Myositis ossificans traumatica, hand
ICD-10 M61.04 is a billable code used to indicate a diagnosis of myositis ossificans traumatica, hand.
Myositis ossificans traumatica is a condition characterized by the abnormal formation of bone tissue within muscle or connective tissue following trauma. In the case of the hand, this condition typically arises after an injury, such as a fracture or severe contusion, leading to inflammation and subsequent ossification. The process begins with muscle inflammation (myositis), which can result in pain, swelling, and limited range of motion. Over time, the inflammatory response can lead to the deposition of calcium salts in the muscle tissue, resulting in the formation of bone-like structures. Clinically, patients may present with muscle weakness, stiffness, and functional impairment of the hand. Diagnosis is often confirmed through imaging studies, such as X-rays or MRI, which reveal the presence of heterotopic ossification. Treatment may involve physical therapy, pain management, and in some cases, surgical intervention to remove the ossified tissue. Understanding the nuances of myositis ossificans is crucial for effective management and rehabilitation of affected patients.
Detailed injury history, imaging results, and treatment plans.
Post-traumatic cases following fractures or soft tissue injuries.
Ensure accurate documentation of the mechanism of injury and any surgical interventions.
Functional assessments, therapy progress notes, and patient-reported outcomes.
Rehabilitation following surgical excision of ossified tissue.
Focus on documenting functional limitations and rehabilitation goals.
Used when joint aspiration is performed due to swelling from myositis ossificans.
Document the reason for aspiration and findings.
Orthopedic specialists should ensure clear linkage between the procedure and the diagnosis.
The primary cause is trauma to the muscle, which leads to inflammation and abnormal bone formation in the affected area.
Diagnosis is typically made through clinical evaluation and imaging studies, such as X-rays or MRI, which reveal the presence of ossification.
Treatment may include physical therapy, pain management, and in some cases, surgical intervention to remove the ossified tissue.