Spontaneous rupture of flexor tendons, other site
ICD-10 M66.38 is a billable code used to indicate a diagnosis of spontaneous rupture of flexor tendons, other site.
Spontaneous rupture of flexor tendons, particularly in the hand and wrist, can occur due to various underlying conditions, including inflammatory diseases, chronic tenosynovitis, or degenerative changes. This condition is characterized by the sudden tearing of the tendon fibers, which may lead to loss of function and pain in the affected area. The flexor tendons are crucial for hand movements, and their rupture can significantly impair a patient's ability to perform daily activities. Diagnosis typically involves a thorough clinical examination, imaging studies such as ultrasound or MRI, and sometimes arthroscopy to assess the extent of the injury. Treatment options may include conservative management with splinting and physical therapy or surgical intervention to repair the tendon. Surgical repair often involves suturing the tendon ends together or using grafts if the rupture is extensive. Post-operative rehabilitation is essential for restoring function and strength to the affected hand.
Detailed operative notes, including the type of repair performed and any grafts used.
Patients presenting with acute hand pain and loss of function following a sudden injury or without a clear traumatic event.
Ensure that all relevant imaging studies and pre-operative assessments are documented.
Comprehensive history of inflammatory conditions and their management.
Patients with chronic inflammatory diseases presenting with tendon ruptures.
Document the relationship between underlying rheumatologic conditions and tendon integrity.
Used when surgical repair is performed for a spontaneous rupture.
Operative report detailing the procedure and any grafts used.
Orthopedic surgeons should ensure all aspects of the repair are documented.
Common causes include chronic inflammatory conditions, degenerative changes, and repetitive strain injuries. Patients with underlying conditions like rheumatoid arthritis or diabetes are at higher risk.
