Rupture of synovium, left hand
ICD-10 M66.142 is a billable code used to indicate a diagnosis of rupture of synovium, left hand.
Rupture of the synovium in the left hand refers to the tearing or disruption of the synovial membrane, which lines the joints and tendon sheaths. This condition can occur due to trauma, repetitive stress, or underlying inflammatory conditions such as rheumatoid arthritis or tenosynovitis. 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 hand. Patients may present with localized tenderness, warmth, and swelling, often accompanied by difficulty in performing daily activities. Diagnosis typically involves a thorough clinical examination, imaging studies such as ultrasound or MRI, and sometimes arthroscopy. Treatment may include conservative measures like rest, ice, and anti-inflammatory medications, or more invasive options such as corticosteroid injections or surgical repair if conservative management fails. Surgical intervention may involve synovectomy or repair of the ruptured synovium, depending on the extent of the damage and the presence of any associated tendon injuries.
Detailed surgical notes, imaging results, and pre/post-operative assessments.
Patients presenting with acute hand injuries, chronic pain due to repetitive strain, or post-surgical follow-ups.
Ensure clear documentation of the extent of the rupture and any associated tendon injuries.
Comprehensive history of joint symptoms, laboratory results, and imaging studies.
Patients with inflammatory arthritis presenting with joint swelling and pain.
Document any underlying autoimmune conditions that may contribute to synovial rupture.
Used when performing an arthroscopy to assess the extent of synovial damage.
Document the findings from the arthroscopy and any interventions performed.
Orthopedic surgeons should ensure detailed operative notes are provided.
Synovial rupture can be caused by trauma, repetitive strain, or underlying inflammatory conditions such as rheumatoid arthritis or tenosynovitis.
Diagnosis typically involves a clinical examination, imaging studies such as ultrasound or MRI, and sometimes arthroscopy to assess the extent of the injury.
Treatment may include conservative measures like rest and anti-inflammatory medications, or surgical options such as synovectomy or repair, depending on the severity of the rupture.