Transient synovitis, wrist
ICD-10 M67.33 is a billable code used to indicate a diagnosis of transient synovitis, wrist.
Transient synovitis of the wrist is a benign inflammatory condition characterized by the temporary inflammation of the synovial membrane surrounding the wrist joint. This condition is often seen in children and adolescents, typically presenting with pain, swelling, and limited range of motion in the affected wrist. The etiology is frequently idiopathic, but it can also be associated with trauma or overuse. Diagnosis is primarily clinical, supported by imaging studies such as ultrasound or MRI to assess synovial fluid accumulation and joint effusion. Treatment usually involves conservative management, including rest, ice application, and non-steroidal anti-inflammatory drugs (NSAIDs). In some cases, aspiration of the joint may be necessary to relieve symptoms. The prognosis is generally favorable, with most patients experiencing complete resolution of symptoms within a few weeks. However, it is crucial to differentiate transient synovitis from other more serious conditions such as septic arthritis or juvenile idiopathic arthritis, which may require more aggressive intervention.
Detailed history of symptoms, physical examination findings, and treatment plan.
Children presenting with wrist pain after a fall or sports activity.
Consideration of growth plate involvement and differentiation from fractures.
Imaging results, surgical notes if applicable, and follow-up assessments.
Adults with wrist pain due to repetitive strain or injury.
Assessment for potential surgical intervention if conservative treatment fails.
Used when aspiration is performed to relieve joint effusion in transient synovitis.
Document the indication for aspiration, the amount of fluid removed, and any findings.
Orthopedic specialists may perform this procedure more frequently.
The primary treatment includes rest, ice application, and NSAIDs to reduce inflammation and pain. In some cases, aspiration of the joint may be necessary.
Transient synovitis typically presents with a history of trauma or overuse, and imaging studies show joint effusion without signs of infection. Septic arthritis usually presents with fever, severe pain, and requires laboratory confirmation.
