Postdysenteric arthropathy, shoulder
ICD-10 M02.11 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, shoulder.
Postdysenteric arthropathy is a type of reactive arthritis that occurs following an episode of dysentery, often caused by bacterial infections such as Shigella or Salmonella. This condition primarily affects the joints, with the shoulder being a common site of involvement. Anatomically, the shoulder consists of the glenohumeral joint, acromioclavicular joint, and the scapulothoracic articulation, all of which can be affected by inflammation. Clinically, patients may present with pain, swelling, and limited range of motion in the shoulder, often accompanied by systemic symptoms such as fever and malaise. The pathophysiology involves an immune-mediated response triggered by the infection, leading to synovitis and joint damage. Diagnosis is typically made through clinical evaluation, imaging studies, and exclusion of other arthropathies. Treatment may include NSAIDs, corticosteroids, and physical therapy to restore function and alleviate pain.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Common scenarios include post-infectious joint pain following gastrointestinal infections, with considerations for surgical intervention if conservative management fails.
Joint-specific considerations include the degree of inflammation, presence of effusion, and any structural damage observed on imaging.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity using validated scales.
Scenarios may involve patients with a history of dysentery presenting with joint pain, requiring differentiation from other inflammatory arthritides.
Systemic involvement may necessitate a broader evaluation of joint and extra-articular manifestations.
Functional assessments should document mobility limitations, pain levels, and the need for assistive devices.
Rehabilitation scenarios may include post-arthritic recovery programs focusing on restoring shoulder function.
Considerations include the impact of pain on daily activities and the need for tailored rehabilitation strategies.
Used for joint effusion management in postdysenteric arthropathy.
Document the joint involved, indication for the procedure, and any imaging guidance used.
Orthopedic considerations include the need for imaging to guide the procedure.
Common symptoms include joint pain, swelling, stiffness, and reduced range of motion, particularly in the shoulder, often following a gastrointestinal infection.
