Osteonecrosis due to previous trauma, left shoulder
ICD-10 M87.212 is a billable code used to indicate a diagnosis of osteonecrosis due to previous trauma, left shoulder.
Osteonecrosis, also known as avascular necrosis, is a condition characterized by the death of bone tissue due to a lack of blood supply. In the case of M87.212, the osteonecrosis is specifically attributed to previous trauma to the left shoulder. This condition can occur after fractures, dislocations, or other injuries that compromise the blood supply to the bone. The left shoulder, being a complex joint, is particularly susceptible to such injuries, which can lead to significant pain, limited range of motion, and functional impairment. Clinically, patients may present with shoulder pain that worsens with activity, stiffness, and swelling. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of bone damage and to rule out other conditions such as osteomyelitis or arthritis. Treatment options may include conservative management with pain relief and physical therapy, or surgical interventions such as core decompression or joint replacement in advanced cases. Understanding the underlying cause of osteonecrosis is crucial for effective management and prevention of further complications.
Detailed history of trauma, imaging results, and treatment plans.
Post-traumatic shoulder pain, limited range of motion, and joint instability.
Ensure clear documentation of the mechanism of injury and any prior treatments.
Comprehensive imaging reports that detail findings related to osteonecrosis.
MRI findings indicating bone marrow edema or necrosis.
Radiologists should correlate imaging findings with clinical history to ensure accurate coding.
Used when assessing joint damage in patients with osteonecrosis.
Document indications for arthroscopy and findings.
Orthopedic surgeons should ensure that the procedure is justified based on clinical findings.
The primary cause of osteonecrosis in M87.212 is previous trauma to the left shoulder, which disrupts blood supply to the bone.
