Spontaneous rupture of flexor tendons, shoulder
ICD-10 M66.31 is a billable code used to indicate a diagnosis of spontaneous rupture of flexor tendons, shoulder.
Spontaneous rupture of flexor tendons in the shoulder is a condition characterized by the unexpected tearing of the flexor tendons that connect muscles to bones in the shoulder region. This condition can occur without any apparent trauma or injury, often associated with underlying degenerative changes or inflammatory processes such as tenosynovitis. Patients may present with acute pain, swelling, and loss of function in the shoulder, often accompanied by a palpable defect in the tendon. Diagnosis typically involves a thorough clinical examination and imaging studies, such as MRI, to confirm the rupture and assess the extent of damage. Treatment options may include conservative management with rest and physical therapy or surgical intervention to repair the ruptured tendon, depending on the severity of the injury and the patient's functional needs. Surgical repair aims to restore tendon continuity and function, which is crucial for shoulder mobility and strength.
Detailed operative notes, imaging studies, and pre-operative assessments are essential.
Patients presenting with acute shoulder pain and functional impairment, often after minimal or no trauma.
Ensure clear documentation of the surgical approach and any complications encountered during the procedure.
Comprehensive evaluations of functional limitations and rehabilitation progress notes.
Patients undergoing rehabilitation post-surgery or those with chronic pain due to tendon rupture.
Documenting the patient's response to therapy and any modifications to the rehabilitation plan.
Used when surgical repair is performed for spontaneous tendon rupture.
Operative report detailing the procedure and findings.
Orthopedic surgeons should ensure that the surgical approach and any complications are well documented.
Spontaneous ruptures are often associated with degenerative changes in the tendon, inflammatory conditions like tenosynovitis, or chronic overuse, rather than acute trauma.
