Spontaneous rupture of extensor tendons, multiple sites
ICD-10 M66.29 is a billable code used to indicate a diagnosis of spontaneous rupture of extensor tendons, multiple sites.
Spontaneous rupture of extensor tendons at multiple sites is a condition characterized by the unexpected tearing of the extensor tendons, which are responsible for extending the fingers and toes. This condition can occur without any apparent trauma or injury, often linked to underlying conditions such as rheumatoid arthritis, diabetes, or chronic tenosynovitis. Patients may present with sudden loss of function in the affected extremities, pain, swelling, and visible deformities. Diagnosis typically involves a thorough clinical examination, imaging studies such as ultrasound or MRI, and sometimes exploratory surgery to assess the extent of the rupture. Treatment may include conservative management with splinting and physical therapy, or surgical intervention to repair the ruptured tendons. The prognosis varies based on the severity of the rupture and the timeliness of treatment, with early intervention generally leading to better outcomes.
Detailed operative reports, imaging studies, and pre-operative assessments.
Patients presenting with acute loss of function in the hand or foot, often after a sudden onset of pain.
Ensure clear documentation of the surgical approach and any complications encountered during repair.
Comprehensive patient history, including any autoimmune conditions and previous tendon issues.
Patients with chronic inflammatory conditions presenting with tendon ruptures.
Document the relationship between underlying rheumatologic conditions and tendon health.
Used when surgical repair is performed for spontaneous ruptures.
Operative report detailing the extent of the rupture and repair technique.
Orthopedic surgeons should document the surgical approach and any complications.
Common causes include chronic inflammatory conditions, degenerative changes in the tendon, and systemic diseases such as diabetes and rheumatoid arthritis.
