Felty's syndrome, right shoulder
ICD-10 M05.011 is a billable code used to indicate a diagnosis of felty's syndrome, right shoulder.
Felty's syndrome is a rare complication of rheumatoid arthritis characterized by the triad of rheumatoid arthritis, splenomegaly, and leukopenia. In the context of the right shoulder, patients may experience significant joint inflammation, pain, and functional limitations due to the autoimmune process affecting the synovial tissue. The right shoulder joint, comprising the glenohumeral joint, acromioclavicular joint, and scapulothoracic articulation, may exhibit swelling, tenderness, and decreased range of motion. The pathophysiology involves immune-mediated damage to joint tissues, leading to chronic inflammation and potential joint destruction. Clinically, patients may present with systemic symptoms such as fatigue and malaise, alongside localized shoulder pain and stiffness, which can severely impact daily activities and quality of life.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRI) to assess joint integrity, functional assessments to evaluate range of motion, and detailed notes on surgical interventions if applicable.
Common scenarios include surgical interventions for joint repair or replacement due to severe damage from Felty's syndrome.
Joint-specific considerations include documenting the extent of joint damage and any associated deformities.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP), disease activity scores, and assessments of splenomegaly.
Patients may present with exacerbations of rheumatoid arthritis symptoms, requiring adjustments in disease-modifying antirheumatic drugs (DMARDs).
Systemic involvement, such as the impact on blood cell counts and potential complications, should be thoroughly documented.
Functional assessments should evaluate mobility, strength, and the need for assistive devices to aid in rehabilitation.
Rehabilitation scenarios may involve physical therapy to improve shoulder function and reduce pain.
Documentation should address mobility limitations and any adaptations made for daily living activities.
Used for managing joint effusion in the right shoulder due to Felty's syndrome.
Documentation must include the indication for the procedure, joint involved, and any therapeutic agents used.
Orthopedic and rheumatologic considerations include the need for imaging guidance and assessment of joint stability.
Common symptoms include joint pain and swelling, particularly in the shoulders, fatigue, recurrent infections due to low white blood cell counts, and splenomegaly.
