Rupture of synovium, ankle, foot and toes
ICD-10 M66.17 is a billable code used to indicate a diagnosis of rupture of synovium, ankle, foot and toes.
Rupture of the synovium in the ankle, foot, and toes is a condition characterized by the tearing of the synovial membrane, which lines the joints and tendon sheaths. This injury can occur due to trauma, repetitive stress, or underlying inflammatory conditions such as rheumatoid arthritis or gout. The synovium plays a crucial role in joint health by producing synovial fluid, which lubricates the joints and nourishes the cartilage. When the synovium ruptures, it can lead to swelling, pain, and decreased range of motion in the affected area. Patients may present with symptoms such as localized tenderness, swelling, and sometimes a palpable defect in the tendon sheath. Diagnosis typically involves a thorough clinical examination, imaging studies like ultrasound or MRI, and sometimes aspiration of joint fluid. Treatment may include conservative measures such as rest, ice, compression, and elevation (RICE), as well as physical therapy. In severe cases, surgical intervention may be necessary to repair the ruptured synovium or to address any associated tendon injuries.
Detailed notes on the mechanism of injury, physical examination findings, and imaging results.
Patients presenting with acute ankle injuries, chronic pain in the foot, or post-surgical follow-ups.
Ensure that all relevant imaging studies are included in the documentation to support the diagnosis.
Comprehensive assessment of joint involvement, history of inflammatory conditions, and treatment plans.
Patients with rheumatoid arthritis experiencing joint swelling and pain.
Document any systemic symptoms or laboratory findings that may indicate an underlying rheumatologic condition.
Used when surgical repair of the ruptured synovium is performed.
Operative report detailing the procedure and findings.
Orthopedic surgeons should ensure accurate documentation of the surgical approach and any complications.
Common causes include acute trauma, repetitive stress injuries, and underlying inflammatory conditions such as rheumatoid arthritis or gout.
Diagnosis typically involves a clinical examination, imaging studies such as ultrasound or MRI, and sometimes aspiration of joint fluid to assess for inflammation or infection.