Felty's syndrome, shoulder
ICD-10 M05.01 is a billable code used to indicate a diagnosis of felty's syndrome, shoulder.
Felty's syndrome is a rare complication of rheumatoid arthritis characterized by the triad of rheumatoid arthritis, splenomegaly, and neutropenia. In the context of the shoulder, patients may experience significant joint involvement leading to pain, swelling, and limited range of motion. Anatomically, the shoulder consists of the humerus, scapula, and clavicle, with the glenohumeral joint being the primary site of movement. Pathophysiologically, Felty's syndrome can exacerbate joint inflammation and damage due to the autoimmune nature of rheumatoid arthritis, leading to increased joint erosion and functional impairment. Clinically, patients may present with shoulder pain, stiffness, and decreased ability to perform overhead activities, which can significantly impact daily living and quality of life.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint damage, as well as functional assessments to evaluate range of motion and strength.
Common scenarios include surgical interventions such as shoulder arthroscopy or joint replacement due to severe joint erosion.
Joint-specific considerations include the assessment of rotator cuff integrity and the presence of any associated impingement syndromes.
Rheumatologic documentation must include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28 score).
Patients may present with exacerbations of rheumatoid arthritis leading to increased shoulder pain and functional decline.
Systemic involvement, such as splenomegaly and neutropenia, should be documented to provide a complete picture of the patient's health status.
Functional assessments should evaluate mobility, strength, and the need for assistive devices to aid in rehabilitation.
Rehabilitation scenarios may include physical therapy focused on restoring range of motion and strength in the shoulder.
Documentation should address any mobility limitations and the impact on activities of daily living.
Used for managing joint effusion in the shoulder due to Felty's syndrome.
Documentation must include the indication for the procedure, joint involved, and any therapeutic agents used.
Orthopedic considerations include assessing joint stability and the need for further intervention.
Felty's syndrome is characterized by rheumatoid arthritis, splenomegaly, and neutropenia. Clinically, it presents with joint pain, particularly in the shoulders, and can lead to significant functional impairment.
