Postdysenteric arthropathy, unspecified hip
ICD-10 M02.159 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, unspecified hip.
Postdysenteric arthropathy refers to a type of inflammatory arthritis that occurs following an episode of dysentery, often caused by bacterial infections such as Shigella or Salmonella. This condition typically manifests as joint pain and swelling, particularly affecting the hip joint in this case. Anatomically, the hip joint is a ball-and-socket joint formed by the acetabulum of the pelvis and the head of the femur, allowing for a wide range of motion. The pathophysiology involves an autoimmune response triggered by the initial infection, leading to synovial inflammation and potential joint damage. Clinically, patients may present with unilateral or bilateral hip pain, stiffness, and reduced range of motion, which can significantly impact mobility and daily activities. Diagnosis is often supported by clinical evaluation, 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.
Common scenarios include patients presenting with hip pain post-dysentery, requiring surgical intervention for joint repair or replacement.
Joint-specific considerations include the degree of joint damage and the impact on mobility, which should be clearly documented.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may present with systemic symptoms such as fever or malaise alongside joint symptoms, necessitating a comprehensive evaluation.
Consideration of systemic involvement is crucial, as postdysenteric arthropathy may be part of a broader inflammatory response.
Functional assessments should document the patient's ability to perform daily activities and any rehabilitation needs.
Rehabilitation scenarios may include physical therapy to restore hip function and mobility post-arthropathy.
Mobility limitations should be assessed, and any need for assistive devices should be documented.
Used for joint effusion management in postdysenteric arthropathy.
Document the joint involved, indication for the procedure, and any findings during aspiration.
Orthopedic considerations include assessing joint stability and potential need for further intervention.
Postdysenteric arthropathy is an inflammatory joint condition that occurs after a dysentery episode, characterized by joint pain and swelling, particularly in the hips. It is believed to be an autoimmune response triggered by the initial infection.
