Postdysenteric arthropathy, unspecified shoulder
ICD-10 M02.119 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, unspecified shoulder.
Postdysenteric arthropathy refers to a type of inflammatory arthritis that occurs following an episode of dysentery, typically caused by bacterial infections such as Shigella or Salmonella. This condition can lead to joint inflammation, particularly affecting the shoulder joint in this case. Anatomically, the shoulder comprises the glenohumeral joint, acromioclavicular joint, and the scapulothoracic articulation, which can all be involved in arthropathy. Clinically, patients may present with pain, swelling, and reduced range of motion in the shoulder, often exacerbated by activities that require overhead movement. The pathophysiology involves an autoimmune response triggered by the infection, leading to synovitis and potential joint damage if left untreated. Diagnosis is typically supported by clinical examination, imaging studies, and laboratory tests to rule out other causes of arthritis.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Patients may present with shoulder pain post-dysentery, requiring evaluation for potential surgical intervention if conservative management fails.
Documenting the severity of joint involvement and any associated functional limitations is crucial for treatment planning.
Rheumatologic documentation should include inflammatory markers (e.g., ESR, CRP) and assessments of disease activity to monitor progression.
Patients may exhibit systemic symptoms alongside shoulder pain, necessitating a comprehensive evaluation for autoimmune conditions.
Consideration of systemic involvement and the potential for chronicity in postdysenteric arthropathy is essential.
Functional assessments should focus on mobility limitations and rehabilitation needs, including range of motion and strength testing.
Rehabilitation scenarios may involve restoring shoulder function post-arthropathy, with a focus on pain management and physical therapy.
Documenting the need for assistive devices or modifications in activities of daily living is important for comprehensive care.
Used for joint effusion management in postdysenteric arthropathy.
Document the indication for aspiration, joint involved, and any therapeutic agents injected.
Orthopedic and rheumatologic considerations for joint management.
Common symptoms include joint pain, swelling, stiffness, and reduced range of motion, particularly in the shoulder. Patients may also report a history of gastrointestinal infection prior to the onset of joint symptoms.
