Transient synovitis, left shoulder
ICD-10 M67.312 is a billable code used to indicate a diagnosis of transient synovitis, left shoulder.
Transient synovitis of the shoulder is a benign inflammatory condition characterized by the temporary inflammation of the synovial membrane surrounding the shoulder joint. This condition is often seen in children and adolescents, typically presenting with acute shoulder pain, limited range of motion, and swelling. The etiology is often idiopathic, but it can be associated with recent infections or trauma. Diagnosis is primarily clinical, supported by imaging studies such as ultrasound or MRI to assess joint effusion and rule out other pathologies. Treatment usually involves conservative management, including rest, ice application, and non-steroidal anti-inflammatory drugs (NSAIDs). In some cases, aspiration of the joint may be necessary to relieve symptoms. The prognosis is generally favorable, with most patients recovering fully without long-term complications. However, it is crucial to differentiate transient synovitis from more serious conditions such as septic arthritis or osteomyelitis, which require more aggressive intervention.
Detailed history of present illness, physical examination findings, and any imaging studies.
A child presenting with acute shoulder pain after a viral illness.
Consideration of differential diagnoses such as septic arthritis or osteomyelitis.
Comprehensive assessment of shoulder function, imaging results, and treatment plan.
An adolescent athlete with shoulder pain following a sports injury.
Documentation of any surgical interventions or referrals to physical therapy.
Used when aspiration is performed to relieve joint effusion.
Document the reason for aspiration, the amount of fluid removed, and any findings.
Orthopedic specialists may perform this procedure more frequently.
The primary treatment includes rest, ice application, and NSAIDs. In some cases, aspiration may be necessary.
