Felty's syndrome, wrist
ICD-10 M05.03 is a billable code used to indicate a diagnosis of felty's syndrome, wrist.
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 wrist, patients may experience significant joint inflammation, pain, and deformity due to the underlying autoimmune process. Anatomically, the wrist consists of eight carpal bones, which articulate with the radius and ulna, allowing for a wide range of motion. In Felty's syndrome, the inflammatory process can lead to synovitis, joint erosion, and functional impairment. Clinically, patients may present with swelling, tenderness, and decreased range of motion in the wrist, impacting daily activities and overall quality of life. The pathophysiology involves immune-mediated damage to the synovial tissue, leading to chronic inflammation and joint destruction.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate range of motion and strength.
Patients may require surgical intervention for joint repair or replacement due to severe erosion and pain.
Orthopedic assessments must detail the extent of joint involvement and any deformities present.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28 score).
Management of Felty's syndrome often involves immunosuppressive therapy and monitoring for complications.
Documenting systemic symptoms and their impact on joint health is crucial.
Functional assessments should evaluate mobility, pain levels, and the need for assistive devices.
Rehabilitation may focus on restoring function and managing pain through physical therapy.
Mobility limitations should be clearly documented to support the need for therapy.
Used for joint swelling and pain management in Felty's syndrome.
Document the joint involved, the procedure performed, and the patient's response.
Orthopedic and rheumatologic considerations for joint management.
Common symptoms include joint pain and swelling, particularly in the wrists and hands, fatigue, splenomegaly, and recurrent infections due to neutropenia.
