Postdysenteric arthropathy, knee
ICD-10 M02.16 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, knee.
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 knee joint, leading to inflammation, pain, and swelling. Anatomically, the knee joint consists of the femur, tibia, fibula, and patella, with ligaments and cartilage providing stability and cushioning. The pathophysiology involves an immune response triggered by the infection, resulting in synovitis and potential damage to the cartilage and surrounding structures. Clinically, patients may present with acute onset of knee pain, swelling, and reduced range of motion, often following gastrointestinal symptoms. The condition may also be associated with systemic symptoms such as fever and malaise, and it can lead to chronic joint issues if not properly managed.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint damage and functional assessments to evaluate range of motion and stability.
Patients may present with acute knee pain post-dysentery, requiring evaluation for potential surgical intervention if conservative management fails.
Joint-specific considerations include assessing for effusion, ligament integrity, and potential for chronic changes in the joint structure.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may exhibit symptoms of reactive arthritis following gastrointestinal infections, necessitating a thorough evaluation for autoimmune conditions.
Systemic involvement may occur, requiring monitoring for other manifestations of reactive arthritis or related conditions.
Functional assessments should document mobility limitations, pain levels, and rehabilitation needs, including any assistive devices used.
Rehabilitation scenarios may involve physical therapy to restore range of motion and strength post-arthropathy.
Mobility limitations may necessitate a multidisciplinary approach, including occupational therapy for daily living activities.
Used for knee joint effusion management in postdysenteric arthropathy.
Document the indication for the procedure, including joint involvement and prior treatments.
Orthopedic considerations include assessing joint stability and potential for surgical intervention.
Documenting prior dysentery is crucial as it establishes the etiology of the arthropathy, differentiating it from other forms of arthritis and ensuring accurate coding and treatment planning.
