Rupture of synovium, left toe(s)
ICD-10 M66.178 is a billable code used to indicate a diagnosis of rupture of synovium, left toe(s).
Rupture of the synovium in the left toe(s) refers to the tearing or disruption of the synovial membrane that lines the joints and tendon sheaths in the toes. This condition can result from acute trauma, chronic overuse, or underlying inflammatory conditions such as rheumatoid arthritis or gout. 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 mobility in the affected toe(s). Patients may present with localized tenderness, swelling, and sometimes a palpable defect in the area. Diagnosis typically involves a thorough clinical examination, imaging studies such as ultrasound or MRI, and possibly aspiration of joint fluid to assess for inflammatory markers. Treatment may include conservative measures like rest, ice, compression, and elevation (RICE), as well as corticosteroid injections or surgical intervention in severe cases. Surgical repair may involve synovectomy or tendon repair if associated tendons are also affected.
Detailed notes on the mechanism of injury, physical examination findings, and imaging results.
Acute injuries from sports activities, chronic pain in patients with arthritis.
Ensure clear documentation of any surgical interventions performed.
Comprehensive assessment of systemic symptoms and history of inflammatory diseases.
Patients with rheumatoid arthritis presenting with joint swelling and pain.
Document any systemic involvement and treatment plans for underlying conditions.
Used when surgical intervention is required for ruptured synovium.
Document the indication for surgery and findings during the procedure.
Orthopedic surgeons should ensure detailed operative notes.
Common causes include acute trauma from sports injuries, chronic overuse from repetitive activities, and underlying inflammatory conditions such as rheumatoid arthritis or gout.
