Spontaneous rupture of synovium and tendon
Chapter 13:Diseases of the musculoskeletal system
ICD-10 M66 is a billable code used to indicate a diagnosis of spontaneous rupture of synovium and tendon.
Spontaneous rupture of synovium and tendon refers to the unexpected tearing of the synovial membrane and associated tendons, often occurring without any preceding trauma or injury. This condition can arise due to various factors, including chronic inflammation, degenerative changes, or underlying systemic diseases such as rheumatoid arthritis or gout. The synovium, which lines the joints and tendon sheaths, plays a crucial role in joint lubrication and nutrient supply. When it ruptures, it can lead to significant pain, swelling, and impaired mobility. The rupture may also result in the release of synovial fluid into the surrounding tissues, causing further inflammation and discomfort. Clinically, patients may present with acute pain, swelling, and limited range of motion in the affected joint or tendon. Diagnosis typically involves a thorough clinical examination, imaging studies such as ultrasound or MRI, and sometimes arthroscopy. Treatment options may include conservative management with rest, ice, and anti-inflammatory medications, or surgical intervention to repair the ruptured structures, depending on the severity and location of the rupture.
Detailed clinical notes, imaging results, and treatment plans must be documented to support the diagnosis.
Patients presenting with acute joint pain and swelling, often following a history of chronic joint issues.
Orthopedic surgeons should ensure that the surgical notes clearly describe the nature of the rupture and any repairs performed.
Comprehensive history of joint symptoms, laboratory results, and imaging studies to assess underlying conditions.
Patients with autoimmune disorders presenting with joint pain and swelling, potentially leading to spontaneous ruptures.
Rheumatologists should document the relationship between systemic diseases and joint health to support coding.
Used when surgical intervention is required for spontaneous rupture repair.
Operative report detailing the procedure and findings.
Orthopedic surgeons should ensure accurate coding of the procedure in relation to the diagnosis.
The primary causes include chronic inflammatory conditions, degenerative changes, and systemic diseases that weaken the synovial and tendon structures.
