Postdysenteric arthropathy, left ankle and foot
ICD-10 M02.172 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, left ankle and foot.
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 joints, particularly in the lower extremities, including the left ankle and foot. The pathophysiology involves an immune-mediated response to the infection, leading to inflammation in the joints. Clinically, patients may present with swelling, pain, and stiffness in the affected joints, particularly after a gastrointestinal infection. Anatomically, the left ankle comprises the tibia, fibula, talus, and surrounding ligaments, while the foot includes multiple bones such as the metatarsals and phalanges. Movement limitations may include reduced range of motion and difficulty bearing weight on the affected limb. The condition can lead to chronic joint damage if not properly managed.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Common scenarios include surgical interventions for joint repair or arthroscopy to address joint damage.
Joint-specific considerations include assessing for any structural damage or deformities in the left ankle and foot.
Rheumatologic documentation should include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity.
Scenarios may involve managing systemic involvement or coexisting autoimmune conditions.
Consideration of systemic symptoms and potential progression to chronic arthritis is crucial.
Functional assessments should document mobility limitations, pain levels, and rehabilitation needs.
Rehabilitation scenarios may include physical therapy to restore function and mobility.
Assessment of assistive device needs and home modifications for mobility support.
Used for joint swelling and pain management in postdysenteric arthropathy.
Documentation must include the joint involved, indication for the procedure, and any imaging studies performed.
Orthopedic considerations include assessing joint stability and potential need for further intervention.
Postdysenteric arthropathy is a reactive arthritis that occurs following a dysentery episode, characterized by joint inflammation, particularly in the lower extremities, and is often associated with a history of gastrointestinal infection.
