Felty's syndrome, knee
ICD-10 M05.06 is a billable code used to indicate a diagnosis of felty's syndrome, knee.
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 knee, patients may experience significant joint inflammation, pain, and swelling due to the autoimmune process affecting the synovial membrane. Anatomically, the knee joint comprises the femur, tibia, fibula, and patella, with ligaments and cartilage providing stability and mobility. The pathophysiology involves immune-mediated damage to the joint structures, leading to chronic inflammation and potential joint deformities. Clinically, patients may present with decreased range of motion, joint effusion, and systemic symptoms such as fatigue and malaise. The knee is often a primary site of involvement, leading to functional limitations in activities of daily living and mobility.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint integrity, as well as functional assessments to evaluate range of motion and stability.
Patients may require surgical intervention such as arthroscopy or joint replacement due to severe joint damage.
Documentation must detail the extent of joint damage and any surgical findings.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28 score).
Management of Felty's syndrome may involve disease-modifying antirheumatic drugs (DMARDs) and biologics.
Systemic involvement must be documented, including any splenomegaly and leukopenia.
Functional assessments should evaluate mobility, strength, and the need for assistive devices.
Rehabilitation may focus on restoring function and managing pain through physical therapy.
Documentation should reflect the impact of knee involvement on overall mobility and daily activities.
Used for knee joint effusion management in Felty's syndrome.
Document the joint involved, the procedure performed, and the indication for the procedure.
Orthopedic and rheumatologic considerations for joint management.
Key symptoms include joint pain and swelling, particularly in the knees, along with systemic symptoms such as fatigue, splenomegaly, and leukopenia.
