Postimmunization arthropathy, shoulder
ICD-10 M02.21 is a billable code used to indicate a diagnosis of postimmunization arthropathy, shoulder.
Postimmunization arthropathy of the shoulder is a condition characterized by joint pain and inflammation following vaccination. The shoulder joint, a ball-and-socket joint formed by the humeral head and the glenoid cavity of the scapula, allows for a wide range of motion. Postimmunization arthropathy typically presents with pain, swelling, and limited range of motion in the shoulder, often occurring within days to weeks after vaccination. The pathophysiology may involve an autoimmune response triggered by the vaccine, leading to synovitis and joint inflammation. Clinically, patients may report pain during overhead activities, tenderness on palpation, and stiffness, which can significantly impact daily activities and functional mobility. Diagnosis is primarily clinical, supported by patient history and physical examination, with imaging studies used to rule out other causes of shoulder pain.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRI) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Patients presenting with shoulder pain post-vaccination may require surgical intervention if conservative management fails, such as arthroscopy for synovitis.
Documenting the severity of joint involvement and functional limitations is crucial for treatment planning.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may present with systemic symptoms indicating a broader autoimmune response, necessitating a comprehensive evaluation.
Consideration of other autoimmune conditions that may mimic postimmunization arthropathy is essential.
Functional assessments should evaluate mobility, strength, and the need for assistive devices to aid rehabilitation.
Rehabilitation programs focusing on restoring range of motion and strength post-vaccination injury.
Addressing mobility limitations and developing a tailored rehabilitation plan is critical.
Used when a patient presents with significant swelling and pain in the shoulder post-vaccination.
Document the indication for the procedure, including the patient's vaccination history and clinical findings.
Orthopedic considerations include assessing joint fluid for inflammatory markers.
Common symptoms include joint pain, swelling, stiffness, and limited range of motion in the affected shoulder, typically occurring within days to weeks after vaccination.
