Reiter's disease, right knee
ICD-10 M02.361 is a billable code used to indicate a diagnosis of reiter's disease, right knee.
Reiter's disease, also known as reactive arthritis, is an inflammatory condition that typically arises following an infection, most commonly in the urogenital or gastrointestinal tract. The right knee is often affected, presenting with swelling, pain, and reduced range of motion. Anatomically, the knee joint comprises the femur, tibia, fibula, and patella, with synovial fluid providing lubrication. Pathophysiologically, Reiter's disease involves an autoimmune response triggered by the initial infection, leading to inflammation of the synovial membrane and subsequent joint damage. Clinically, patients may exhibit symptoms such as joint pain, stiffness, and swelling, particularly after periods of inactivity. The right knee's involvement can significantly impair mobility and daily activities, necessitating a comprehensive treatment approach that may include NSAIDs, corticosteroids, and physical therapy.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion, and treatment plans detailing surgical or non-surgical interventions.
Common scenarios include joint aspiration for diagnostic purposes, arthroscopy for severe cases, and management of chronic pain through joint injections.
Joint-specific considerations include the assessment of joint stability, alignment, and the presence of effusion or synovitis.
Rheumatologic documentation must include laboratory tests for inflammatory markers (ESR, CRP), disease activity scores, and a thorough history of prior infections.
Autoimmune scenarios may involve managing flares of arthritis following infections, and assessing for extra-articular manifestations such as conjunctivitis or urethritis.
Systemic involvement may necessitate monitoring for complications such as cardiovascular or renal issues, which can influence treatment decisions.
Functional assessments should evaluate mobility, strength, and endurance, along with rehabilitation needs tailored to the patient's specific limitations.
Rehabilitation scenarios may include physical therapy for joint mobilization, strengthening exercises, and education on joint protection strategies.
Mobility limitations may require the use of assistive devices, and documentation should reflect the patient's progress and response to therapy.
Used for joint aspiration in cases of effusion or to administer corticosteroids.
Documentation must include the indication for the procedure, joint involved, and any complications.
Orthopedic and rheumatologic considerations include the need for imaging guidance and post-procedure care.
Key symptoms include joint pain and swelling, particularly in the knees, along with possible conjunctivitis and urethritis following an infection.
