Reiter's disease, unspecified wrist
ICD-10 M02.339 is a billable code used to indicate a diagnosis of reiter's disease, unspecified wrist.
Reiter's disease, also known as reactive arthritis, is a type of inflammatory arthritis that can occur following an infection, particularly in the urogenital or gastrointestinal tract. It is characterized by a triad of symptoms: arthritis, urethritis, and conjunctivitis. In the context of the wrist, patients may experience swelling, pain, and stiffness in the joint, which can limit range of motion and functional capacity. Anatomically, the wrist consists of the distal radius and ulna, along with the carpal bones, which articulate to allow for complex movements. The inflammatory process in Reiter's disease can lead to synovitis, resulting in joint effusion and pain. Clinically, patients may present with acute onset of wrist pain, tenderness, and swelling, often accompanied by systemic symptoms such as fever and malaise. The condition is more prevalent in males and can lead to chronic joint damage if not adequately managed.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint damage, functional assessments, and treatment plans.
Common scenarios include acute wrist pain following a recent infection, requiring surgical intervention for severe joint damage.
Joint-specific considerations include the degree of swelling, range of motion limitations, and any signs of chronic changes on imaging.
Rheumatologic documentation should include laboratory tests for inflammatory markers (ESR, CRP), and assessments of disease activity.
Scenarios may involve managing systemic symptoms alongside joint inflammation, requiring a multidisciplinary approach.
Consideration of systemic involvement, such as ocular symptoms or skin lesions, is crucial for comprehensive management.
Functional assessments should document mobility limitations, pain levels, and rehabilitation needs.
Rehabilitation scenarios may focus on restoring wrist function post-inflammation and improving overall mobility.
Assessment of assistive device needs and home modifications may be necessary for patient safety and independence.
Used for joint effusion management in Reiter's disease.
Document the joint involved, indication for the procedure, and any findings.
Orthopedic considerations include assessing joint stability and potential for surgical intervention.
Common symptoms include joint pain and swelling, particularly in the knees, ankles, and wrists, along with possible conjunctivitis and urethritis. Patients may also experience systemic symptoms such as fever and fatigue.
