Felty's syndrome, left hip
ICD-10 M05.052 is a billable code used to indicate a diagnosis of felty's syndrome, left hip.
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 left hip, patients may experience significant joint inflammation, pain, and functional impairment. Anatomically, the left hip joint comprises the acetabulum of the pelvis and the femoral head, which are surrounded by ligaments, tendons, and synovial fluid. The inflammatory process in Felty's syndrome can lead to erosive changes in the joint, resulting in decreased range of motion and mobility limitations. Clinically, patients may present with swelling, tenderness, and stiffness in the left hip, impacting their ability to perform daily activities. The pathophysiology involves immune-mediated damage to the synovial membrane, leading to chronic inflammation and joint destruction, which can exacerbate the systemic effects of rheumatoid arthritis.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint integrity, functional assessments to evaluate mobility, and detailed notes on any surgical interventions.
Common scenarios include joint replacement surgery or arthroscopy for severe joint damage due to Felty's syndrome.
Joint-specific considerations include the assessment of joint stability, range of motion, and the presence of any deformities.
Rheumatologic documentation must 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 immunosuppressive therapy.
Systemic involvement, including monitoring for infections due to neutropenia, is crucial.
Functional assessments should evaluate the patient's ability to perform activities of daily living and any rehabilitation needs.
Rehabilitation scenarios may involve physical therapy to improve joint function and mobility.
Mobility limitations may necessitate the use of assistive devices, which should be documented.
Used for joint aspiration in patients with Felty's syndrome experiencing joint effusion in the left hip.
Document the indication for the procedure, including joint involvement and any prior treatments.
Orthopedic and rheumatologic considerations include monitoring for infection and assessing joint fluid.
Documenting neutropenia is crucial as it is one of the defining features of Felty's syndrome and impacts treatment decisions, including the risk of infections and the need for monitoring.
