Reiter's disease, left shoulder
ICD-10 M02.312 is a billable code used to indicate a diagnosis of reiter's disease, left shoulder.
Reiter's disease, also known as reactive arthritis, is a type of inflammatory arthritis that occurs as a reaction to an infection in another part of the body. It is characterized by the classic triad of arthritis, urethritis, and conjunctivitis. In the case of M02.312, the focus is on the left shoulder joint, which may exhibit swelling, pain, and limited range of motion due to inflammation. Anatomically, the shoulder consists of the humerus, scapula, and clavicle, with the glenohumeral joint being the primary site of involvement. Pathophysiologically, the disease is believed to be triggered by infections, often of the genitourinary or gastrointestinal tract, leading to an autoimmune response that targets the joints. Clinically, patients may present with acute onset of pain and swelling in the left shoulder, often accompanied by systemic symptoms such as fever and malaise. The inflammatory process can lead to joint damage if not managed appropriately, making early diagnosis and treatment crucial.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint damage and functional assessments to evaluate range of motion and strength.
Common scenarios include surgical interventions for severe joint damage or arthroscopic procedures for diagnostic purposes.
Joint-specific considerations include the assessment of joint stability and the potential for surgical intervention if conservative management fails.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and disease activity assessments (e.g., DAS28).
Autoimmune and inflammatory scenarios may involve the management of concurrent conditions such as psoriasis or inflammatory bowel disease.
Systemic involvement may necessitate a multidisciplinary approach, considering the potential for extra-articular manifestations.
Functional assessments should evaluate the patient's ability to perform daily activities and any need for assistive devices.
Rehabilitation scenarios may include physical therapy to improve range of motion and strength in the affected shoulder.
Mobility limitations should be documented thoroughly to support the need for rehabilitation services.
Used for joint effusion management in the left shoulder.
Document the indication for the procedure, joint involved, and any therapeutic agents used.
Orthopedic considerations include the need for imaging guidance in some cases.
Common symptoms include joint pain and swelling, particularly in the knees and shoulders, along with possible conjunctivitis and urethritis. Patients may also experience systemic symptoms like fever and fatigue.
