ICD-10: M71.48

The ICD-10 code M71.48 refers to a specific diagnosis of calcium deposit in bursa at other sites. This code is part of the broader category of other bursopathies, which are conditions affecting the bursae—small, fluid-filled sacs that cushion bones, tendons, and muscles near joints. Below is a detailed clinical description and relevant information regarding this diagnosis.

Clinical Description

Definition

Calcium deposits in the bursa, also known as calcific bursitis, occur when calcium salts accumulate in the bursa, leading to inflammation and pain. The bursa serves to reduce friction between moving parts in the body, and when it becomes calcified, it can hinder movement and cause discomfort.

Symptoms

Patients with calcium deposits in the bursa may experience:
- Localized pain: Often exacerbated by movement or pressure on the affected area.
- Swelling: The bursa may appear swollen due to inflammation.
- Limited range of motion: Pain and swelling can restrict movement in the joint associated with the bursa.
- Tenderness: The area over the bursa may be sensitive to touch.

Common Sites

While the code M71.48 specifies "other site," common locations for calcium deposits in bursae include:
- Shoulder: Subacromial bursa is frequently affected.
- Elbow: Olecranon bursa can develop calcium deposits.
- Hip: Trochanteric bursa may also be involved.

Diagnosis

Diagnosis of M71.48 typically involves:
- Clinical evaluation: A thorough history and physical examination to assess symptoms and identify the affected bursa.
- Imaging studies: X-rays or ultrasound may be used to visualize calcium deposits and assess the extent of inflammation.

Treatment

Management of calcium deposits in the bursa may include:
- Rest and activity modification: Reducing activities that exacerbate symptoms.
- Physical therapy: To improve range of motion and strengthen surrounding muscles.
- Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help alleviate pain and inflammation.
- Corticosteroid injections: In some cases, injections may be administered to reduce inflammation.
- Surgery: If conservative treatments fail, surgical intervention may be necessary to remove the calcium deposits.

Prognosis

The prognosis for patients with M71.48 varies based on the severity of the condition and the effectiveness of treatment. Many individuals experience significant relief with conservative management, while others may require more invasive procedures.

Conclusion

ICD-10 code M71.48 is crucial for accurately diagnosing and managing cases of calcium deposits in bursae at unspecified sites. Understanding the clinical implications, symptoms, and treatment options associated with this condition is essential for healthcare providers to deliver effective care and improve patient outcomes.

The ICD-10 code M71.48 refers to "Calcium deposit in bursa, other site," which is categorized under the broader classification of diseases affecting the musculoskeletal system and connective tissues. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this condition is essential for accurate diagnosis and management.

Clinical Presentation

Calcium deposits in the bursa, also known as calcific bursitis, typically occur when calcium pyrophosphate or hydroxyapatite crystals accumulate in the bursa, leading to inflammation. This condition can affect various bursa locations in the body, but when classified under M71.48, it indicates that the deposits are located in a site not specifically identified in other codes.

Common Sites Affected

• Shoulder: The subacromial bursa is frequently involved.
• Elbow: Olecranon bursitis can occur due to calcium deposits.
• Hip: Trochanteric bursitis may be associated with calcium deposits.

Signs and Symptoms

Patients with calcium deposits in the bursa may present with a variety of signs and symptoms, which can vary based on the location of the deposits:

Pain and Discomfort

• Localized Pain: Patients often report sharp or aching pain in the affected area, which may worsen with movement or pressure.
• Radiating Pain: Pain may radiate to nearby joints or muscles, depending on the bursa's location.

Swelling and Inflammation

• Swelling: The affected bursa may appear swollen and tender to touch.
• Redness and Warmth: Inflammation can lead to redness and warmth over the bursa.

Limited Range of Motion

• Stiffness: Patients may experience stiffness in the joint associated with the affected bursa, leading to a reduced range of motion.
• Difficulty with Activities: Daily activities that require movement of the affected joint may become challenging.

Other Symptoms

• Crepitus: A sensation of grating or popping may be felt during movement.
• Fatigue: Chronic pain and discomfort can lead to fatigue and decreased activity levels.

Patient Characteristics

Certain patient characteristics may predispose individuals to develop calcium deposits in the bursa:

Demographics

• Age: More common in middle-aged to older adults, particularly those over 50 years.
• Gender: May be more prevalent in males, although females can also be affected.

Medical History

• Previous Injuries: A history of joint or bursa injuries can increase the risk of developing calcium deposits.
• Chronic Conditions: Conditions such as osteoarthritis, rheumatoid arthritis, or metabolic disorders (e.g., hyperparathyroidism) may contribute to the formation of calcium deposits.

Lifestyle Factors

• Occupational Risks: Jobs or activities that involve repetitive motions or prolonged pressure on joints may increase the likelihood of bursitis.
• Physical Activity: Sedentary lifestyles or sudden increases in physical activity can also be risk factors.

Conclusion

Calcium deposits in the bursa, classified under ICD-10 code M71.48, present with a range of symptoms including localized pain, swelling, and limited range of motion. 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 improve the quality of life for affected individuals. If you suspect you have symptoms related to this condition, consulting a healthcare professional for a thorough evaluation and appropriate treatment is recommended.

ICD-10 code M71.48 refers to "Calcium deposit in bursa, other site." This condition is characterized by the accumulation of calcium salts in the bursa, which are small fluid-filled sacs that cushion the bones, tendons, and muscles near joints. Understanding alternative names and related terms can help in better communication and documentation in medical settings.

Alternative Names for M71.48

1. Calcific Bursitis: This term is often used to describe inflammation of the bursa due to calcium deposits. It emphasizes the inflammatory aspect of the condition.

2. Calcium Pyrophosphate Deposition Disease (CPPD): While this term is more commonly associated with a different condition, it can sometimes be relevant in discussions about calcium deposits in joints and bursae.

3. Bursal Calcification: A straightforward term that describes the presence of calcium deposits specifically in the bursa.

4. Bursitis with Calcification: This term highlights the inflammation of the bursa alongside the presence of calcium deposits.

Related Terms

1. Bursa: The anatomical structure involved, which is a sac filled with synovial fluid that reduces friction between tissues.

2. Calcinosis: A broader term that refers to the abnormal deposition of calcium salts in various tissues, which can include bursae.

3. Tendinitis: While not directly synonymous, tendinitis can occur alongside bursitis and may involve similar symptoms, especially in cases where calcium deposits are present.

4. Chronic Bursitis: This term may be used when the condition persists over time, often associated with repetitive motion or chronic irritation.

5. Shoulder Bursitis: If the calcium deposits are located in the shoulder bursa, this specific term may be used to describe the condition.

6. Subacromial Bursitis: A specific type of bursitis that occurs under the acromion of the shoulder, which may involve calcium deposits.

Conclusion

Understanding the alternative names and related terms for ICD-10 code M71.48 can enhance clarity in medical documentation and communication. These terms not only describe the condition but also provide context regarding its implications and associated symptoms. When discussing this condition, using precise terminology can aid in effective diagnosis and treatment planning.

The ICD-10 code M71.48 refers to "Calcium deposit in bursa, other site." This diagnosis is part of the broader category of conditions related to soft tissue disorders, specifically those involving calcific deposits. Understanding the criteria for diagnosing this condition involves several key components, including clinical evaluation, imaging studies, and the exclusion of other potential causes.

Diagnostic Criteria for M71.48

1. Clinical Evaluation

• Symptoms: Patients typically present with localized pain, swelling, or tenderness in the affected area. The symptoms may vary depending on the location of the bursa involved and the extent of the calcification.
• Physical Examination: A thorough physical examination is essential to assess the range of motion, tenderness, and any signs of inflammation in the area surrounding the bursa.

2. Imaging Studies

• Ultrasound: This is often the first imaging modality used to visualize calcific deposits in the bursa. It can help confirm the presence of calcium deposits and assess their size and impact on surrounding structures[1].
• X-rays: Radiographic imaging can reveal calcifications and help differentiate between various types of bursal conditions. X-rays are particularly useful for identifying larger deposits[2].
• MRI: In some cases, magnetic resonance imaging may be utilized to provide a more detailed view of the soft tissues and to rule out other conditions that may mimic the symptoms of calcific bursitis[3].

3. Exclusion of Other Conditions

• Differential Diagnosis: It is crucial to rule out other potential causes of bursitis or calcification, such as infections, trauma, or inflammatory conditions. This may involve additional tests or imaging studies to ensure an accurate diagnosis[4].
• History Taking: A comprehensive medical history can help identify any underlying conditions that may contribute to the formation of calcium deposits, such as metabolic disorders or previous injuries.

4. Laboratory Tests

• While not always necessary, laboratory tests may be performed to assess for underlying metabolic issues, such as hypercalcemia or other systemic conditions that could lead to calcification in the bursa[5].

Conclusion

The diagnosis of calcium deposits in the bursa (ICD-10 code M71.48) relies on a combination of clinical evaluation, imaging studies, and the exclusion of other potential causes. Accurate diagnosis is essential for determining the appropriate management and treatment plan for affected patients. If you suspect this condition, it is advisable to consult a healthcare professional for a thorough assessment and diagnosis.

Calcium deposits in the bursa, classified under ICD-10 code M71.48, can lead to significant discomfort and functional impairment. This condition, often referred to as calcific bursitis, typically occurs when calcium pyrophosphate crystals accumulate in the bursa, resulting in inflammation and pain. Here’s a detailed overview of standard treatment approaches for this condition.

Understanding Calcific Bursitis

Calcific bursitis is characterized by the deposition of calcium salts in the bursa, which are small, fluid-filled sacs that cushion bones, tendons, and muscles near joints. The condition can affect various sites in the body, but it is most commonly seen in the shoulder, elbow, and hip regions. Symptoms often include localized pain, swelling, and reduced range of motion in the affected area.

Standard Treatment Approaches

1. Conservative Management

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

• Rest and Activity Modification: Patients are advised to avoid activities that exacerbate the pain. Resting the affected joint can help reduce inflammation and allow healing.

• Ice Therapy: Applying ice packs to the affected area for 15-20 minutes several times a day can help alleviate pain and reduce swelling.

• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter medications such as ibuprofen or naproxen can be effective in managing pain and inflammation associated with calcific bursitis[1].

2. Physical Therapy

Physical therapy plays a crucial role in the rehabilitation of patients with calcific bursitis. A physical therapist may employ various techniques, including:

• Stretching and Strengthening Exercises: Tailored exercises can help improve flexibility and strengthen the muscles around the affected joint, which may alleviate pressure on the bursa.

• Ultrasound Therapy: This modality can promote healing by increasing blood flow to the affected area and reducing inflammation.

3. Injections

In cases where conservative management does not provide sufficient relief, corticosteroid injections may be considered. These injections can help reduce inflammation and pain in the bursa. In some instances, a physician may also consider injecting hyaluronic acid to lubricate the joint and improve mobility[2].

4. Extracorporeal Shock Wave Therapy (ESWT)

ESWT is a non-invasive treatment option that uses acoustic waves to promote healing in the affected area. This therapy can help break down calcium deposits and improve pain and function in patients with calcific bursitis[3].

5. Surgical Intervention

If conservative treatments fail to relieve symptoms after an extended period, surgical options may be explored. Surgical intervention typically involves:

• Bursectomy: This procedure involves the removal of the inflamed bursa to alleviate pain and restore function.

• Calcium Deposit Removal: In some cases, the surgeon may directly remove the calcium deposits from the bursa[4].

Conclusion

The management of calcific bursitis (ICD-10 code M71.48) typically begins with conservative treatment strategies, including rest, ice therapy, NSAIDs, and physical therapy. For patients who do not respond to these measures, corticosteroid injections or ESWT may be beneficial. In persistent cases, surgical options may be necessary. It is essential for patients to work closely with their healthcare providers to determine the most appropriate treatment plan based on their specific condition and response to initial therapies.

References

1. National Institutes of Health. (2023). Nonsteroidal Anti-Inflammatory Drugs (NSAIDs).
2. American Academy of Orthopaedic Surgeons. (2023). Corticosteroid Injections for Joint Pain.
3. Journal of Orthopaedic Research. (2023). Efficacy of Extracorporeal Shock Wave Therapy in Calcific Bursitis.
4. Mayo Clinic. (2023). Surgical Options for Bursitis.