Postimmunization arthropathy, knee
ICD-10 M02.26 is a billable code used to indicate a diagnosis of postimmunization arthropathy, knee.
Postimmunization arthropathy of the knee is a condition characterized by joint pain and inflammation following vaccination. The knee joint, a complex hinge joint formed by the femur, tibia, and patella, is susceptible to inflammatory responses due to its synovial membrane and surrounding soft tissues. The pathophysiology involves an autoimmune response triggered by the vaccine, leading to synovitis and potential cartilage damage. Clinically, patients may present with swelling, stiffness, and pain in the knee, often exacerbated by movement. Symptoms typically arise within days to weeks post-vaccination and may resolve spontaneously or require intervention. Understanding the anatomical structures involved, including ligaments, tendons, and the joint capsule, is crucial for accurate diagnosis and treatment planning.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRI) to assess joint integrity and functional assessments to evaluate range of motion and pain levels.
Patients may present with acute knee pain post-vaccination, requiring evaluation for potential surgical intervention if conservative measures fail.
Joint-specific considerations include assessing for effusion, ligament stability, and the impact of any pre-existing conditions.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity to rule out underlying autoimmune disorders.
Patients may exhibit systemic symptoms alongside knee pain, necessitating a comprehensive evaluation for autoimmune conditions.
Consideration of systemic involvement and monitoring for potential progression of symptoms is critical.
Functional assessments should document mobility limitations, pain levels, and the need for assistive devices to facilitate rehabilitation.
Rehabilitation scenarios may include physical therapy to restore range of motion and strength following postimmunization arthropathy.
Focus on mobility limitations and the patient's ability to perform daily activities is essential for effective treatment planning.
Used when knee effusion is present and requires aspiration for diagnostic or therapeutic purposes.
Document the indication for the procedure, including the presence of effusion and pain levels.
Orthopedic considerations include assessing joint stability post-procedure.
Common symptoms include joint pain, swelling, stiffness, and limited range of motion in the affected knee, typically occurring within days to weeks after vaccination.
