Postdysenteric arthropathy, ankle and foot
ICD-10 M02.17 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, ankle and foot.
Postdysenteric arthropathy is a type of inflammatory arthritis that occurs following an episode of dysentery, typically caused by bacterial infections such as Shigella or Salmonella. This condition primarily affects the joints of the lower extremities, particularly the ankle and foot. Anatomically, the ankle joint comprises the tibia, fibula, and talus, while the foot consists of multiple bones including the tarsals, metatarsals, and phalanges. Clinically, patients may present with swelling, pain, and stiffness in the affected joints, often accompanied by systemic symptoms such as fever or malaise. The pathophysiology involves an immune-mediated response triggered by the preceding gastrointestinal infection, leading to synovial inflammation and joint damage. Movement limitations may include reduced range of motion and difficulty bearing weight, impacting daily activities and quality of life.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion and stability.
Common scenarios include surgical interventions for severe joint damage or arthroplasty in chronic cases.
Joint-specific considerations include assessing for deformities, joint effusion, and the need for orthopedic devices.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Scenarios may involve managing chronic inflammation and systemic symptoms associated with postdysenteric arthropathy.
Consideration of systemic involvement and monitoring for potential progression to chronic arthritis is essential.
Functional assessments should evaluate mobility, strength, and the need for assistive devices.
Rehabilitation scenarios may include physical therapy to restore function and mobility post-arthropathy.
Focus on mobility limitations and the impact on daily living activities is crucial.
Used for joint effusion management in postdysenteric arthropathy.
Document the joint involved, indication for the procedure, and any imaging guidance used.
Orthopedic and rheumatologic considerations for joint health and inflammation management.
Key symptoms include joint pain, swelling, stiffness, and reduced range of motion in the affected joints, often following a gastrointestinal infection.
