Postdysenteric arthropathy, unspecified ankle and foot
ICD-10 M02.179 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, unspecified 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 of the lower extremities, particularly the ankle and foot. Anatomically, the ankle joint comprises the tibia, fibula, and talus, while the foot consists of multiple bones including the tarsals, metatarsals, and phalanges. Clinically, patients may present with swelling, pain, and stiffness in the affected joints, often accompanied by systemic symptoms such as fever or malaise. The pathophysiology involves an immune-mediated response triggered by the initial gastrointestinal infection, leading to inflammation in the joints. Movement limitations may include difficulty in weight-bearing activities and reduced range of motion in the ankle and foot joints, impacting daily activities and quality of life.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity and any structural changes. Functional assessments to evaluate range of motion and weight-bearing capacity are also essential.
Common scenarios include patients presenting with acute ankle swelling post-dysentery, requiring orthopedic evaluation for potential joint damage or surgical intervention.
Joint-specific considerations include assessing for any deformities or chronic changes in the ankle and foot that may require surgical correction.
Rheumatologic documentation should focus on inflammatory markers (e.g., ESR, CRP) and disease activity assessments to monitor the progression of arthropathy.
Patients may present with persistent joint pain and swelling after gastrointestinal infections, necessitating a rheumatologic evaluation for potential autoimmune involvement.
Consideration of systemic involvement is crucial, as postdysenteric arthropathy may be associated with other inflammatory conditions.
Functional assessments should document mobility limitations, pain levels, and the need for assistive devices to aid in rehabilitation.
Rehabilitation scenarios may involve patients recovering from acute arthritic episodes, focusing on restoring function and mobility.
Mobility limitations may necessitate tailored rehabilitation programs to address specific deficits in ankle and foot function.
Used for joint effusion management in postdysenteric arthropathy.
Document the joint involved, indication for the procedure, and any findings during aspiration.
Orthopedic and rheumatologic considerations for joint health and management.
Linking dysentery to arthropathy is crucial as it establishes the etiology of the joint inflammation, guiding appropriate treatment and ensuring accurate coding.
