2nd metatarsal middle cuneiform 80D5.2[5_]

Foot and ankle, midfoot, tarsal-metatarsal joint, 3rd metatarsal lateral cuneiform 80D5.3[5_]

Foot and ankle, midfoot, tarsal-metatarsal joint, 4th metatarsal cuboid 80D5.4[5_]

Foot and ankle, midfoot, tarsal-metatarsal joint, 5th metatarsal cuboid 80D5.5[5_]

Foot and ankle, midfoot, tarsal-metatarsal joint, multiple metatarsal-tarsal 80D5.6[5_]

Foot and ankle, midfoot, multiple joint dislocations 80D6

Type: Foot and ankle, midfoot, multiple joint dislocations 80D6

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80E

Location: Foot and ankle, forefoot 80E

Type: Foot and ankle, forefoot, phalangeal joint 80E1

CV

CV

Groups (by joint medial to lateral): Foot and ankle, forefoot, phalangeal joint, 1st metatarsal phalangeal joint 80E1.1.[5_ ]

Foot and ankle, forefoot, phalangeal joint, 2nd metatarsal phalangeal joint 80E1.2.[5_ ]

Foot and ankle, forefoot, phalangeal joint, 3rd metatarsal phalangeal joint 80E1.3.[5_ ]

Foot and ankle, forefoot, phalangeal joint, 4th metatarsal phalangeal joint 80E1.4.[5_ ]

Foot and ankle, forefoot, phalangeal joint, 5th metatarsal phalangeal joint 80E1.5.[5_]

Type: Forefoot, phalangeal joint, proximal interphalangeal joint 80E2

Groups (by joint medial to lateral): Forefoot, phalangeal joint, proximal interphalangeal joint, 1st toe (IP joint as there is no DIP in great toe) 80E2.1[5_]

Forefoot, phalangeal joint, proximal interphalangeal joint, 2nd toe 80E2.2.[5_ ]

Forefoot, phalangeal joint, proximal interphalangeal joint, 3rd toe 80E2.3.[5_ ]

Forefoot, phalangeal joint, proximal interphalangeal joint, 4th toe 80E2.4.[5_ ]

Forefoot, phalangeal joint, proximal interphalangeal joint, 5th toe 80E2.5.[5_]

Type: Forefoot, phalangeal joint, distal interphalangeal joint 80E3

Groups (by joint medial to lateral): Forefoot, phalangeal joint, distal interphalangeal joint, 2nd toe 80E3.2.[5_ ]

Forefoot, phalangeal joint, distal interphalangeal joint, 3rd toe 80E3.3.[5_]

Forefoot, phalangeal joint, distal interphalangeal joint, 4th toe 80DE3.4.[5_]

Forefoot, phalangeal joint, distal interphalangeal joint, 5th toe 80DE3.5.[5_]

Type: Foot and ankle, forefoot, sesamoid dislocation (any) 80E4[5_]

Type: Foot and ankle, forefoot, multiple dislocations 80E5

Qualifications are optional and applied to the fracture code where the asterisk is located as a lower-case letter within rounded brackets. More than one qualification can be applied for a given fracture classification, separated by a comma. For a more detailed explanation, see the compendium introduction.

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References

1. Schenck RC Jr. The dislocated knee. Instr Course Lect. 1994;43:127–136.
    2. Wascher DC. High-velocity knee dislocation with vascular injury. Treatment principles. Clin Sports Med. 2000 Jul;19(3):457–477.
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