ICD-10: M71.119

ICD-10 code M71.119 refers to "Other infective bursitis, unspecified shoulder." This code is part of the M71 category, which encompasses various types of bursitis, particularly those that are infective in nature. Below is a detailed clinical description and relevant information regarding this diagnosis.

Clinical Description

Definition of Bursitis

Bursitis is the inflammation of a bursa, a small fluid-filled sac that acts as a cushion between bones and soft tissues, such as muscles, tendons, and skin. Bursae help reduce friction and allow for smooth movement in joints. When a bursa becomes inflamed, it can lead to pain, swelling, and restricted movement.

Infective Bursitis

Infective bursitis occurs when a bursa becomes infected, often due to bacteria. This condition can arise from direct trauma, surgical procedures, or the spread of infection from nearby tissues. Symptoms typically include:

• Localized Pain: Pain in the shoulder area, which may worsen with movement.
• Swelling: Noticeable swelling around the shoulder joint.
• Redness and Warmth: The skin over the affected bursa may appear red and feel warm to the touch.
• Limited Range of Motion: Difficulty in moving the shoulder due to pain and swelling.
• Systemic Symptoms: In some cases, fever and malaise may be present, indicating a more systemic infection.

Unspecified Shoulder

The term "unspecified shoulder" in the ICD-10 code indicates that the specific bursa involved is not identified. This can occur in clinical practice when the exact site of infection is not determined, or when the diagnosis is made based on clinical presentation without further imaging or diagnostic procedures.

Diagnosis and Treatment

Diagnosis

Diagnosing infective bursitis typically involves:

• Clinical Evaluation: A thorough history and physical examination to assess symptoms and identify the affected area.
• Imaging Studies: Ultrasound or MRI may be used to visualize the bursa and assess for fluid accumulation or other abnormalities.
• Laboratory Tests: Blood tests may be conducted to check for signs of infection, and in some cases, aspiration of the bursa may be performed to analyze the fluid for pathogens.

Treatment

Treatment for infective bursitis generally includes:

• Antibiotics: If a bacterial infection is confirmed or suspected, appropriate antibiotic therapy is initiated.
• Rest and Immobilization: The affected shoulder may need to be rested and immobilized to reduce pain and inflammation.
• Pain Management: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help alleviate pain and swelling.
• Surgical Intervention: In severe cases, surgical drainage of the infected bursa may be necessary.

Conclusion

ICD-10 code M71.119 captures the diagnosis of other infective bursitis in the unspecified shoulder, highlighting the need for careful clinical assessment and appropriate management. Understanding the nature of this condition is crucial for effective treatment and recovery, ensuring that patients receive the necessary care to alleviate symptoms and restore function.

The ICD-10 code M71.119 refers to "Other infective bursitis, unspecified shoulder." This condition involves inflammation of the bursa, a small fluid-filled sac that acts as a cushion between bones and soft tissues, specifically in the shoulder region. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this diagnosis is crucial for effective management and treatment.

Clinical Presentation

Definition and Overview

Infective bursitis occurs when a bursa becomes inflamed due to infection, which can be caused by bacteria, fungi, or other pathogens. In the case of M71.119, the infection is not specified, indicating that the exact causative agent may not be identified at the time of diagnosis.

Common Patient Characteristics

• Age: While bursitis can occur at any age, it is more prevalent in adults, particularly those over 40 years old.
• Gender: Males may be more frequently affected than females, although this can vary based on underlying health conditions and activity levels.
• Activity Level: Patients who engage in repetitive overhead activities, such as athletes or manual laborers, may be at higher risk for developing bursitis.
• Comorbidities: Conditions such as diabetes, rheumatoid arthritis, or other immunocompromising conditions can increase susceptibility to infections, including bursitis.

Signs and Symptoms

Localized Symptoms

• Pain: Patients typically report localized pain in the shoulder, which may worsen with movement or pressure on the affected area.
• Swelling: There may be noticeable swelling over the shoulder joint, indicating inflammation of the bursa.
• Redness and Warmth: The skin over the affected bursa may appear red and feel warm to the touch, suggesting an inflammatory response.

Functional Impairment

• Limited Range of Motion: Patients often experience reduced mobility in the shoulder, making it difficult to perform daily activities or overhead tasks.
• Weakness: There may be accompanying weakness in the shoulder muscles due to pain and inflammation.

Systemic Symptoms

In cases of severe infection, systemic symptoms may also be present:
- Fever: Patients may develop a fever as the body responds to the infection.
- Chills: Accompanying chills can occur, indicating a systemic inflammatory response.

Diagnosis and Management

Diagnostic Approach

• Clinical Evaluation: A thorough history and physical examination are essential to assess symptoms and identify potential risk factors.
• Imaging Studies: Ultrasound or MRI may be utilized to visualize the bursa and assess for fluid accumulation or other abnormalities.
• Laboratory Tests: Blood tests may be performed to check for signs of infection, such as elevated white blood cell counts or inflammatory markers.

Treatment Options

• Antibiotics: If a bacterial infection is suspected, appropriate antibiotic therapy is initiated.
• Rest and Immobilization: Patients are often advised to rest the affected shoulder and may benefit from immobilization to reduce pain and inflammation.
• Physical Therapy: Once the acute phase has resolved, physical therapy may be recommended to restore range of motion and strength.

Conclusion

Infective bursitis of the shoulder, classified under ICD-10 code M71.119, presents with specific clinical features that include localized pain, swelling, and potential systemic symptoms. Understanding the patient characteristics and the signs and symptoms associated with this condition is vital for timely diagnosis and effective management. Early intervention can help prevent complications and promote recovery, allowing patients to return to their normal activities.

ICD-10 code M71.119 refers to "Other infective bursitis, unspecified shoulder." This code is part of the broader classification of bursitis, which is an inflammation of the bursa, a small fluid-filled sac that acts as a cushion between bones and soft tissues. Below are alternative names and related terms associated with this specific ICD-10 code.

Alternative Names for M71.119

1. Infective Bursitis of the Shoulder: This term directly describes the condition, emphasizing the infectious nature of the bursitis affecting the shoulder region.

2. Shoulder Bursitis: A more general term that may refer to any type of bursitis in the shoulder, including infective forms.

3. Shoulder Bursa Infection: This term highlights the infectious aspect of the condition, focusing on the bursa's involvement.

4. Non-specific Shoulder Bursitis: This term can be used when the specific cause of the bursitis is not identified, aligning with the "unspecified" nature of the ICD-10 code.

Related Terms

1. Bursitis: A general term for inflammation of a bursa, which can occur in various locations throughout the body, not just the shoulder.

2. Infectious Bursitis: This term encompasses all types of bursitis caused by infections, which can include bacterial, viral, or fungal origins.

3. Subacromial Bursitis: A specific type of bursitis that occurs under the acromion of the shoulder, which may be related but is not limited to infective causes.

4. Shoulder Pain: While broader, this term is often associated with bursitis and can include various underlying causes, including infective bursitis.

5. Shoulder Impingement Syndrome: This condition can sometimes be confused with bursitis, as both can cause shoulder pain and limited range of motion.

6. Septic Bursitis: A term that specifically refers to bursitis caused by an infection, which may be relevant when discussing M71.119.

Conclusion

Understanding the alternative names and related terms for ICD-10 code M71.119 can aid healthcare professionals in accurately diagnosing and coding for shoulder bursitis. It is essential to differentiate between various types of bursitis to ensure appropriate treatment and management. If further details or specific contexts are needed, please let me know!

The ICD-10 code M71.119 refers to "Other infective bursitis, unspecified shoulder." This diagnosis is part of the broader category of bursitis, which is an inflammation of the bursa, a small fluid-filled sac that acts as a cushion between bones and soft tissues. Understanding the criteria for diagnosing this condition involves several key components.

Diagnostic Criteria for M71.119

1. Clinical Presentation

The diagnosis of infective bursitis typically begins with a thorough clinical evaluation. Key symptoms may include:

• Pain and Tenderness: Patients often report localized pain in the shoulder area, which may worsen with movement or pressure.
• Swelling: There may be noticeable swelling over the affected bursa.
• Limited Range of Motion: Patients might experience difficulty moving the shoulder due to pain and swelling.
• Redness and Warmth: In cases of infection, the skin over the bursa may appear red and feel warm to the touch.

2. Medical History

A comprehensive medical history is crucial. Factors to consider include:

• Recent Injuries: Any history of trauma to the shoulder that could predispose the bursa to infection.
• Underlying Conditions: Conditions such as diabetes or immunosuppression that may increase the risk of infection.
• Previous Episodes: A history of recurrent bursitis or other joint issues.

3. Diagnostic Imaging

Imaging studies can aid in the diagnosis:

• Ultrasound: This can help visualize fluid accumulation in the bursa and assess for signs of infection.
• MRI: Magnetic resonance imaging may be used to evaluate the extent of inflammation and rule out other conditions.

4. Laboratory Tests

To confirm an infectious etiology, laboratory tests may be performed:

• Aspiration of Bursa: A needle may be used to withdraw fluid from the bursa for analysis. This fluid can be examined for the presence of bacteria, white blood cells, and crystals.
• Blood Tests: Complete blood count (CBC) and inflammatory markers (such as ESR or CRP) can indicate infection or inflammation.

5. Differential Diagnosis

It is essential to differentiate infective bursitis from other conditions that may present similarly, such as:

• Non-infective bursitis: Caused by repetitive motion or trauma without infection.
• Rotator cuff injuries: These can mimic bursitis symptoms but involve different structures.
• Arthritis: Inflammatory or degenerative joint diseases may present with similar symptoms.

Conclusion

The diagnosis of M71.119, or other infective bursitis of the unspecified shoulder, relies on a combination of clinical evaluation, medical history, imaging studies, and laboratory tests. Accurate diagnosis is crucial for effective treatment, which may include antibiotics for infection, corticosteroid injections, or physical therapy to restore function and alleviate pain. If you suspect bursitis or have related symptoms, consulting a healthcare professional for a thorough assessment is recommended.

When addressing the standard treatment approaches for ICD-10 code M71.119, which refers to "Other infective bursitis, unspecified 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 a bursa, a small fluid-filled sac that reduces friction between tissues, becomes inflamed due to infection. This condition can lead to pain, swelling, and limited range of motion in the affected shoulder. The unspecified nature of the diagnosis indicates that the specific cause of the infection is not identified, which can complicate treatment decisions.

Standard Treatment Approaches

1. Initial Assessment and Diagnosis

Before treatment begins, a thorough assessment is crucial. This may include:
- Physical Examination: Evaluating the shoulder for signs of swelling, tenderness, and range of motion.
- Imaging Studies: X-rays or MRI may be used to rule out other conditions and assess the extent of the bursitis.
- Laboratory Tests: Blood tests or aspiration of the bursa fluid may be performed to identify the causative organism and determine the appropriate antibiotic therapy.

2. Medications

• Antibiotics: If the bursitis is confirmed to be infectious, appropriate antibiotics are prescribed based on the identified pathogen. Common choices may include cephalexin or clindamycin for skin flora, while broader-spectrum antibiotics may be necessary for more severe infections[1].
• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Medications such as ibuprofen or naproxen can help reduce pain and inflammation associated with bursitis[2].
• Corticosteroids: In some cases, corticosteroid injections may be administered to reduce inflammation, especially if pain is severe and not responsive to NSAIDs[3].

3. Physical Therapy

Once the acute infection is managed, physical therapy may be recommended to restore shoulder function. This can include:
- Range of Motion Exercises: Gentle stretching and strengthening exercises to improve mobility.
- Manual Therapy: Techniques to alleviate pain and improve function.
- Education: Teaching patients about proper shoulder mechanics to prevent recurrence[4].

4. Surgical Intervention

In cases where conservative treatments fail or if there is an abscess formation, surgical intervention may be necessary. This could involve:
- Bursa Aspiration: Draining the infected bursa to relieve pressure and remove infected fluid.
- Bursa Excision: In chronic cases, surgical removal of the bursa may be considered to prevent future infections[5].

5. Follow-Up Care

Regular follow-up appointments are essential to monitor the healing process and adjust treatment as necessary. This may include:
- Re-evaluation of Symptoms: Assessing pain levels and functional improvement.
- Adjusting Medications: Modifying antibiotic therapy based on culture results or patient response.

Conclusion

The management of infective bursitis in the shoulder, as indicated by ICD-10 code M71.119, involves a comprehensive approach that includes accurate diagnosis, appropriate antibiotic therapy, pain management, physical rehabilitation, and, if necessary, surgical intervention. Early and effective treatment is crucial to prevent complications and ensure a full recovery. Regular follow-up is also vital to monitor the patient's progress and adjust treatment plans as needed.

For further information or specific case management, consulting with a healthcare professional is recommended.