Postdysenteric arthropathy, right wrist
ICD-10 M02.131 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, right wrist.
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 right wrist being a common site of involvement. Anatomically, the wrist consists of eight carpal bones, the radius, and the ulna, allowing for a wide range of motion. In postdysenteric arthropathy, inflammation can lead to pain, swelling, and stiffness in the wrist joint, limiting movement and function. Clinically, patients may present with acute onset of joint pain, tenderness, and swelling, often accompanied by a history of gastrointestinal symptoms. The pathophysiology involves an immune-mediated response triggered by the preceding infection, leading to synovial inflammation and potential joint damage if left untreated. Early diagnosis and management are crucial to prevent chronic complications.
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 acute wrist pain following a gastrointestinal infection, requiring evaluation for possible surgical intervention if conservative management fails.
Joint-specific considerations include assessing for potential joint damage and the need for surgical intervention if conservative treatments do not alleviate symptoms.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity to monitor the inflammatory response.
Patients may exhibit systemic symptoms alongside joint involvement, necessitating a comprehensive evaluation for autoimmune conditions.
Consideration of systemic involvement and monitoring for potential chronicity of the arthropathy is essential.
Functional assessments should document the patient's ability to perform daily activities and any rehabilitation needs, including physical therapy referrals.
Patients may require rehabilitation to restore function and mobility post-arthropathy, focusing on strength and range of motion.
Mobility limitations and the need for assistive devices should be documented to support rehabilitation efforts.
Used for joint aspiration in cases of significant swelling or effusion in the right wrist.
Documentation must include indication for the procedure, joint involved, and any prior treatments attempted.
Orthopedic considerations for joint health and rheumatologic considerations for inflammatory markers.
Postdysenteric arthropathy is a reactive arthritis that occurs following a dysentery episode, characterized by joint inflammation, particularly in the wrists and knees, due to an immune response to the preceding infection.
