Transient synovitis, shoulder
ICD-10 M67.31 is a billable code used to indicate a diagnosis of transient synovitis, shoulder.
Transient synovitis of the shoulder is a temporary inflammatory condition affecting the synovial membrane of the shoulder joint. It is characterized by pain, swelling, and limited range of motion, often following minor trauma or overuse. The condition is most commonly seen in children but can occur in adults as well. The inflammation leads to an accumulation of synovial fluid, which can cause discomfort and restrict movement. Diagnosis typically involves a thorough clinical examination, imaging studies such as ultrasound or MRI, and sometimes aspiration of the joint to analyze the synovial fluid. Treatment usually includes rest, ice application, nonsteroidal anti-inflammatory drugs (NSAIDs), and physical therapy. In severe cases, corticosteroid injections may be considered. The prognosis is generally good, with most patients recovering fully within a few weeks. However, recurrent episodes can occur, necessitating careful monitoring and management.
Detailed clinical notes including history, physical examination findings, imaging results, and treatment plans.
Patients presenting with shoulder pain after minor trauma or overuse, particularly in children.
Consideration of differential diagnoses such as rotator cuff tears or adhesive capsulitis.
Thorough history taking, including developmental milestones and activity levels, along with physical exam findings.
Children with acute shoulder pain and limited range of motion following sports activities.
Awareness of growth plate involvement and the need for appropriate imaging.
Used when aspiration of the shoulder joint is performed to relieve symptoms.
Document the indication for the procedure, the amount of fluid removed, and the patient's response.
Orthopedic specialists should ensure that imaging studies support the need for aspiration.
Common symptoms include shoulder pain, swelling, and limited range of motion, often following minor trauma or overuse.
Diagnosis is made through clinical examination, imaging studies, and sometimes aspiration of the joint to analyze synovial fluid.
Treatment typically involves rest, ice, NSAIDs, and physical therapy, with corticosteroid injections considered in severe cases.
