Transient synovitis, left wrist
ICD-10 M67.332 is a billable code used to indicate a diagnosis of transient synovitis, left wrist.
Transient synovitis of the wrist is a temporary inflammatory condition affecting the synovial membrane, which lines the joints and tendon sheaths. This condition is characterized by swelling, pain, and limited range of motion in the affected wrist. It often occurs in children and adolescents, typically following a minor injury or infection. The inflammation can lead to joint effusion, causing discomfort and functional impairment. Diagnosis is primarily clinical, supported by imaging studies such as ultrasound or MRI to assess synovial thickening and fluid accumulation. Treatment usually involves rest, ice application, and non-steroidal anti-inflammatory drugs (NSAIDs) to alleviate symptoms. In some cases, aspiration of the joint may be necessary to relieve pressure and confirm the diagnosis. While transient synovitis is self-limiting, it is essential to differentiate it from more serious conditions such as septic arthritis or juvenile idiopathic arthritis, which may require more aggressive management.
Detailed history of symptoms, physical examination findings, and any imaging studies.
A child presents with wrist pain after a fall, with swelling and limited motion.
Consideration of differential diagnoses such as fractures or infections.
Comprehensive assessment of joint function, imaging results, and treatment plan.
An adolescent athlete reports wrist pain and swelling after a sports injury.
Documentation of any surgical interventions or referrals to physical therapy.
When joint effusion is present and requires aspiration.
Document the indication for aspiration and the amount of fluid removed.
Orthopedic specialists may perform this procedure more frequently.
The primary treatment includes rest, ice application, and NSAIDs to reduce inflammation and pain. In some cases, aspiration of the joint may be necessary.
