Postdysenteric arthropathy, left elbow
ICD-10 M02.122 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, left 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 left elbow being the focus in this code. Anatomically, the elbow joint is a complex hinge joint formed by the humerus, radius, and ulna, allowing for flexion, extension, and limited rotation. Clinically, patients may present with pain, swelling, and stiffness in the left elbow, often accompanied by systemic symptoms such as fever or malaise. The pathophysiology involves an immune-mediated response triggered by the infection, leading to inflammation in the joint tissues. Diagnosis is often supported by clinical evaluation, imaging studies, and laboratory tests to rule out other causes of arthritis. Movement limitations may include reduced range of motion and difficulty with activities requiring elbow flexion and extension, impacting daily functions.
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 surgical intervention for severe joint damage or arthroscopy for diagnostic purposes.
Joint-specific considerations include assessing for joint effusion, synovitis, and the impact of inflammation on joint function.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity using tools like the DAS28.
Scenarios may involve managing chronic inflammation and systemic symptoms associated with reactive arthritis.
Consideration of systemic involvement and monitoring for potential progression to chronic arthritis is crucial.
Functional assessments should document the patient's ability to perform activities of daily living and any rehabilitation needs.
Rehabilitation scenarios may include physical therapy to improve range of motion and strength in the affected elbow.
Mobility limitations and the need for assistive devices should be documented to support treatment plans.
Used for joint effusion management in the left elbow.
Document the reason for the procedure, joint involved, and any imaging guidance used.
Orthopedic considerations include assessing joint stability post-procedure.
Common symptoms include joint pain, swelling, stiffness, and reduced range of motion, particularly in the affected joint, which in this case is the left elbow. Patients may also experience systemic symptoms such as fever or malaise following the dysentery episode.
