Reiter's disease, left wrist
ICD-10 M02.332 is a billable code used to indicate a diagnosis of reiter's disease, left wrist.
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 M02.332, the left wrist is specifically affected. Anatomically, the wrist consists of the distal end of the radius and ulna, along with the carpal bones, which articulate to allow for a wide range of motion. Pathophysiologically, Reiter's disease is associated with the HLA-B27 antigen and can lead to synovitis, enthesitis, and dactylitis. Clinically, patients may present with swelling, pain, and stiffness in the left wrist, often accompanied by systemic symptoms such as fever and malaise. Movement limitations may include reduced range of motion and difficulty with grip strength, impacting daily activities. Early diagnosis and management are crucial to prevent chronic joint damage.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint damage and functional assessments to evaluate range of motion and strength.
Patients may present with acute wrist pain following a recent infection, requiring evaluation for potential surgical intervention if conservative management fails.
Joint-specific considerations include assessing for erosive changes on imaging and documenting the severity of synovitis.
Rheumatologic documentation must include laboratory tests for inflammation markers (ESR, CRP) and disease activity assessments (e.g., DAS28).
Patients may present with a history of urethritis or conjunctivitis, necessitating a thorough review of systemic symptoms and joint involvement.
Systemic involvement may include skin lesions or ocular symptoms, which should be documented to support the diagnosis.
Functional assessments should evaluate mobility limitations and the need for assistive devices, along with rehabilitation goals.
Patients may require physical therapy to improve wrist function and reduce pain, especially after acute flare-ups.
Mobility limitations should be documented in detail, including the impact on activities of daily living.
Used for therapeutic drainage of the left wrist joint in cases of significant swelling.
Document the indication for the procedure, including joint swelling and pain.
Orthopedic considerations include the need for imaging to guide the procedure.
Common symptoms include joint pain and swelling, particularly in the lower extremities and wrists, along with possible conjunctivitis and urethritis. Patients may also experience systemic symptoms such as fever and fatigue.
