Postdysenteric arthropathy, left shoulder
ICD-10 M02.112 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, left shoulder.
Postdysenteric arthropathy refers to a type of inflammatory arthritis that occurs following an episode of dysentery, typically caused by bacterial infections such as Shigella or Salmonella. The left shoulder joint, a ball-and-socket joint formed by the humerus and the scapula, can become involved in this condition, leading to pain, swelling, and reduced range of motion. Clinically, patients may present with acute or chronic shoulder pain, stiffness, and functional limitations in activities of daily living. The pathophysiology involves an autoimmune response triggered by the infection, leading to synovial inflammation and joint damage. Diagnosis is often supported by clinical examination, imaging studies, and laboratory tests to rule out other causes of arthritis.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Patients may present with acute shoulder pain post-dysentery, requiring evaluation for potential surgical intervention if conservative management fails.
Joint-specific considerations include assessing for rotator cuff involvement and the severity of synovitis.
Rheumatologic documentation should include inflammatory markers (ESR, CRP) and assessments of disease activity (e.g., joint counts).
Patients may have a history of gastrointestinal infections leading to inflammatory arthritis, necessitating a comprehensive evaluation of systemic involvement.
Consideration of other autoimmune conditions that may coexist and affect treatment plans.
Functional assessments should document the patient's ability to perform daily activities and any assistive devices used.
Rehabilitation scenarios may include post-surgical recovery or conservative management of shoulder pain.
Focus on mobility limitations and the need for tailored rehabilitation programs.
Used for therapeutic aspiration of the shoulder joint in cases of effusion.
Document the indication for the procedure, including joint effusion and pain severity.
Orthopedic considerations include assessing the need for imaging prior to the procedure.
Common symptoms include joint pain, swelling, stiffness, and reduced range of motion, particularly in the affected joint, which in this case is the left shoulder.
