Rupture of synovium, hand and fingers
ICD-10 M66.14 is a billable code used to indicate a diagnosis of rupture of synovium, hand and fingers.
Rupture of the synovium in the hand and fingers 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 joints and nourishes the cartilage. When the synovium ruptures, it can lead to pain, swelling, and decreased range of motion in the affected fingers or hand. 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 vary based on the severity of the rupture and may include conservative management with rest and splinting, corticosteroid injections, or surgical intervention to repair the synovium and restore function.
Detailed notes on the mechanism of injury, physical examination findings, and imaging results.
Patients presenting with acute hand injuries, chronic pain in the fingers, or post-surgical follow-ups.
Ensure that all surgical interventions are documented, including the type of repair performed.
Comprehensive assessment of inflammatory markers and history of autoimmune conditions.
Patients with rheumatoid arthritis experiencing joint swelling and pain.
Document any correlation between systemic symptoms and local joint findings.
Often performed in conjunction with repair of ruptured synovium.
Document the indication for surgery and findings during the procedure.
Orthopedic surgeons should ensure clear linkage between diagnosis and procedure.
Common causes include acute trauma, repetitive stress injuries, and underlying inflammatory conditions such as rheumatoid arthritis.
