Rupture of synovium, right wrist
ICD-10 M66.131 is a billable code used to indicate a diagnosis of rupture of synovium, right wrist.
Rupture of the synovium in the right wrist is a condition characterized by the tearing of the synovial membrane, which lines the joints and tendon sheaths. This injury can occur due to trauma, repetitive stress, or underlying inflammatory conditions such as rheumatoid arthritis. The synovium plays a crucial role in joint health by producing synovial fluid, which lubricates the joint and nourishes the cartilage. When the synovium ruptures, it can lead to pain, swelling, and decreased range of motion in the wrist. Patients may present with symptoms such as localized tenderness, swelling, and sometimes a palpable defect in the area of the rupture. Diagnosis typically involves a thorough clinical examination and may be supported by imaging studies such as ultrasound or MRI to assess the extent of the injury. Treatment options may include conservative management with rest, ice, and anti-inflammatory medications, or surgical intervention if the rupture is severe or associated with tendon damage. Surgical repair may involve debridement of the damaged synovium and reconstruction of the surrounding structures to restore function and alleviate pain.
Detailed notes on the mechanism of injury, physical examination findings, and imaging results.
Patients presenting with wrist pain after a fall or repetitive strain injury.
Ensure that surgical notes clearly outline the procedure performed and the findings during surgery.
Comprehensive assessment of underlying inflammatory conditions and their impact on synovial health.
Patients with rheumatoid arthritis experiencing acute exacerbations leading to synovial rupture.
Document the relationship between systemic disease and local joint pathology.
Used when a patient with a suspected synovial rupture undergoes arthroscopy for diagnosis and potential repair.
Document the findings during the procedure and any interventions performed.
Orthopedic surgeons should ensure that the procedure notes detail the extent of the rupture.
Synovial rupture can be caused by acute trauma, such as a fall or direct impact, or by chronic conditions that weaken the synovial membrane, such as rheumatoid arthritis.