Felty's syndrome, unspecified wrist
ICD-10 M05.039 is a billable code used to indicate a diagnosis of felty's syndrome, unspecified wrist.
Felty's syndrome is a rare complication of rheumatoid arthritis characterized by the triad of rheumatoid arthritis, splenomegaly, and neutropenia. Anatomically, the wrist is a complex joint composed of eight carpal bones, which articulate with the radius and ulna, allowing for a wide range of motion. In Felty's syndrome, the inflammatory processes associated with rheumatoid arthritis can lead to joint damage, particularly in the wrist, resulting in pain, swelling, and decreased mobility. Clinically, patients may present with symptoms such as joint stiffness, deformities, and systemic manifestations due to the underlying autoimmune process. The pathophysiology involves immune dysregulation, leading to chronic inflammation and potential joint destruction, which can significantly impact the patient's quality of life and functional abilities.
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 require surgical intervention for joint deformities or severe pain management.
Documentation must detail the specific joints involved and the extent of damage or deformity.
Rheumatologic documentation should include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28).
Management of Felty's syndrome may involve immunosuppressive therapies and monitoring for complications.
Systemic involvement must be documented, including any hematologic abnormalities.
Functional assessments should evaluate mobility, strength, and the need for assistive devices.
Rehabilitation may focus on restoring function and managing pain through physical therapy.
Mobility limitations due to joint involvement should be thoroughly documented.
Used for joint pain management in patients with 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, fatigue, recurrent infections due to neutropenia, and splenomegaly. Patients may also experience systemic symptoms related to rheumatoid arthritis.
