Felty's syndrome, hip
ICD-10 M05.05 is a billable code used to indicate a diagnosis of felty's syndrome, hip.
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 hip, patients may experience significant joint involvement leading to pain, stiffness, and functional limitations. Anatomically, the hip joint is a ball-and-socket joint formed by the acetabulum of the pelvis and the head of the femur, allowing for a wide range of motion. Pathophysiologically, Felty's syndrome involves autoimmune processes that lead to inflammation of the synovial membrane, resulting in joint damage and systemic manifestations. Clinically, patients may present with decreased range of motion, difficulty in weight-bearing activities, and increased susceptibility to infections due to leukopenia. The hip joint's involvement can exacerbate mobility issues, necessitating comprehensive management strategies.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint integrity, functional assessments to evaluate mobility, and detailed descriptions of any surgical interventions.
Common scenarios include surgical interventions such as hip arthroplasty or joint injections for pain management.
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), assessments of disease activity, and evaluations of splenomegaly.
Scenarios often involve managing systemic symptoms alongside joint pain, including medication adjustments for disease-modifying antirheumatic drugs (DMARDs).
Considerations include monitoring for complications related to leukopenia and systemic involvement.
Functional assessments should evaluate the patient's ability to perform daily activities and any rehabilitation needs, including physical therapy interventions.
Rehabilitation scenarios may focus on restoring mobility and strength post-surgery or during flare-ups.
Mobility limitations may necessitate the use of assistive devices, which should be documented.
Used for aspiration of joint fluid in cases of suspected infection or inflammation.
Document the indication for the procedure, findings, and any therapeutic interventions performed.
Orthopedic considerations include assessing joint stability and potential for further intervention.
Common symptoms include joint pain and swelling, particularly in the hips, along with systemic symptoms such as fatigue, splenomegaly, and recurrent infections due to leukopenia.
