Postdysenteric arthropathy, unspecified elbow
ICD-10 M02.129 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, unspecified elbow.
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. This condition can lead to joint inflammation, particularly affecting the elbow joint, which is anatomically comprised of the humerus, radius, and ulna. The elbow allows for flexion and extension as well as pronation and supination of the forearm. Clinically, patients may present with pain, swelling, and limited range of motion in the elbow, often exacerbated by activities that require arm movement. The pathophysiology involves an autoimmune response triggered by the initial infection, leading to synovial inflammation and potential joint damage if left untreated. Symptoms may include stiffness, tenderness, and decreased functional capacity, impacting daily activities and quality of life.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity, functional assessments to evaluate range of motion, and detailed notes on the patient's history of elbow pain.
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, instability, and the impact of inflammation on surrounding structures.
Rheumatologic documentation should focus on laboratory tests for inflammatory markers (e.g., ESR, CRP) and detailed assessments of disease activity and joint involvement.
Patients may exhibit systemic symptoms such as fatigue and fever alongside localized elbow pain, necessitating a comprehensive evaluation for autoimmune conditions.
Consideration of systemic involvement is crucial, as postdysenteric arthropathy may be part of a broader inflammatory response.
Functional assessments should document the patient's ability to perform daily activities and any assistive devices used to aid mobility.
Rehabilitation scenarios may include post-surgical recovery or physical therapy for joint mobilization and strength training.
Mobility limitations should be thoroughly documented, including the need for adaptive equipment or modifications in daily living.
Used for patients with significant joint effusion or pain requiring corticosteroid injection.
Document the joint involved, the procedure performed, and the patient's response to treatment.
Orthopedic and rheumatologic considerations include the need for imaging to guide the procedure.
Common symptoms include joint pain, swelling, stiffness, and decreased range of motion, particularly in the elbow, following a dysentery episode.
