Postdysenteric arthropathy, hip
ICD-10 M02.15 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, hip.
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 hip joint, leading to inflammation and pain. Anatomically, the hip joint is a ball-and-socket joint formed by the acetabulum of the pelvis and the head of the femur. The inflammation can result in synovitis, which may lead to joint effusion and decreased range of motion. Clinically, patients may present with unilateral hip pain, stiffness, and swelling, often following gastrointestinal symptoms. The pathophysiology involves an immune-mediated response to the infection, where the body’s immune system mistakenly attacks the joint tissues, leading to chronic inflammation and potential joint damage if left untreated. Early diagnosis and management are crucial to prevent long-term complications.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint integrity and functional assessments to evaluate range of motion and pain levels.
Patients may present with acute hip pain following a gastrointestinal infection, requiring evaluation for possible surgical intervention if conservative management fails.
Joint-specific considerations include assessing for joint effusion and the need for aspiration or injection therapies.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may exhibit systemic symptoms such as fever or malaise alongside joint symptoms, necessitating a comprehensive evaluation for autoimmune conditions.
Systemic involvement may require monitoring for other manifestations of reactive arthritis.
Functional assessments should document mobility limitations, pain levels, and the need for assistive devices.
Rehabilitation scenarios may include post-surgical recovery or conservative management with physical therapy to restore function.
Mobility limitations may necessitate tailored rehabilitation programs focusing on strength and flexibility.
Used when joint effusion is present and requires drainage.
Document the joint involved, amount of fluid removed, and any therapeutic agents injected.
Orthopedic considerations include the need for imaging guidance.
Documenting a history of dysentery is crucial as it establishes the link between the gastrointestinal infection and the subsequent development of arthritis, which is necessary for accurate coding and treatment planning.
