Spontaneous rupture of extensor tendons, unspecified hand
ICD-10 M66.249 is a billable code used to indicate a diagnosis of spontaneous rupture of extensor tendons, unspecified hand.
Spontaneous rupture of extensor tendons in the hand is a condition characterized by the unexpected tearing of the extensor tendons, which are responsible for extending the fingers and wrist. This condition can occur without any apparent trauma or injury, often linked to underlying synovial disorders or degenerative changes in the tendons. Patients may present with sudden loss of function in the affected fingers, pain, and swelling. The diagnosis is typically confirmed through clinical examination and imaging studies, such as ultrasound or MRI, which can reveal tendon discontinuity. Treatment options may include conservative management with splinting and physical therapy or surgical intervention to repair the ruptured tendon. Surgical repair aims to restore function and alleviate pain, and it may involve tendon grafting or direct suturing of the tendon ends. Post-operative rehabilitation is crucial for optimal recovery and regaining strength and mobility in the hand.
Detailed operative reports, imaging studies, and post-operative notes are essential.
Patients presenting with acute hand pain and loss of function, often after minimal trauma.
Ensure clear documentation of the surgical approach and any grafting techniques used.
Comprehensive assessments of functional limitations and rehabilitation progress notes.
Patients undergoing rehabilitation post-surgery for tendon repair.
Documenting the patient's response to therapy and any modifications to the rehabilitation plan.
Used when surgical repair is performed for a ruptured extensor tendon.
Operative report detailing the procedure and findings.
Orthopedic surgeons should ensure accurate coding based on the surgical approach.
Common causes include chronic tenosynovitis, degenerative changes due to aging, and systemic conditions such as rheumatoid arthritis.
Diagnosis is typically made through clinical evaluation, patient history, and imaging studies such as ultrasound or MRI to confirm tendon discontinuity.
Treatment may involve conservative management with splinting and therapy or surgical repair, depending on the severity of the rupture.
