ICD-10: M71.15

The ICD-10 code M71.15 refers to "Other infective bursitis, hip," which is a specific classification used to identify cases of bursitis in the hip region that are caused by infectious agents. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this condition is crucial for accurate diagnosis and effective management.

Clinical Presentation

Infective bursitis of the hip typically presents with localized inflammation of the bursa, which is a small fluid-filled sac that reduces friction between tissues in the hip joint. The condition can arise from various infectious agents, including bacteria, viruses, or fungi, and may occur following trauma, surgery, or as a complication of systemic infections.

Signs and Symptoms

1. Localized Pain: Patients often report significant pain in the hip area, which may be exacerbated by movement or pressure on the affected bursa. The pain can be sharp or throbbing and may radiate to the thigh or groin.

2. Swelling and Tenderness: There is usually noticeable swelling over the hip joint, accompanied by tenderness upon palpation. The area may feel warm to the touch due to inflammation.

3. Limited Range of Motion: Patients may experience difficulty in moving the hip joint, leading to a reduced range of motion. This limitation can affect daily activities such as walking, climbing stairs, or sitting.

4. Systemic Symptoms: In cases of severe infection, systemic symptoms such as fever, chills, and malaise may be present. These symptoms indicate a more widespread infection and may require immediate medical attention.

5. Skin Changes: In some instances, the skin over the affected bursa may exhibit redness or other changes, indicating inflammation or infection.

Patient Characteristics

Certain patient characteristics may predispose individuals to develop infective bursitis of the hip:

• Age: Older adults are more susceptible to infections due to a generally weaker immune system and the presence of comorbidities.

• Underlying Health Conditions: Patients with diabetes, rheumatoid arthritis, or other immunocompromising conditions are at higher risk for developing infections, including bursitis.

• Recent Trauma or Surgery: Individuals who have recently experienced trauma to the hip or undergone surgical procedures in the area may be more prone to developing bursitis due to potential exposure to infectious agents.

• Lifestyle Factors: Sedentary lifestyles or occupations that involve repetitive hip movements can contribute to the development of bursitis, although infectious bursitis specifically may be less common in these cases.

• Geographic and Environmental Factors: Certain geographic areas may have higher incidences of specific infections that can lead to bursitis, such as those caused by endemic pathogens.

Conclusion

Infective bursitis of the hip (ICD-10 code M71.15) is characterized by localized pain, swelling, and potential systemic symptoms, particularly in individuals with certain risk factors. Accurate diagnosis often requires a thorough clinical evaluation, including patient history and physical examination, and may necessitate imaging studies or laboratory tests to identify the causative agent. Early recognition and treatment are essential to prevent complications and promote recovery.

ICD-10 code M71.15 refers to "Other infective bursitis, hip." This classification falls under 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, such as muscles, tendons, and skin. Bursitis can occur in various locations throughout the body, with the hip being a common site for this condition.

Clinical Description

Definition

Infective bursitis is characterized by the inflammation of a bursa due to infection, which can be caused by bacteria, fungi, or other pathogens. The hip joint, being a weight-bearing joint, is susceptible to various forms of bursitis, including infective types, which can lead to significant discomfort and mobility issues.

Symptoms

Patients with M71.15 may experience:
- Localized Pain: Pain in the hip area, which may worsen with movement or pressure.
- Swelling: Noticeable swelling around the hip joint due to inflammation.
- Redness and Warmth: The affected area may appear red and feel warm to the touch, indicating inflammation.
- Limited Range of Motion: Difficulty in moving the hip joint, which can affect daily activities.
- Systemic Symptoms: In some cases, patients may present with fever, chills, or malaise, especially if the infection is systemic.

Causes

Infective bursitis can arise from:
- Direct Infection: Bacteria entering the bursa through a puncture wound or surgical incision.
- Hematogenous Spread: Infection spreading from another part of the body through the bloodstream.
- Trauma: Previous injuries to the hip area that may predispose the bursa to infection.

Diagnosis

Clinical Evaluation

Diagnosis typically involves a thorough clinical evaluation, including:
- Medical History: Assessing any recent injuries, infections, or underlying health conditions.
- Physical Examination: Evaluating the hip for signs of inflammation, pain, and range of motion.

Imaging Studies

Imaging techniques such as X-rays or MRI may be utilized to rule out other conditions and assess the extent of the inflammation.

Laboratory Tests

• Aspiration: In some cases, fluid may be aspirated from the bursa for analysis to identify the causative organism.
• Blood Tests: These may be performed to check for signs of infection or inflammation.

Treatment

Conservative Management

Initial treatment often includes:
- Rest: Avoiding activities that exacerbate the pain.
- Ice Therapy: Applying ice packs to reduce swelling and pain.
- Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Medications such as ibuprofen or naproxen to alleviate pain and inflammation.

Antibiotic Therapy

If a bacterial infection is confirmed, appropriate antibiotics will be prescribed based on the sensitivity of the identified organism.

Surgical Intervention

In severe cases, surgical drainage of the bursa may be necessary to remove infected fluid and debris.

Conclusion

ICD-10 code M71.15 encapsulates the clinical picture of other infective bursitis in the hip, highlighting the importance of prompt diagnosis and treatment to prevent complications. Understanding the symptoms, causes, and management strategies is crucial for healthcare providers in effectively addressing this condition and improving patient outcomes.

ICD-10 code M71.15 refers specifically to "Other infective bursitis, hip." This classification falls under 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. Here are some alternative names and related terms associated with this condition:

Alternative Names

1. Infective Bursitis of the Hip: This term directly describes the infection of the bursa located in the hip region.
2. Hip Bursitis: While this term can refer to bursitis in general, it is often used to describe conditions affecting the hip bursa, including infectious types.
3. Trochanteric Bursitis: This term specifically refers to inflammation of the bursa located near the greater trochanter of the femur, which can sometimes be infectious.
4. Ischiogluteal Bursitis: This refers to inflammation of the bursa located between the ischium and the gluteal muscles, which can also be affected by infection.

Related Terms

1. Bursitis: A general term for inflammation of a bursa, which can be caused by various factors, including infection.
2. Septic Bursitis: This term is used when the bursitis is specifically due to an infection, highlighting the infectious nature of the condition.
3. Hip Pain: While not specific to bursitis, this term is often associated with conditions affecting the hip, including bursitis.
4. Inflammatory Bursitis: This term encompasses all types of bursitis that involve inflammation, including those caused by infection.
5. Bursa Infection: A more general term that can refer to any infection affecting a bursa, including those in the hip.

Conclusion

Understanding the alternative names and related terms for ICD-10 code M71.15 can aid in better communication among healthcare professionals and enhance patient education. It is essential to recognize that while these terms may describe similar conditions, they can have different implications for diagnosis and treatment. If you have further questions or need more specific information, feel free to ask!

The ICD-10 code M71.15 refers to "Other infective bursitis, hip," which is classified under 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, and in this case, it specifically pertains to the hip region.

Diagnostic Criteria for M71.15

Clinical Presentation

The diagnosis of infective bursitis typically involves a combination of clinical evaluation and diagnostic imaging. Key criteria include:

1. Symptoms: Patients often present with localized pain, swelling, and tenderness around the hip joint. Symptoms may also include limited range of motion and warmth over the affected area, which can indicate inflammation or infection.

2. History: A thorough medical history is essential. This includes any recent trauma, overuse, or prior infections that could predispose the patient to bursitis. Additionally, a history of systemic conditions such as diabetes or immunosuppression may be relevant.

3. Physical Examination: A physical exam will typically reveal tenderness over the greater trochanter or other bursal sites in the hip. The clinician may assess for signs of systemic infection, such as fever or chills.

Diagnostic Imaging

Imaging studies can aid in confirming the diagnosis:

• Ultrasound: This is often the first-line imaging modality used to visualize the bursa and assess for fluid accumulation or signs of infection.
• MRI: Magnetic resonance imaging may be utilized for a more detailed view, particularly if there is suspicion of associated soft tissue involvement or to rule out other conditions.

Laboratory Tests

Laboratory tests can help confirm the diagnosis of infective bursitis:

• Blood Tests: Complete blood count (CBC) may show elevated white blood cell counts, indicating infection. Inflammatory markers such as C-reactive protein (CRP) may also be elevated.
• Bursal Aspiration: If fluid is present in the bursa, aspiration can be performed. The fluid can be analyzed for the presence of bacteria, crystals, or other pathogens, which is crucial for confirming an infective process.

Differential Diagnosis

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

• Non-infective bursitis: Caused by repetitive trauma or inflammatory conditions.
• Hip joint pathology: Such as osteoarthritis or labral tears.
• Soft tissue infections: Including cellulitis or abscess formation.

Conclusion

In summary, the diagnosis of ICD-10 code M71.15, "Other infective bursitis, hip," relies on a combination of clinical evaluation, imaging studies, and laboratory tests to confirm the presence of infection in the bursa. A comprehensive approach ensures accurate diagnosis and appropriate management of the condition, which may include antibiotics and, in some cases, surgical intervention if conservative measures fail.

Infective bursitis, particularly in the hip region, is classified under the ICD-10 code M71.15. This condition involves inflammation of the bursa, a small fluid-filled sac that reduces friction between tissues in joints. When the bursa becomes infected, it can lead to significant pain and mobility issues. Here’s a detailed overview of standard treatment approaches for this condition.

Understanding Infective Bursitis

What is Bursitis?

Bursitis occurs when the bursa becomes inflamed, often due to repetitive motion, trauma, or infection. In the case of infective bursitis, bacteria or other pathogens invade the bursa, leading to inflammation and symptoms such as pain, swelling, and limited range of motion in the affected joint.

Symptoms

Common symptoms of infective bursitis in the hip include:
- Localized pain and tenderness
- Swelling around the hip joint
- Warmth and redness over the affected area
- Limited mobility or difficulty in movement

Standard Treatment Approaches

1. Antibiotic Therapy

The primary treatment for infective bursitis is antibiotic therapy, especially if the infection is bacterial. The choice of antibiotics may depend on the severity of the infection and the specific bacteria involved. Commonly prescribed antibiotics include:
- Cephalexin or Dicloxacillin for mild infections.
- Ciprofloxacin or Clindamycin for more severe cases or when MRSA (Methicillin-resistant Staphylococcus aureus) is suspected.

2. Pain Management

Pain relief is crucial in managing symptoms. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can help reduce pain and inflammation. In more severe cases, a healthcare provider may prescribe stronger pain medications.

3. Corticosteroid Injections

In cases where pain and inflammation are significant, corticosteroid injections into the bursa may be considered. This can provide rapid relief of symptoms and reduce inflammation.

4. Physical Therapy

Once the acute infection is managed, physical therapy may be recommended to restore strength and flexibility to the hip joint. A physical therapist can design a tailored exercise program to improve mobility and prevent future episodes of bursitis.

5. Surgical Intervention

In rare cases where the infection does not respond to antibiotics or if there is an abscess formation, surgical intervention may be necessary. This could involve:
- Drainage of the bursa: To remove infected fluid.
- Bursa excision: In chronic cases, the bursa may be surgically removed.

6. Rest and Activity Modification

Resting the affected hip and avoiding activities that exacerbate the condition is essential. Gradual return to normal activities should be guided by a healthcare professional.

Conclusion

Infective bursitis of the hip, classified under ICD-10 code M71.15, requires a comprehensive treatment approach that includes antibiotic therapy, pain management, and possibly physical therapy or surgical intervention. Early diagnosis and treatment are crucial to prevent complications and ensure a full recovery. If symptoms persist or worsen, it is important to consult a healthcare provider for further evaluation and management.