Arthropathy following intestinal bypass, shoulder
ICD-10 M02.01 is a billable code used to indicate a diagnosis of arthropathy following intestinal bypass, shoulder.
Arthropathy following intestinal bypass surgery is a condition characterized by joint pain and dysfunction that arises as a complication of the surgical procedure. The shoulder joint, a ball-and-socket joint formed by the humerus and the scapula, is particularly susceptible to arthropathy due to its extensive range of motion and reliance on surrounding soft tissues for stability. Following intestinal bypass, patients may experience alterations in nutrient absorption, leading to deficiencies in vitamins and minerals essential for joint health, such as vitamin D and calcium. Clinically, patients may present with shoulder pain, stiffness, and reduced range of motion, impacting daily activities. The pathophysiology involves inflammatory processes that can lead to synovitis and cartilage degradation, exacerbated by nutritional deficiencies. Diagnosis typically involves a combination of clinical evaluation, imaging studies, and laboratory tests to assess joint function and inflammation.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint integrity, as well as functional assessments to evaluate range of motion and strength.
Patients may present with rotator cuff tears or adhesive capsulitis secondary to altered biomechanics post-surgery.
Joint-specific considerations include the assessment of glenohumeral joint stability and the impact of shoulder mechanics on overall function.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may exhibit signs of inflammatory arthritis or autoimmune conditions exacerbated by nutritional deficiencies.
Systemic involvement may necessitate a broader evaluation of joint health and potential comorbidities.
Functional assessments should evaluate mobility, strength, and the need for assistive devices to support rehabilitation.
Rehabilitation scenarios may include post-operative recovery or management of chronic pain syndromes.
Mobility limitations should be documented in detail to support the need for therapy and assistive devices.
Used for joint effusion management in patients with arthropathy.
Document the joint involved, reason for the procedure, and any imaging guidance used.
Orthopedic considerations include assessing joint stability and potential for surgical intervention.
Common causes include nutritional deficiencies, particularly in vitamins and minerals essential for joint health, as well as inflammatory responses triggered by the surgical procedure.
