Postdysenteric arthropathy, right elbow
ICD-10 M02.121 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, right elbow.
Postdysenteric arthropathy is a type of reactive arthritis that occurs following an episode of dysentery, typically caused by bacterial infections such as Shigella or Salmonella. The condition is characterized by inflammation of the joints, particularly affecting the right elbow in this case. Anatomically, the elbow joint comprises the humerus, radius, and ulna, with a complex arrangement of ligaments and tendons that facilitate movement. Clinically, patients may present with pain, swelling, and reduced range of motion in the affected elbow, often accompanied by systemic symptoms such as fever or malaise. The pathophysiology involves an immune-mediated response triggered by the preceding gastrointestinal infection, leading to synovial inflammation and joint damage. Diagnosis is often supported by clinical evaluation, 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, functional assessments to evaluate range of motion, and detailed notes on the patient's history of joint symptoms.
Patients may present with acute elbow pain following a gastrointestinal infection, requiring evaluation for potential surgical intervention if conservative management fails.
Joint-specific considerations include assessing for joint effusion, synovitis, and potential for chronic changes if inflammation persists.
Rheumatologic documentation should include inflammatory markers (e.g., ESR, CRP) and assessments of disease activity, as well as a thorough history of the dysentery episode.
Patients may exhibit systemic symptoms alongside joint involvement, necessitating a comprehensive evaluation for autoimmune conditions.
Systemic involvement may indicate a more severe form of reactive arthritis, requiring close monitoring and potential modification of treatment.
Functional assessments should document the patient's ability to perform daily activities and any assistive devices used to aid mobility.
Rehabilitation scenarios may involve physical therapy to restore range of motion and strength in the elbow joint.
Mobility limitations should be clearly documented to support the need for rehabilitation services.
Used for joint effusion management in the right elbow.
Document the indication for the procedure, joint involved, and any imaging guidance used.
Orthopedic considerations include assessing joint stability and potential for surgical intervention.
Postdysenteric arthropathy is a reactive arthritis that occurs following a dysentery episode, characterized by joint inflammation, particularly in the elbows and knees, due to an immune response to the preceding infection.
