Postdysenteric arthropathy, unspecified wrist
ICD-10 M02.139 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, unspecified wrist.
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 primarily affects the joints, including the wrist, leading to pain, swelling, and reduced mobility. Anatomically, the wrist consists of eight carpal bones, which articulate with the radius and ulna, allowing for a wide range of motion. The inflammation in postdysenteric arthropathy can lead to synovitis, affecting the synovial membrane and causing joint effusion. Clinically, patients may present with acute or chronic wrist pain, stiffness, and functional limitations in daily activities. The pathophysiology involves an autoimmune response triggered by the infection, leading to joint inflammation and potential long-term damage if not managed appropriately.
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 wrist pain following a gastrointestinal infection, requiring evaluation for potential surgical intervention if conservative management fails.
Joint-specific considerations include assessing for joint deformities, range of motion limitations, and the impact of inflammation on daily activities.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity using validated scales.
Patients may exhibit systemic symptoms alongside wrist involvement, 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 activities of daily living and any assistive devices used.
Rehabilitation scenarios may involve physical therapy to restore wrist function and strength following an inflammatory episode.
Mobility limitations should be documented, including the need for adaptive equipment or modifications in daily activities.
Used for therapeutic management of wrist effusion in postdysenteric arthropathy.
Document the joint involved, indication for the procedure, and any imaging guidance used.
Orthopedic and rheumatologic considerations include assessing the need for joint aspiration versus injection.
Common symptoms include joint pain, swelling, stiffness, and reduced range of motion in the affected wrist, often following a gastrointestinal infection.
