Postdysenteric arthropathy, elbow
ICD-10 M02.12 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, elbow.
Postdysenteric arthropathy is a type of reactive arthritis that occurs following an episode of dysentery, typically caused by bacterial infections such as Shigella or Salmonella. This condition primarily affects the joints, with the elbow being one of the common sites of involvement. Anatomically, the elbow joint consists of the humerus, radius, and ulna, allowing for flexion, extension, and some rotation. The pathophysiology involves an immune-mediated response triggered by the infection, leading to inflammation of the synovial membrane and subsequent joint pain, swelling, and stiffness. Clinically, patients may present with acute onset of elbow pain, tenderness, and reduced range of motion, often following gastrointestinal symptoms. The condition may also be associated with systemic symptoms such as fever and malaise, and it can lead to chronic joint issues if not properly managed.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Common scenarios include acute elbow pain following gastrointestinal illness, requiring evaluation for potential surgical intervention if conservative management fails.
Joint-specific considerations include assessing for joint effusion, synovitis, and potential for chronic changes in the elbow joint.
Rheumatologic documentation should include laboratory tests for inflammatory markers (ESR, CRP) and disease activity assessments to monitor progression.
Scenarios may involve patients with a history of dysentery presenting with joint pain, requiring differentiation from other inflammatory arthritides.
Systemic involvement may necessitate evaluation for other manifestations of reactive arthritis, including enthesitis or dactylitis.
Functional assessments should document mobility limitations, pain levels, and the need for assistive devices.
Rehabilitation scenarios may include post-acute care for joint stiffness and pain management strategies.
Considerations include the impact of joint involvement on daily activities and the need for tailored rehabilitation programs.
Used for joint effusion management in postdysenteric arthropathy.
Documentation must include indication for procedure, joint involved, and findings from physical examination.
Orthopedic considerations include assessing joint stability and potential for surgical intervention.
Documenting a history of dysentery is crucial as it establishes the link between the infectious episode and the subsequent development of reactive arthritis, which is necessary for accurate coding and treatment planning.
