Felty's syndrome, unspecified elbow
ICD-10 M05.029 is a billable code used to indicate a diagnosis of felty's syndrome, unspecified elbow.
Felty's syndrome is a rare complication of rheumatoid arthritis characterized by the triad of rheumatoid arthritis, splenomegaly, and neutropenia. The condition can lead to significant joint involvement, particularly in the elbows, which may present with swelling, pain, and limited range of motion. Anatomically, the elbow joint consists of the humerus, radius, and ulna, with ligaments and tendons that stabilize and allow for movement. In Felty's syndrome, the inflammatory process can exacerbate joint damage and lead to deformities. Clinically, patients may experience systemic symptoms such as fatigue and recurrent infections due to neutropenia, alongside localized symptoms in the elbow, which can severely impact daily activities and functional mobility.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion, and detailed notes on any surgical interventions.
Patients may present with elbow pain and swelling, requiring joint aspiration or surgical intervention for severe deformities.
Documenting the severity of joint involvement is crucial, as it influences treatment decisions and potential surgical options.
Rheumatologic documentation must include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28 score).
Patients may present with exacerbations of rheumatoid arthritis symptoms, necessitating adjustments in immunosuppressive therapy.
Systemic involvement, including monitoring for infections due to neutropenia, is essential for comprehensive care.
Functional assessments should evaluate mobility limitations and the need for assistive devices, along with rehabilitation goals.
Patients may require physical therapy to improve range of motion and strength in the elbow post-treatment.
Addressing mobility limitations and planning for assistive devices is critical for patient independence.
Used for joint effusion management in patients with Felty's syndrome.
Document the joint involved, the reason for the procedure, and any findings during the aspiration.
Orthopedic considerations for joint stability and rheumatologic considerations for inflammation management.
Key symptoms include joint pain and swelling, particularly in the elbows, splenomegaly, and recurrent infections due to neutropenia. Patients may also experience fatigue and systemic symptoms related to rheumatoid arthritis.
