Transient synovitis, left hand
ICD-10 M67.342 is a billable code used to indicate a diagnosis of transient synovitis, left hand.
Transient synovitis is a benign inflammatory condition affecting the synovial membrane of joints, particularly in children and adolescents. In the case of the left hand, this condition presents with localized swelling, pain, and limited range of motion. The etiology often remains idiopathic, but it can be associated with preceding trauma or infection. Clinically, patients may exhibit tenderness upon palpation of the affected joint, and symptoms can mimic those of more serious conditions such as septic arthritis. Diagnosis is primarily clinical, supported by imaging studies like ultrasound or MRI to assess joint effusion and synovial thickening. Treatment typically involves conservative management, including rest, ice application, and non-steroidal anti-inflammatory drugs (NSAIDs). In rare cases where symptoms persist or worsen, surgical intervention may be warranted to drain excess fluid or to perform a synovectomy. Understanding transient synovitis is crucial for differentiating it from other synovial disorders, such as tenosynovitis or tendon ruptures, which may require different management strategies.
Detailed history of symptoms, physical examination findings, and any imaging results.
Children presenting with joint pain and swelling after minor trauma.
Consideration of differential diagnoses such as septic arthritis and juvenile idiopathic arthritis.
Comprehensive assessment of joint function, imaging studies, and treatment plans.
Adults with joint pain and swelling, particularly after sports injuries.
Need to differentiate from tendon injuries and other orthopedic conditions.
When joint effusion is present and requires drainage.
Document the indication for the procedure and any findings from the aspiration.
Orthopedic specialists may perform this procedure more frequently.
Common symptoms include joint pain, swelling, tenderness, and limited range of motion in the affected joint.
Diagnosis is primarily clinical, supported by imaging studies such as ultrasound or MRI to assess for joint effusion and synovial thickening.
Treatment usually involves rest, ice, NSAIDs for pain relief, and in some cases, aspiration of joint fluid.
Most cases resolve without long-term complications, but persistent symptoms may require further evaluation.
