Reiter's disease, shoulder
ICD-10 M02.31 is a billable code used to indicate a diagnosis of reiter's disease, shoulder.
Reiter's disease, also known as reactive arthritis, is a type of inflammatory arthritis that develops in response to an infection in another part of the body. It is characterized by a triad of symptoms: arthritis, urethritis, and conjunctivitis. In the case of M02.31, the focus is on the shoulder joint, which may exhibit swelling, pain, and limited range of motion due to inflammation. Anatomically, the shoulder comprises the humerus, scapula, and clavicle, with the glenohumeral joint being the primary site of involvement. Pathophysiologically, the condition is believed to be triggered by bacterial infections, often in the urogenital or gastrointestinal tract, leading to an autoimmune response that targets the joints. Clinically, patients may present with unilateral shoulder pain, tenderness, and stiffness, particularly after an infection. Early diagnosis and management are crucial to prevent chronic joint damage.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate range of motion and strength.
Patients may present with acute shoulder pain following a recent infection, requiring evaluation for potential surgical intervention if conservative management fails.
Joint-specific considerations include assessing for effusion, synovitis, and the impact of inflammation on surrounding structures.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and disease activity assessments to monitor progression.
Patients may exhibit systemic symptoms such as fever or fatigue alongside joint pain, necessitating a comprehensive evaluation of autoimmune activity.
Systemic involvement may require monitoring for extra-articular manifestations, such as skin lesions or ocular symptoms.
Functional assessments should document mobility limitations, pain levels, and the need for assistive devices to facilitate rehabilitation.
Rehabilitation may focus on restoring range of motion and strength post-inflammation, with tailored exercise programs.
Consideration of patient-specific goals and barriers to mobility is essential for effective rehabilitation planning.
Used for joint aspiration in cases of effusion due to Reiter's disease.
Documentation must include indication for the procedure, joint involved, and any prior treatments.
Orthopedic considerations include assessing joint stability and potential for surgical intervention if conservative measures fail.
Common symptoms include unilateral shoulder pain, swelling, tenderness, and limited range of motion, often following a recent infection.
