Transient synovitis, right shoulder
ICD-10 M67.311 is a billable code used to indicate a diagnosis of transient synovitis, right shoulder.
Transient synovitis of the shoulder is a temporary inflammatory condition affecting the synovial membrane of the shoulder joint. It is characterized by pain, swelling, and limited range of motion, often occurring in children and adolescents. The etiology can be idiopathic or secondary to trauma, infection, or systemic inflammatory diseases. Patients typically present with acute shoulder pain, which may be exacerbated by movement. Diagnosis is primarily clinical, supported by imaging studies such as ultrasound or MRI to assess joint effusion and synovial thickening. Treatment usually involves rest, non-steroidal anti-inflammatory drugs (NSAIDs), and physical therapy. In severe cases, aspiration of the joint may be necessary. The condition is self-limiting, with most patients recovering fully within weeks to months. However, it is crucial to differentiate transient synovitis from more serious conditions such as septic arthritis or osteomyelitis, which require more aggressive intervention.
Detailed clinical notes including history, physical examination findings, imaging results, and treatment plans.
Acute shoulder pain in children, post-traumatic shoulder pain, and differential diagnosis of shoulder conditions.
Ensure clear documentation of the duration of symptoms and response to treatment to support the diagnosis.
Comprehensive history including onset of symptoms, activity level, and any associated systemic symptoms.
Evaluation of a child with shoulder pain and limited range of motion, particularly after a fall or injury.
Consider developmental factors and the potential for growth-related issues in the differential diagnosis.
Used when joint effusion is present and aspiration is performed.
Document the indication for aspiration, the amount of fluid removed, and any laboratory analysis of the fluid.
Orthopedic specialists should ensure that the procedure is justified based on clinical findings.
The primary treatment includes rest, NSAIDs for pain relief, and physical therapy. In some cases, aspiration of the joint may be necessary.
Transient synovitis typically presents with less severe systemic symptoms and is often self-limiting, while septic arthritis usually involves significant fever, chills, and requires immediate medical intervention.
