Transient synovitis, ankle and foot
ICD-10 M67.37 is a billable code used to indicate a diagnosis of transient synovitis, ankle and foot.
Transient synovitis of the ankle and foot is a benign inflammatory condition characterized by the temporary inflammation of the synovial membrane surrounding the joints. This condition is most commonly seen in children and can present with symptoms such as joint pain, swelling, and limited range of motion. The etiology is often idiopathic, but it may be associated with recent infections or trauma. Diagnosis is typically made through clinical evaluation and imaging studies, such as ultrasound or MRI, which can help visualize the effusion and inflammation in the synovial space. Treatment usually involves conservative management, including rest, ice, and non-steroidal anti-inflammatory drugs (NSAIDs). In some cases, aspiration of the joint may be necessary to relieve symptoms. While transient synovitis is self-limiting, it is crucial to differentiate it from more serious conditions such as septic arthritis or osteomyelitis, which may require more aggressive intervention.
Detailed history of symptoms, physical examination findings, and any imaging results.
Children presenting with limping or refusal to bear weight on the affected limb.
Consideration of growth plate involvement and differential diagnosis of osteomyelitis.
Comprehensive assessment of joint function, imaging studies, and treatment plans.
Adults with acute onset of ankle pain following minor trauma.
Assessment for potential tendon injuries or ruptures that may coexist.
Used when joint aspiration is performed to relieve effusion.
Document indication for aspiration, procedure details, and post-procedure assessment.
Orthopedic specialists may perform this procedure more frequently.
Common symptoms include joint pain, swelling, tenderness, and limited range of motion, often following a recent illness or injury.
Diagnosis is primarily clinical, supported by imaging studies such as ultrasound or MRI to assess for joint effusion and inflammation.
