ICD-10: M65.24

Calcific tendinitis of the hand, classified under ICD-10 code M65.24, is a condition characterized by the deposition of calcium salts in the tendons, leading to inflammation and pain. This condition primarily affects the tendons of the shoulder but can also occur in the hand, particularly in the tendons of the wrist and fingers. Below is a detailed overview of the clinical presentation, signs, symptoms, and patient characteristics associated with this condition.

Clinical Presentation

Overview

Calcific tendinitis in the hand typically presents with localized pain and tenderness, often exacerbated by movement. The condition may be acute or chronic, with varying degrees of severity. Patients may report a history of repetitive use or trauma to the affected area, although it can also occur without any identifiable cause.

Signs and Symptoms

1. Pain:
   - Patients often experience sharp, localized pain in the affected tendon area, which may worsen with activity or specific movements.
   - Pain can be severe enough to limit the range of motion in the hand or wrist.

2. Swelling and Tenderness:
   - There may be noticeable swelling around the affected tendon, accompanied by tenderness upon palpation.
   - The area may feel warm to the touch, indicating inflammation.

3. Reduced Range of Motion:
   - Patients may have difficulty performing daily activities due to restricted movement in the hand or wrist.
   - Stiffness can also be present, particularly after periods of inactivity.

4. Crepitus:
   - Some patients may report a sensation of grating or popping when moving the affected tendon, known as crepitus.

5. Symptoms of Inflammation:
   - In some cases, systemic symptoms such as mild fever or malaise may occur, although these are less common.

Patient Characteristics

Demographics

• Age: Calcific tendinitis can occur in individuals of various ages, but it is more commonly seen in adults, particularly those aged 30 to 60 years.
• Gender: There is a slight female predominance in cases of calcific tendinitis, although it can affect both genders.

Risk Factors

• Repetitive Use: Individuals engaged in repetitive hand or wrist activities, such as athletes, musicians, or manual laborers, may be at higher risk.
• Previous Injuries: A history of trauma or injury to the hand or wrist can predispose individuals to develop calcific tendinitis.
• Underlying Conditions: Conditions such as diabetes, thyroid disorders, or metabolic disorders may increase the likelihood of developing calcific deposits in tendons.

Comorbidities

Patients with calcific tendinitis may also have other musculoskeletal disorders, such as tendinopathy or arthritis, which can complicate the clinical picture and management of the condition.

Conclusion

Calcific tendinitis of the hand (ICD-10 code M65.24) is characterized by localized pain, swelling, and reduced range of motion in the affected area. Understanding the clinical presentation, signs, symptoms, and patient characteristics is crucial for accurate diagnosis and effective management. Early intervention can help alleviate symptoms and prevent further complications, making it essential for healthcare providers to recognize this condition promptly. If you suspect calcific tendinitis, a thorough clinical evaluation and appropriate imaging studies, such as ultrasound or X-rays, may be warranted to confirm the diagnosis and guide treatment options.

Calcific tendinitis of the hand, represented by the ICD-10 code M65.24, is a specific condition characterized by the deposition of calcium salts in the tendons of the hand, leading to pain and inflammation. Understanding alternative names and related terms can help in better communication and documentation in clinical settings. Here’s a detailed overview:

Alternative Names for Calcific Tendinitis of the Hand

1. Calcific Tendonitis: This is a common alternative spelling that emphasizes the inflammatory aspect of the condition.
2. Calcific Tendinopathy: This term is often used interchangeably with calcific tendinitis, focusing on the degenerative changes in the tendon.
3. Calcium Deposits in Tendons: A descriptive term that highlights the underlying pathology of calcium accumulation.
4. Tendinitis with Calcification: This phrase specifies the presence of inflammation along with calcification in the tendons.
5. Tendon Calcification: A broader term that may refer to calcification occurring in any tendon, not just those in the hand.

Related Terms and Conditions

1. Tendinitis: A general term for inflammation of a tendon, which can occur in various locations, including the hand.
2. Tendinopathy: A broader term that encompasses both tendinitis and degenerative changes in the tendon, often used in clinical discussions.
3. Shoulder Calcific Tendinitis: While this refers to a different location, it is a related condition that shares similar pathophysiological features.
4. Rotator Cuff Calcific Tendinitis: Another specific type of calcific tendinitis, often discussed in the context of shoulder injuries.
5. Tendon Rupture: In severe cases, untreated calcific tendinitis can lead to tendon rupture, which is a related but more serious condition.
6. Synovitis: Inflammation of the synovial membrane, which can accompany tendinitis and may be relevant in cases of calcific tendinitis.

Clinical Context

Calcific tendinitis of the hand is often associated with pain, swelling, and limited range of motion. It can be diagnosed through clinical examination and imaging studies, such as X-rays, which may reveal calcifications in the affected tendons. Treatment typically involves conservative measures such as physical therapy, anti-inflammatory medications, and in some cases, corticosteroid injections or surgical intervention if conservative management fails.

Understanding these alternative names and related terms is crucial for healthcare professionals when documenting patient conditions, coding for insurance purposes, and communicating effectively with colleagues and patients.

Calcific tendinitis, particularly in the hand, is a condition characterized by the deposition of calcium salts in the tendons, leading to pain and inflammation. The ICD-10-CM code for this condition is M65.24. To diagnose calcific tendinitis effectively, healthcare providers typically follow a set of clinical criteria and diagnostic procedures. Here’s a detailed overview of the criteria used for diagnosis:

Clinical Criteria for Diagnosis

1. Patient History

• Symptom Onset: Patients often report a gradual onset of pain in the affected area, which may worsen with activity.
• Pain Characteristics: The pain is usually localized and can be described as sharp or aching. It may also be associated with stiffness or limited range of motion in the affected joint.
• Duration of Symptoms: Symptoms may persist for weeks to months, and patients may experience episodes of exacerbation.

2. Physical Examination

• Tenderness: The healthcare provider will assess for tenderness over the affected tendon, particularly during palpation.
• Swelling: There may be visible swelling or thickening of the tendon sheath.
• Range of Motion: A limited range of motion in the affected joint may be noted, often due to pain or mechanical blockage from the calcific deposits.

3. Imaging Studies

• X-rays: Radiographic imaging is crucial for diagnosis. X-rays can reveal calcific deposits within the tendon, which are typically seen as radiopaque areas adjacent to the affected tendon.
• Ultrasound: This imaging modality can help visualize the calcific deposits and assess the surrounding soft tissue for inflammation.
• MRI: In some cases, MRI may be used to evaluate the extent of tendon involvement and to rule out other conditions.

4. Exclusion of Other Conditions

• Differential Diagnosis: It is essential to rule out other causes of tendon pain, such as tendon tears, bursitis, or inflammatory arthritis. This may involve additional imaging or laboratory tests to confirm the diagnosis.

Conclusion

The diagnosis of calcific tendinitis (ICD-10 code M65.24) involves a comprehensive approach that includes a thorough patient history, physical examination, and appropriate imaging studies. By systematically evaluating these criteria, healthcare providers can accurately diagnose the condition and differentiate it from other potential causes of hand pain. This ensures that patients receive the most effective treatment tailored to their specific needs.

Calcific tendinitis of the hand, classified under ICD-10 code M65.24, is a condition characterized by the deposition of calcium salts in the tendons, leading to pain and restricted movement. This condition primarily affects the rotator cuff tendons but can also occur in the hand, particularly in the tendons of the fingers and wrist. Here’s a detailed overview of standard treatment approaches for this condition.

Understanding Calcific Tendinitis

Calcific tendinitis occurs when calcium deposits form in the tendons, often resulting in inflammation and pain. The exact cause of these deposits is not fully understood, but they are believed to be related to tendon degeneration and injury. Symptoms typically include:

• Localized pain in the affected area
• Swelling and tenderness
• Reduced range of motion
• Pain that may worsen with activity

Standard Treatment Approaches

1. Conservative Management

Most cases of calcific tendinitis can be managed conservatively. The following approaches are commonly recommended:

Rest and Activity Modification

• Rest: Avoiding activities that exacerbate pain is crucial. This may involve modifying daily activities or temporarily refraining from sports or repetitive tasks.
• Activity Modification: Gradually reintroducing activities while avoiding those that cause discomfort can help in recovery.

Physical Therapy

• Stretching and Strengthening Exercises: A physical therapist can design a program to improve flexibility and strengthen the surrounding muscles, which can help alleviate symptoms and prevent recurrence.
• Manual Therapy: Techniques such as massage or mobilization may be employed to reduce pain and improve function.

Ice Therapy

• Cryotherapy: Applying ice packs to the affected area can help reduce inflammation and numb pain, especially after activities that provoke symptoms.

2. Medications

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

• Pain Relief: Over-the-counter NSAIDs like ibuprofen or naproxen can help reduce pain and inflammation associated with calcific tendinitis.

Corticosteroid Injections

• Intra-articular Injections: In cases where pain is severe and does not respond to NSAIDs, corticosteroid injections may be administered to reduce inflammation and provide temporary relief.

3. Extracorporeal Shock Wave Therapy (ESWT)

Extracorporeal shock wave therapy is a non-invasive treatment that uses acoustic waves to promote healing in the affected tendon. This therapy can help reduce pain and improve function in patients with calcific tendinitis. Studies have shown that ESWT can be effective in treating various musculoskeletal conditions, including calcific tendinitis of the hand[6].

4. Surgical Intervention

If conservative treatments fail to provide relief after several months, surgical options may be considered. These include:

Arthroscopic Surgery

• Removal of Calcium Deposits: In this minimally invasive procedure, a surgeon can remove the calcium deposits from the tendon, which can alleviate pain and restore function.

Open Surgery

• Tendon Repair: In more severe cases, open surgery may be necessary to repair the tendon and remove deposits.

5. Post-Treatment Rehabilitation

After any surgical intervention, a structured rehabilitation program is essential to restore strength and range of motion. This typically involves:

• Gradual Return to Activities: Patients are guided on how to safely return to their normal activities.
• Continued Physical Therapy: Ongoing therapy may be necessary to ensure full recovery and prevent future issues.

Conclusion

Calcific tendinitis of the hand can significantly impact daily activities due to pain and limited mobility. Standard treatment approaches focus on conservative management, including rest, physical therapy, and medications, with surgical options available for persistent cases. Patients are encouraged to work closely with healthcare providers to develop a tailored treatment plan that addresses their specific needs and promotes recovery. If symptoms persist despite conservative measures, further evaluation and potential surgical intervention may be warranted.

Clinical Description of ICD-10 Code M65.24: Calcific Tendinitis of the Hand

Overview of Calcific Tendinitis

Calcific tendinitis is a condition characterized by the deposition of calcium salts in the tendons, leading to inflammation and pain. This condition most commonly affects the shoulder but can also occur in other areas, including the hand. The ICD-10 code M65.24 specifically refers to calcific tendinitis located in the hand, which can significantly impact a patient's daily activities and quality of life.

Etiology and Pathophysiology

The exact cause of calcific tendinitis remains unclear, but it is believed to involve a combination of factors, including:

• Age: The condition is more prevalent in individuals aged 30 to 60 years.
• Gender: Women are more frequently affected than men.
• Repetitive Use: Activities that involve repetitive motion or overuse of the hand can contribute to the development of this condition.
• Metabolic Disorders: Conditions such as diabetes or thyroid disorders may increase the risk of calcific deposits in tendons.

The pathophysiology involves the degeneration of tendon tissue, which leads to the formation of calcium deposits. These deposits can cause inflammation, resulting in pain and restricted movement.

Symptoms

Patients with calcific tendinitis of the hand typically present with the following symptoms:

• Localized Pain: Pain is often felt in the affected area, which may worsen with movement or pressure.
• Swelling and Tenderness: The hand may appear swollen, and the affected tendon may be tender to touch.
• Reduced Range of Motion: Patients may experience difficulty in moving the affected fingers or wrist due to pain and stiffness.
• Possible Numbness or Tingling: In some cases, nerve compression due to swelling can lead to sensations of numbness or tingling.

Diagnosis

Diagnosis of calcific tendinitis in the hand typically involves:

• Clinical Examination: A thorough physical examination to assess pain, swelling, and range of motion.
• Imaging Studies: X-rays are commonly used to visualize calcium deposits in the tendons. Ultrasound or MRI may also be employed for a more detailed assessment of soft tissue structures.

Treatment Options

Treatment for calcific tendinitis of the hand may include:

• Conservative Management: Initial treatment often involves rest, ice application, and non-steroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation.
• Physical Therapy: Rehabilitation exercises can help restore range of motion and strengthen the surrounding muscles.
• Injections: Corticosteroid injections may be administered to alleviate severe inflammation and pain.
• Surgical Intervention: In cases where conservative treatments fail, surgical options may be considered to remove the calcium deposits.

Prognosis

The prognosis for patients with calcific tendinitis of the hand is generally favorable. Many individuals experience significant improvement with conservative treatment, although some may require surgical intervention for complete resolution of symptoms. Early diagnosis and appropriate management are crucial for optimal outcomes.

Conclusion

ICD-10 code M65.24 encapsulates the clinical aspects of calcific tendinitis in the hand, highlighting its symptoms, diagnostic methods, and treatment options. Understanding this condition is essential for healthcare providers to ensure effective management and improve patient quality of life. If you suspect calcific tendinitis, it is advisable to seek medical evaluation for an accurate diagnosis and tailored treatment plan.