Reiter's disease, left elbow
ICD-10 M02.322 is a billable code used to indicate a diagnosis of reiter's disease, left elbow.
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 M02.322, the condition specifically affects the left elbow joint. Anatomically, the elbow is a complex hinge joint formed by the humerus, radius, and ulna, allowing for flexion, extension, and limited rotation. Pathophysiologically, Reiter's disease is associated with an autoimmune response triggered by infections, commonly involving the urogenital or gastrointestinal tract. Clinically, patients may present with swelling, pain, and stiffness in the left elbow, which can limit range of motion and functional ability. The inflammatory process can lead to joint damage if not managed appropriately, necessitating a comprehensive treatment approach that may include NSAIDs, corticosteroids, and physical therapy to restore function and mobility.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion, and treatment plans detailing surgical or non-surgical interventions.
Common scenarios include joint injections for pain relief, arthroscopy for joint assessment, and surgical interventions for severe joint damage.
Joint-specific considerations include the assessment of joint stability, alignment, and the presence of effusion or synovitis.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP), disease activity scores, and patient-reported outcomes.
Scenarios often involve managing flares of arthritis, monitoring for systemic involvement, and adjusting immunosuppressive therapies.
Considerations include the assessment of extra-articular manifestations and the impact of comorbid autoimmune conditions.
Functional assessments should evaluate mobility, strength, and endurance, along with rehabilitation goals and progress notes.
Rehabilitation scenarios may involve physical therapy for joint mobilization, strength training, and education on joint protection techniques.
Mobility limitations may necessitate the use of assistive devices, and documentation should reflect the patient's functional status and rehabilitation needs.
Used for patients with significant effusion in the left elbow due to Reiter's disease.
Document the indication for the procedure, joint involved, and any therapeutic agents used.
Orthopedic considerations include assessing joint stability and potential for further intervention.
Common symptoms include joint pain and swelling, particularly in the knees, ankles, and elbows, along with possible conjunctivitis and urethritis. Patients may also experience systemic symptoms such as fatigue and fever.
