Felty's syndrome, right hip
ICD-10 M05.051 is a billable code used to indicate a diagnosis of felty's syndrome, right hip.
Felty's syndrome is a rare complication of rheumatoid arthritis characterized by the triad of rheumatoid arthritis, splenomegaly, and leukopenia. In this context, the right hip is affected, leading to joint inflammation and potential deformity. Anatomically, the hip joint is a ball-and-socket joint formed by the acetabulum of the pelvis and the head of the femur, allowing for a wide range of motion. Pathophysiologically, Felty's syndrome involves autoimmune processes that lead to synovial inflammation, joint erosion, and systemic manifestations. Clinically, patients may present with pain, swelling, and reduced range of motion in the right hip, impacting mobility and quality of life. The condition can also lead to complications such as joint deformities and increased risk of infections due to leukopenia.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint damage and functional assessments to evaluate mobility limitations.
Common scenarios include surgical interventions for joint repair or replacement due to severe erosion or deformity.
Joint-specific considerations include the degree of joint involvement and the presence of deformities that may affect surgical options.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28 score).
Scenarios often involve managing systemic symptoms alongside joint treatment, including medication adjustments.
Considerations include monitoring for systemic complications and the impact of leukopenia on treatment choices.
Functional assessments should evaluate the patient's ability to perform daily activities and any need for assistive devices.
Rehabilitation scenarios may focus on restoring mobility and strength post-surgery or during flare-ups.
Mobility limitations should be documented thoroughly, including the need for physical therapy or adaptive equipment.
Used for managing joint effusion in the right hip due to Felty's syndrome.
Document the indication for the procedure, including joint involvement and any imaging findings.
Orthopedic considerations include assessing joint stability and potential for surgical intervention.
Common symptoms include joint pain and swelling, particularly in the hips, along with systemic symptoms such as fatigue, recurrent infections due to leukopenia, and splenomegaly.
