Felty's syndrome, elbow
ICD-10 M05.02 is a billable code used to indicate a diagnosis of felty's syndrome, elbow.
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 elbow, patients may experience significant joint involvement leading to pain, swelling, and decreased range of motion. Anatomically, the elbow joint consists of the humerus, radius, and ulna, with ligaments and tendons providing stability and facilitating movement. Pathophysiologically, Felty's syndrome results from immune dysregulation, leading to systemic inflammation and joint destruction. Clinically, patients may present with joint deformities, limited mobility, and increased susceptibility to infections due to neutropenia. The elbow may exhibit synovitis, effusion, and erosive changes on imaging, necessitating comprehensive evaluation and management.
Orthopedic documentation should include imaging studies (X-rays, MRIs) showing joint changes, functional assessments of elbow range of motion, and any surgical interventions performed.
Common scenarios include surgical intervention for joint deformities or severe pain management, as well as joint injections for symptomatic relief.
Documentation must reflect the severity of joint involvement and any functional limitations impacting daily activities.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP), complete blood counts to monitor neutropenia, and assessments of disease activity.
Patients may present with exacerbations of rheumatoid arthritis, requiring adjustments in disease-modifying antirheumatic drugs (DMARDs) or biologics.
Systemic involvement must be documented, including any complications arising from neutropenia.
Functional assessments should evaluate mobility limitations, pain levels, and the need for assistive devices or rehabilitation services.
Rehabilitation scenarios may include physical therapy for range of motion improvement and strength training.
Documentation should address the patient's ability to perform activities of daily living and any adaptations required.
Used for symptomatic relief in patients with elbow effusion due to Felty's syndrome.
Documentation must include indication for the procedure, joint involved, and any imaging guidance used.
Orthopedic and rheumatologic considerations for joint management.
Felty's syndrome is characterized by rheumatoid arthritis, splenomegaly, and neutropenia. Patients may experience joint pain, swelling, and increased risk of infections due to low neutrophil counts.
