Felty's syndrome, right wrist
ICD-10 M05.031 is a billable code used to indicate a diagnosis of felty's syndrome, right wrist.
Felty's syndrome is a rare complication of rheumatoid arthritis characterized by the triad of rheumatoid arthritis, splenomegaly, and neutropenia. The right wrist may be affected due to the systemic inflammatory process that leads to synovitis, joint erosion, and deformity. Anatomically, the wrist consists of the distal radius and ulna, along with the carpal bones, which articulate with the metacarpals. In Felty's syndrome, the inflammatory response can lead to joint swelling, pain, and reduced range of motion. Clinically, patients may present with symptoms such as joint pain, stiffness, and systemic manifestations like fatigue and recurrent infections due to neutropenia. The pathophysiology involves immune dysregulation, leading to increased autoantibody production and systemic inflammation, which can exacerbate joint damage and functional impairment.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate range of motion and strength.
Common scenarios include surgical interventions for joint repair or replacement due to severe erosion.
Joint-specific considerations include documenting the severity of joint involvement and any deformities present.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and disease activity scores.
Autoimmune scenarios may involve managing flare-ups and adjusting DMARD therapy.
Systemic involvement must be documented, including any complications arising from neutropenia.
Functional assessments should evaluate mobility, strength, and the need for assistive devices.
Rehabilitation scenarios may focus on restoring function post-surgery or managing chronic pain.
Mobility limitations should be documented, including the impact on daily activities.
Used for managing joint effusion in the right wrist.
Document the indication for the procedure, including joint swelling and pain.
Orthopedic considerations include assessing joint stability and function post-procedure.
Key symptoms include joint pain and swelling, particularly in the wrists, fatigue, splenomegaly, and recurrent infections due to neutropenia.
