ICD-10: M71.11

ICD-10 code M71.11 refers to "Other infective bursitis, shoulder," which is a specific diagnosis within the broader category of bursitis. This condition involves inflammation of the bursa, a small fluid-filled sac that acts as a cushion between bones and soft tissues, typically due to infection. Below is a detailed clinical description and relevant information regarding this diagnosis.

Clinical Description

Definition

Infective bursitis is characterized by the inflammation of a bursa caused by an infectious agent, which can include bacteria, viruses, or fungi. The shoulder is a common site for this condition, and when it occurs, it can lead to significant pain, swelling, and limited range of motion.

Symptoms

Patients with M71.11 may present with the following symptoms:
- Localized Pain: Pain in the shoulder that may worsen with movement or pressure.
- Swelling: Noticeable swelling over the affected area, which may feel warm to the touch.
- Redness: The skin over the bursa may appear red and inflamed.
- Limited Mobility: Difficulty in moving the shoulder due to pain and swelling.
- Systemic Symptoms: In some cases, patients may experience fever, chills, or malaise, indicating a more systemic infection.

Etiology

The etiology of infective bursitis can vary, but common causes include:
- Bacterial Infections: Staphylococcus aureus is a frequent culprit, often entering through a break in the skin or as a result of joint injections.
- Trauma: Previous injuries to the shoulder can predispose individuals to bursitis.
- Underlying Conditions: Conditions such as rheumatoid arthritis or diabetes may increase susceptibility to infections.

Diagnosis

Clinical Evaluation

Diagnosis typically involves a thorough clinical evaluation, including:
- Medical History: Assessing symptoms, duration, and any previous shoulder injuries or infections.
- Physical Examination: Evaluating the shoulder for signs of inflammation, tenderness, and range of motion.

Imaging Studies

Imaging may be utilized to confirm the diagnosis and rule out other conditions:
- Ultrasound: Can help visualize fluid accumulation in the bursa.
- MRI: Provides detailed images of soft tissues and can identify the extent of inflammation.

Laboratory Tests

• Aspiration: Fluid may be aspirated from the bursa for analysis to identify the causative organism.
• Blood Tests: May be performed to check for signs of infection or inflammation.

Treatment

Management Strategies

Treatment for M71.11 focuses on addressing the infection and alleviating symptoms:
- Antibiotics: If a bacterial infection is confirmed, appropriate antibiotics are prescribed.
- Corticosteroids: In some cases, corticosteroid injections may be used to reduce inflammation.
- Rest and Immobilization: The affected shoulder may need to be rested and immobilized to promote healing.
- Physical Therapy: Once the acute phase has resolved, physical therapy may be recommended to restore range of motion and strength.

Prognosis

The prognosis for patients with infective bursitis is generally favorable with appropriate treatment. However, if left untreated, the infection can lead to complications such as chronic bursitis or septic arthritis.

Conclusion

ICD-10 code M71.11 encapsulates a specific and clinically significant condition that requires prompt diagnosis and treatment to prevent complications. Understanding the symptoms, diagnostic processes, and treatment options is crucial for effective management of other infective bursitis in the shoulder. If you suspect this condition, it is essential to consult a healthcare professional for a comprehensive evaluation and tailored treatment plan.

The ICD-10 code M71.11 refers to "Other infective bursitis, shoulder," which is a specific diagnosis within the broader category of bursitis. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this condition is essential for accurate diagnosis and effective management.

Clinical Presentation

Infective bursitis of the shoulder typically presents with inflammation of the bursa, which is a small fluid-filled sac that reduces friction between tissues in joints. The condition can arise from various causes, including infection, trauma, or underlying inflammatory diseases.

Signs and Symptoms

1. Pain:
   - Patients often report localized pain in the shoulder, which may be sharp or aching. The pain can worsen with movement or pressure on the affected area.
   - Pain may radiate to the upper arm or neck, depending on the severity and extent of the inflammation.

2. Swelling:
   - There may be noticeable swelling over the shoulder joint, which can be tender to the touch. This swelling is due to the accumulation of fluid in the bursa.

3. Limited Range of Motion:
   - Patients may experience restricted movement in the shoulder, making it difficult to perform daily activities such as reaching overhead or lifting objects.

4. Redness and Warmth:
   - The skin over the affected bursa may appear red and feel warm, indicating inflammation and possible infection.

5. Systemic Symptoms:
   - In cases of infectious bursitis, patients may also present with systemic symptoms such as fever, chills, and malaise, suggesting a more severe infection.

Patient Characteristics

1. Demographics:
   - Infective bursitis can occur in individuals of any age, but it is more common in adults, particularly those over 40 years old.
   - There may be a higher prevalence in males compared to females.

2. Risk Factors:
   - Patients with a history of shoulder injuries or repetitive overhead activities (e.g., athletes, manual laborers) are at increased risk.
   - Individuals with compromised immune systems, such as those with diabetes or chronic illnesses, are also more susceptible to infections.

3. Comorbid Conditions:
   - Conditions such as rheumatoid arthritis, gout, or other inflammatory diseases can predispose individuals to bursitis.
   - Previous shoulder surgeries or injections may increase the risk of developing infective bursitis.

4. Lifestyle Factors:
   - Sedentary lifestyle or lack of physical activity can contribute to shoulder problems, including bursitis.
   - Poor posture or ergonomic issues in the workplace may also play a role in the development of shoulder bursitis.

Conclusion

Infective bursitis of the shoulder (ICD-10 code M71.11) is characterized by localized pain, swelling, and limited range of motion, often accompanied by systemic symptoms in cases of infection. Understanding the clinical presentation and patient characteristics is crucial for healthcare providers to diagnose and manage this condition effectively. Early intervention can help alleviate symptoms and prevent complications, particularly in at-risk populations.

ICD-10 code M71.11 refers specifically to "Other infective bursitis, shoulder." This code is part of the broader category of bursopathies, which are conditions affecting the bursae—small fluid-filled sacs that cushion bones, tendons, and muscles near joints. Below are alternative names and related terms associated with this specific code:

Alternative Names for M71.11

1. Shoulder Bursitis: A general term that refers to inflammation of the bursa in the shoulder, which can be caused by infection.
2. Infective Bursitis of the Shoulder: A more descriptive term that emphasizes the infectious nature of the condition.
3. Shoulder Bursopathy: This term encompasses various disorders of the shoulder bursae, including infective types.
4. Infectious Bursitis: A broader term that can apply to bursitis in any joint, including the shoulder, indicating an infection.
5. Acute Infective Bursitis: This term may be used to describe a sudden onset of bursitis due to infection.

Related Terms

1. Bursitis: A general term for inflammation of a bursa, which can be caused by various factors, including infection, trauma, or repetitive motion.
2. Subacromial Bursitis: A specific type of bursitis that occurs under the acromion of the shoulder, which may be infectious in nature.
3. Shoulder Pain: While not specific to bursitis, this term is often associated with conditions affecting the shoulder, including M71.11.
4. Tendinitis: Inflammation of the tendons around the shoulder may accompany bursitis, leading to overlapping symptoms.
5. Rotator Cuff Syndrome: This term refers to a group of conditions affecting the rotator cuff, which may include bursitis as a component.

Clinical Context

In clinical practice, M71.11 is used to code for cases where the bursitis in the shoulder is specifically due to an infectious process. This can be critical for accurate diagnosis, treatment planning, and billing purposes. Understanding these alternative names and related terms can help healthcare professionals communicate more effectively about the condition and ensure appropriate care.

In summary, M71.11 encompasses various terms that describe the condition of infective bursitis in the shoulder, highlighting its infectious nature and its relationship to other shoulder disorders.

The ICD-10 code M71.11 refers to "Other infective bursitis, shoulder." This diagnosis is part of the broader category of bursitis, which involves inflammation of the bursa, a small fluid-filled sac that reduces friction between tissues in joints. When diagnosing this condition, healthcare providers typically follow specific criteria to ensure accurate identification and appropriate treatment.

Diagnostic Criteria for M71.11

1. Clinical Presentation

• Symptoms: Patients often present with localized pain, swelling, and tenderness around the shoulder joint. The pain may worsen with movement or pressure on the affected area.
• Range of Motion: Limited range of motion in the shoulder may be observed, particularly during activities that involve overhead movements.

2. History of Infection

• Infective Etiology: The diagnosis of infective bursitis requires evidence or suspicion of an infectious process. This may include:
  • Recent infections in the vicinity of the shoulder.
  • History of trauma or surgery that could introduce pathogens.
  • Systemic signs of infection, such as fever or chills.

3. Physical Examination

• Tenderness and Swelling: A thorough physical examination will reveal tenderness over the bursa, often accompanied by swelling.
• Warmth and Erythema: The affected area may exhibit warmth and redness, indicating inflammation.

4. Imaging Studies

• Ultrasound or MRI: Imaging studies may be utilized to visualize the bursa and assess for fluid accumulation or other abnormalities. These studies can help differentiate between infective bursitis and other conditions, such as rotator cuff tears or tendinitis.

5. Laboratory Tests

• Aspiration and Culture: In cases where infection is suspected, aspiration of the bursa may be performed to obtain synovial fluid for analysis. Culturing this fluid can identify the causative organism, confirming the diagnosis of infective bursitis.
• Blood Tests: Blood tests may be conducted to check for elevated white blood cell counts or inflammatory markers, which can support the diagnosis of an infection.

6. Differential Diagnosis

• It is essential to rule out other conditions that may mimic the symptoms of bursitis, such as:
  • Rotator cuff injuries.
  • Tendinitis.
  • Osteoarthritis.
  • Other forms of arthritis.

Conclusion

The diagnosis of M71.11, or other infective bursitis of the shoulder, involves a comprehensive approach that includes clinical evaluation, imaging, laboratory tests, and consideration of the patient's medical history. Accurate diagnosis is crucial for effective treatment, which may involve antibiotics if an infection is confirmed, along with pain management and physical therapy to restore function. If you have further questions or need more specific information, feel free to ask!

When addressing the standard treatment approaches for ICD-10 code M71.11, which refers to Other infective bursitis of the shoulder, it is essential to understand the condition's nature, symptoms, and the typical management strategies employed in clinical practice.

Understanding Infective Bursitis

Infective bursitis occurs when the bursa, a small fluid-filled sac that reduces friction between tissues, becomes inflamed due to infection. In the shoulder, this can lead to pain, swelling, and limited range of motion. The condition may arise from direct trauma, overuse, or systemic infections that spread to the bursa.

Standard Treatment Approaches

1. Initial Assessment and Diagnosis

Before treatment, a thorough assessment is crucial. This typically includes:
- Clinical Evaluation: A healthcare provider will assess symptoms, including pain, swelling, and mobility limitations.
- Imaging Studies: X-rays or MRI may be used to rule out other conditions and confirm bursitis.
- Laboratory Tests: Blood tests or aspiration of bursal fluid may be performed to identify the causative organism if an infection is suspected.

2. Conservative Management

Most cases of infective bursitis can be managed conservatively, especially if the infection is mild or localized:
- Rest: Avoiding activities that exacerbate symptoms is essential for recovery.
- Ice Therapy: Applying ice packs to the affected area can help reduce swelling and pain.
- Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Medications such as ibuprofen or naproxen can alleviate pain and inflammation.

3. Antibiotic Therapy

If the bursitis is confirmed to be infectious, antibiotic treatment is critical:
- Empirical Antibiotics: Broad-spectrum antibiotics may be initiated based on clinical judgment, especially if the infection is severe or systemic.
- Targeted Therapy: Once culture results are available, antibiotics may be adjusted to target the specific pathogen identified.

4. Aspiration and Drainage

In cases where there is significant fluid accumulation or abscess formation:
- Bursal Aspiration: A needle may be used to withdraw infected fluid from the bursa, providing relief and allowing for analysis of the fluid.
- Surgical Drainage: In more severe cases, surgical intervention may be necessary to drain the bursa and remove infected tissue.

5. Physical Therapy

After the acute phase has resolved, physical therapy may be recommended to restore strength and range of motion:
- Rehabilitation Exercises: Tailored exercises can help regain shoulder function and prevent future episodes.
- Manual Therapy: Techniques such as mobilization may be employed to improve joint function.

6. Follow-Up Care

Regular follow-up appointments are essential to monitor recovery and adjust treatment as necessary. This may include:
- Re-evaluation of Symptoms: Assessing the effectiveness of treatment and making changes if symptoms persist.
- Long-term Management: Addressing any underlying conditions that may contribute to recurrent bursitis.

Conclusion

The management of Other infective bursitis of the shoulder (ICD-10 code M71.11) typically involves a combination of conservative measures, antibiotic therapy, and possibly surgical intervention, depending on the severity of the infection. Early diagnosis and appropriate treatment are crucial for effective recovery and to prevent complications. If symptoms persist or worsen, further evaluation and intervention may be necessary to ensure optimal outcomes.