Reiter's disease, elbow
ICD-10 M02.32 is a billable code used to indicate a diagnosis of reiter's disease, elbow.
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. In the case of M02.32, the focus is on the elbow joint, which can become swollen, painful, and stiff due to inflammation. Anatomically, the elbow consists of three bones: the humerus, radius, and ulna, forming a hinge joint that allows for flexion and extension. The synovial membrane lining the joint can become inflamed, leading to effusion and pain. Clinically, patients may present with limited range of motion, tenderness, and swelling in the elbow, often accompanied by systemic symptoms such as fever and malaise. The pathophysiology involves an autoimmune response triggered by bacterial infections, commonly following genitourinary or gastrointestinal infections. Diagnosis is often supported by clinical findings, serological tests, and imaging studies to assess joint involvement.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint damage and functional assessments to evaluate range of motion and strength.
Common scenarios include patients presenting with acute elbow pain following a recent infection, requiring joint aspiration or corticosteroid injection.
Joint-specific considerations include assessing for effusion, synovitis, and potential need for surgical intervention if conservative measures fail.
Rheumatologic documentation must include inflammatory markers (ESR, CRP) and disease activity assessments (e.g., DAS28) to monitor progression.
Patients may present with systemic symptoms alongside joint pain, necessitating a comprehensive evaluation for other autoimmune conditions.
Systemic involvement may require monitoring for complications such as uveitis or skin lesions.
Functional assessments should evaluate mobility, pain levels, and the need for assistive devices to aid rehabilitation.
Rehabilitation scenarios may include post-acute flare management and strategies to improve joint function.
Mobility limitations may necessitate tailored physical therapy programs focusing on strengthening and flexibility.
Used for joint aspiration in cases of significant effusion due to Reiter's disease.
Documentation must include indication for the procedure, joint involved, and any findings from the aspiration.
Orthopedic and rheumatologic perspectives on joint management.
Common symptoms include pain, swelling, and stiffness in the elbow joint, often accompanied by systemic symptoms such as fever and fatigue. Patients may also experience limited range of motion due to inflammation.
