Other reactive arthropathies, knee
ICD-10 M02.86 is a billable code used to indicate a diagnosis of other reactive arthropathies, knee.
Reactive arthropathies are inflammatory joint conditions that arise secondary to infections or other inflammatory processes elsewhere in the body. The knee joint, a complex hinge joint formed by the femur, tibia, and patella, is particularly susceptible to these conditions due to its weight-bearing function and range of motion. Clinically, patients may present with joint swelling, pain, and stiffness, often following a systemic infection or inflammatory trigger. The pathophysiology involves immune-mediated responses that lead to synovial inflammation and joint effusion. Patients may experience limited range of motion, particularly in flexion and extension, impacting daily activities. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests to rule out other causes of arthritis. Treatment may include nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and physical therapy to restore function and alleviate symptoms.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Patients may present with knee pain post-infection or following a systemic inflammatory response, requiring surgical intervention if conservative measures fail.
Joint-specific considerations include assessing for joint effusion, ligament stability, and potential need for arthroscopy.
Rheumatologic documentation should include inflammatory markers (CRP, ESR) and assessments of disease activity to monitor progression.
Patients may have a history of autoimmune conditions or recent infections, necessitating a comprehensive evaluation of systemic involvement.
Consideration of comorbidities and the potential for chronicity in reactive arthropathies is crucial.
Functional assessments should document mobility limitations, pain levels, and the need for assistive devices.
Rehabilitation scenarios may involve post-infection recovery or post-surgical rehabilitation following joint interventions.
Focus on restoring functional mobility and independence in daily activities.
Used for joint effusion management in reactive arthropathies.
Document the joint involved, amount of fluid removed, and any therapeutic agents injected.
Orthopedic and rheumatologic considerations for joint health and recovery.
Common causes include infections (bacterial, viral), autoimmune conditions, and post-infectious inflammatory responses. It is crucial to identify the underlying trigger to guide treatment.
