Postdysenteric arthropathy, wrist
ICD-10 M02.13 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, wrist.
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. This condition primarily affects the wrist joint, leading to inflammation, pain, and swelling. Anatomically, the wrist consists of eight carpal bones, which articulate with the radius and ulna, allowing for a wide range of motion. The pathophysiology involves an immune-mediated response where the body reacts to the antigens from the previous infection, resulting in synovitis and joint damage. Clinically, patients may present with acute pain, stiffness, and reduced range of motion in the wrist, often accompanied by systemic symptoms such as fever or malaise. Early diagnosis and management are crucial to prevent chronic joint damage.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Patients may present with acute wrist 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 the impact of inflammation on surrounding structures.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity using standardized scales.
Patients may exhibit systemic symptoms alongside wrist involvement, necessitating a comprehensive evaluation for other autoimmune conditions.
Systemic involvement may require monitoring for extra-articular manifestations and potential progression to chronic arthritis.
Functional assessments should evaluate the patient's ability to perform daily activities and the need for rehabilitation interventions.
Rehabilitation may focus on restoring wrist function post-inflammation and addressing any mobility limitations.
Assistive devices may be necessary for patients with significant functional impairment.
Used for patients with significant joint effusion in the wrist due to postdysenteric arthropathy.
Documentation must include the indication for the procedure, joint involved, and any imaging guidance used.
Orthopedic considerations include assessing joint stability and potential need for further intervention.
Documenting the history of dysentery is crucial as it establishes the link between the infection and the subsequent development of arthritis, which is necessary for accurate coding and treatment planning.
