Rupture of synovium, right toe(s)
ICD-10 M66.177 is a billable code used to indicate a diagnosis of rupture of synovium, right toe(s).
Rupture of the synovium in the right toe(s) refers to the tearing or disruption of the synovial membrane that lines the joints and tendon sheaths in the toes. This condition 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 is ruptured, it can lead to pain, swelling, and decreased range of motion in the affected toe(s). Patients may present with localized tenderness, warmth, and swelling, and may report difficulty in walking or bearing weight on the affected foot. Diagnosis typically involves a thorough clinical examination, imaging studies such as ultrasound or MRI, and sometimes aspiration of the joint to analyze synovial fluid. Treatment may include conservative measures such as rest, ice, compression, and elevation (RICE), as well as corticosteroid injections or surgical intervention if conservative management fails. Surgical options may involve synovectomy or repair of the ruptured synovium, depending on the severity of the rupture and associated conditions.
Detailed notes on the mechanism of injury, physical examination findings, imaging results, and treatment plan.
Patients presenting with acute toe pain following trauma, chronic pain due to repetitive stress injuries, or inflammatory conditions affecting the synovium.
Ensure clarity in documentation regarding the extent of the rupture and any associated tendon injuries.
Comprehensive assessment of joint involvement, history of inflammatory conditions, and response to previous treatments.
Patients with rheumatoid arthritis experiencing acute exacerbations or new joint symptoms.
Document any systemic symptoms or laboratory findings that may indicate an underlying rheumatologic condition.
Used when aspiration of the joint is performed to relieve swelling.
Document the reason for aspiration, the amount of fluid removed, and any findings.
Orthopedic specialists should ensure clear documentation of joint involvement.
Synovial rupture in the toes can be caused by acute trauma, such as a fall or impact injury, or by chronic conditions like rheumatoid arthritis that lead to inflammation and weakening of the synovial membrane.
