Spontaneous rupture of flexor tendons, multiple sites
ICD-10 M66.39 is a billable code used to indicate a diagnosis of spontaneous rupture of flexor tendons, multiple sites.
Spontaneous rupture of flexor tendons at multiple sites is a condition characterized by the unexpected tearing of the flexor tendons, which are responsible for bending the fingers and thumb. This condition can occur without any apparent trauma or injury, often associated with underlying conditions such as rheumatoid arthritis, diabetes, or chronic tenosynovitis. The ruptures can lead to significant functional impairment, pain, and loss of grip strength. Clinically, patients may present with sudden inability to flex the affected fingers, swelling, and tenderness in the wrist or hand. Diagnosis typically involves a thorough physical examination and may be supported by imaging studies such as ultrasound or MRI to assess tendon integrity. Treatment often requires surgical intervention to repair the ruptured tendons, followed by rehabilitation to restore function. The complexity of this condition lies in its multifactorial nature, requiring careful assessment of the patient's overall health and any comorbidities that may influence treatment outcomes.
Detailed operative reports, pre-operative assessments, and post-operative follow-ups.
Patients presenting with sudden loss of finger flexion, often following a history of chronic pain or swelling.
Ensure that the surgical notes specify the sites of tendon repair and the nature of the rupture.
Comprehensive patient history, including any underlying rheumatic conditions and their management.
Patients with rheumatoid arthritis experiencing sudden tendon ruptures.
Document the relationship between the underlying condition and the tendon rupture.
Used when surgical repair is performed for spontaneous ruptures.
Operative report detailing the repair procedure and sites involved.
Orthopedic surgeons must document the extent of the repair and any complications.
Common causes include chronic inflammatory conditions such as rheumatoid arthritis, diabetes, and degenerative changes in the tendon due to age or repetitive stress.
