Postdysenteric arthropathy, right ankle and foot
ICD-10 M02.171 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, right ankle and foot.
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, particularly in the lower extremities, including the right ankle and foot. Anatomically, the right ankle consists of the tibia, fibula, and talus, while the foot comprises multiple bones including the metatarsals and phalanges. Clinically, patients may present with swelling, pain, and stiffness in the affected joints, often accompanied by systemic symptoms such as fever and malaise. The pathophysiology involves an immune-mediated response triggered by the initial gastrointestinal infection, leading to inflammation in the joints. Movement limitations may include reduced range of motion and difficulty bearing weight on the affected limb, impacting daily activities and overall quality of life.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity and functional assessments to evaluate mobility and pain levels.
Common scenarios include patients presenting with acute joint pain following gastrointestinal infections, requiring surgical intervention for severe cases.
Joint-specific considerations include assessing for joint effusion, synovitis, and potential need for arthrocentesis.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may present with systemic symptoms alongside joint pain, necessitating a comprehensive evaluation for autoimmune conditions.
Consideration of systemic involvement and monitoring for chronicity of the arthropathy is essential.
Functional assessments should document the patient's ability to perform activities of daily living and any rehabilitation needs.
Rehabilitation scenarios may involve physical therapy to restore joint function and mobility.
Assessment of mobility limitations and the need for assistive devices (e.g., braces, crutches) is crucial.
Used for patients with joint effusion in the right ankle requiring drainage.
Document the joint involved, indication for the procedure, and any imaging guidance used.
Orthopedic considerations include assessing joint stability post-procedure.
Postdysenteric arthropathy is a reactive arthritis that occurs after a gastrointestinal infection, leading to inflammation in the joints, particularly in the lower extremities.
