Reiter's disease, unspecified shoulder
ICD-10 M02.319 is a billable code used to indicate a diagnosis of reiter's disease, unspecified 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 the classic triad of arthritis, urethritis, and conjunctivitis, although not all patients exhibit all three symptoms. In the case of unspecified shoulder involvement, the patient may experience pain, swelling, and stiffness in the shoulder joint, which can limit range of motion and functional capacity. Anatomically, the shoulder consists of the humerus, scapula, and clavicle, with the glenohumeral joint being the primary site of movement. Pathophysiologically, Reiter's disease is believed to be an autoimmune response triggered by infections, often of the genitourinary or gastrointestinal tract. Clinically, patients may present with acute onset of shoulder pain, tenderness, and swelling, often accompanied by systemic symptoms such as fever and malaise. Early diagnosis and management are crucial to prevent chronic joint damage and functional impairment.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Common scenarios include acute shoulder pain following a recent infection, requiring surgical intervention for joint debridement or synovectomy.
Joint-specific considerations include documenting the severity of joint effusion and any structural changes observed in imaging.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity using validated scales.
Patients may present with a history of urethritis or conjunctivitis preceding shoulder symptoms, necessitating a thorough review of systemic involvement.
Consideration of extra-articular manifestations and the potential for chronicity in disease progression is essential.
Functional assessments should evaluate the patient's ability to perform daily activities and any rehabilitation needs for mobility restoration.
Rehabilitation scenarios may involve physical therapy for shoulder range of motion and strength training following acute inflammatory episodes.
Documentation should address mobility limitations and the need for assistive devices to enhance functional independence.
Used for patients with significant shoulder effusion due to Reiter's disease.
Document the indication for the procedure, joint accessed, and any fluid analysis performed.
Orthopedic considerations include assessing joint stability and potential need for further intervention.
Common symptoms include joint pain and swelling, particularly in the knees and shoulders, along with possible urethritis and conjunctivitis. Patients may also experience systemic symptoms such as fever and fatigue.
