ICD-10: M76.4

Tibial collateral bursitis, also known as Pellegrini-Stieda syndrome, is a condition characterized by inflammation of the bursa located near the tibial collateral ligament of the knee. This condition is classified under the ICD-10 code M76.4, which specifically pertains to tibial collateral bursitis.

Clinical Description

Definition

Tibial collateral bursitis refers to the inflammation of the bursa that lies adjacent to the tibial collateral ligament, which is crucial for stabilizing the knee joint. The bursa serves as a cushion, reducing friction between the ligament and the surrounding tissues during movement.

Etiology

The condition can arise from various factors, including:
- Overuse: Repetitive activities that place stress on the knee, such as running or jumping, can lead to inflammation.
- Trauma: Direct injury to the knee, such as a fall or impact, may also trigger bursitis.
- Underlying Conditions: Conditions like osteoarthritis or rheumatoid arthritis can predispose individuals to bursitis due to joint inflammation.

Symptoms

Patients with tibial collateral bursitis typically present with:
- Localized Pain: Pain on the inner side of the knee, which may worsen with activity.
- Swelling: Noticeable swelling around the knee joint.
- Stiffness: Reduced range of motion in the knee, particularly after periods of inactivity.
- Tenderness: Sensitivity to touch over the affected area.

Diagnosis

Diagnosis is primarily clinical, based on the patient's history and physical examination. Imaging studies, such as ultrasound or MRI, may be utilized to confirm the diagnosis and rule out other conditions, such as ligament tears or meniscal injuries.

ICD-10 Code Details

Code Breakdown

• ICD-10 Code: M76.4
• Full Description: Tibial collateral bursitis [Pellegrini-Stieda]
• Related Codes:
• M76.40: Unspecified tibial collateral bursitis
• M76.46: Tibial collateral bursitis of the lower leg

Classification

The M76.4 code falls under the broader category of "Enthesopathies of the lower limb," which includes various conditions affecting the sites where tendons or ligaments attach to bone. This classification helps in understanding the underlying mechanisms and potential treatment approaches for the condition.

Treatment Options

Conservative Management

Initial treatment typically involves conservative measures, including:
- Rest: Avoiding activities that exacerbate symptoms.
- Ice Therapy: Applying ice packs to reduce swelling and pain.
- Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Medications like ibuprofen can help alleviate pain and inflammation.

Physical Therapy

Physical therapy may be recommended to strengthen the muscles around the knee and improve flexibility, which can help prevent recurrence.

Invasive Treatments

In cases where conservative management fails, more invasive options may be considered, such as:
- Corticosteroid Injections: To reduce inflammation directly in the bursa.
- Surgery: Rarely, surgical intervention may be necessary to remove the inflamed bursa.

Conclusion

Tibial collateral bursitis, classified under ICD-10 code M76.4, is a condition that can significantly impact knee function and quality of life. Early diagnosis and appropriate management are crucial for effective recovery and prevention of further complications. Understanding the clinical presentation, diagnostic criteria, and treatment options is essential for healthcare providers in managing this condition effectively.

Tibial collateral bursitis, also known as Pellegrini-Stieda syndrome, is a condition characterized by inflammation of the bursa located near the tibial collateral ligament of the knee. This condition can lead to significant discomfort and functional impairment. Below is a detailed overview of the clinical presentation, signs, symptoms, and patient characteristics associated with ICD-10 code M76.4.

Clinical Presentation

Definition and Etiology

Tibial collateral bursitis occurs when the bursa, a small fluid-filled sac that reduces friction between tissues, becomes inflamed. This inflammation can result from repetitive stress, trauma, or underlying conditions such as osteoarthritis or rheumatoid arthritis. Pellegrini-Stieda syndrome specifically refers to the calcification or ossification of the ligament due to chronic inflammation, which can complicate the clinical picture.

Patient Characteristics

Patients with tibial collateral bursitis often share certain characteristics:
- Age: Typically affects middle-aged to older adults, although it can occur in younger individuals, especially athletes.
- Activity Level: More common in individuals engaged in activities that involve repetitive knee motion, such as runners, cyclists, or those involved in sports requiring frequent knee bending.
- Medical History: A history of knee injuries, osteoarthritis, or inflammatory joint diseases may predispose individuals to this condition.

Signs and Symptoms

Common Symptoms

Patients with tibial collateral bursitis may experience a range of symptoms, including:
- Localized Pain: Pain is usually felt on the inner side of the knee, which may worsen with activity or prolonged sitting.
- Swelling: There may be noticeable swelling over the medial aspect of the knee due to fluid accumulation in the bursa.
- Stiffness: Patients often report stiffness in the knee, particularly after periods of inactivity or upon waking.
- Tenderness: The area around the bursa may be tender to touch, and palpation can elicit pain.

Signs on Examination

During a physical examination, healthcare providers may observe:
- Swelling and Warmth: The affected area may appear swollen and warm to the touch, indicating inflammation.
- Limited Range of Motion: Patients may exhibit a reduced range of motion in the knee joint, particularly in flexion and extension.
- Crepitus: A grating sensation may be felt during movement, which can indicate underlying joint issues.

Diagnostic Considerations

Diagnosis of tibial collateral bursitis typically involves a combination of clinical evaluation and imaging studies. Healthcare providers may use:
- Ultrasound: To assess the presence of fluid in the bursa and evaluate the surrounding structures.
- MRI: To provide detailed images of the knee joint and identify any associated injuries or conditions.

Conclusion

Tibial collateral bursitis (Pellegrini-Stieda syndrome) presents with characteristic symptoms such as localized pain, swelling, and stiffness around the knee. Understanding the clinical presentation and patient characteristics is crucial for accurate diagnosis and effective management. Treatment often involves conservative measures such as rest, ice, anti-inflammatory medications, and physical therapy, with surgical options considered in chronic or severe cases. Early recognition and intervention can significantly improve patient outcomes and quality of life.

Tibial collateral bursitis, also known as Pellegrini-Stieda syndrome, is a condition characterized by inflammation of the bursa located near the tibial collateral ligament of the knee. The ICD-10 code for this condition is M76.4. Below are alternative names and related terms associated with this diagnosis.

Alternative Names

1. Pellegrini-Stieda Disease: This term is often used interchangeably with tibial collateral bursitis, emphasizing the condition's association with the Pellegrini-Stieda phenomenon, which involves calcification or ossification of the bursa.

2. Tibial Collateral Ligament Bursitis: This name highlights the specific location of the bursitis, indicating that it affects the bursa associated with the tibial collateral ligament.

3. Medial Knee Bursitis: This term refers to the location of the bursitis on the medial (inner) side of the knee, where the tibial collateral ligament is situated.

4. Chronic Medial Knee Pain: While not a direct synonym, this term is often used in clinical settings to describe the symptoms associated with tibial collateral bursitis.

Related Terms

1. Bursitis: A general term for inflammation of a bursa, which can occur in various locations throughout the body, including the knee.

2. Tibial Bursitis: A broader term that may refer to inflammation of any bursa located in the tibial region, not limited to the collateral ligament.

3. Knee Pain: A common symptom associated with tibial collateral bursitis, often leading to its diagnosis.

4. Calcific Bursitis: This term may be used when there is calcification present in the bursa, which can occur in chronic cases of tibial collateral bursitis.

5. Medial Collateral Ligament Injury: While this refers specifically to ligament injuries, it is often related to bursitis in the same region, as both can occur due to similar mechanisms of injury.

Understanding these alternative names and related terms can help in recognizing and diagnosing tibial collateral bursitis more effectively, as well as in communicating about the condition in clinical settings. If you have further questions or need more detailed information, feel free to ask!

Tibial collateral bursitis, also known as Pellegrini-Stieda syndrome, is a condition characterized by inflammation of the bursa located near the tibial collateral ligament of the knee. The diagnosis of this condition, which corresponds to the ICD-10 code M76.4, involves several criteria and clinical evaluations. Below are the key diagnostic criteria and considerations:

Clinical Presentation

1. Symptoms: Patients typically present with localized pain and swelling around the medial aspect of the knee. The pain may worsen with activity or pressure on the area, and there may be associated stiffness or limited range of motion in the knee joint.

2. Physical Examination: A thorough physical examination is crucial. The clinician will assess for tenderness over the tibial collateral ligament and the bursa, as well as any signs of swelling or warmth in the area. Special tests may be performed to evaluate the integrity of the ligament and the presence of bursitis.

Imaging Studies

1. Ultrasound: This imaging modality can be particularly useful in visualizing the bursa and assessing for fluid accumulation or thickening of the bursal wall, which are indicative of bursitis.

2. MRI: Magnetic Resonance Imaging can provide detailed images of the knee structures, including the bursa, ligaments, and surrounding soft tissues. It can help confirm the diagnosis by showing inflammation or other changes associated with tibial collateral bursitis.

Differential Diagnosis

1. Exclusion of Other Conditions: It is essential to differentiate tibial collateral bursitis from other potential causes of medial knee pain, such as meniscal tears, ligament injuries, or osteoarthritis. A comprehensive history and physical examination, along with imaging studies, can help rule out these conditions.

2. Chronicity: The duration of symptoms can also play a role in diagnosis. Chronic cases may present with more pronounced changes on imaging studies compared to acute presentations.

Laboratory Tests

While laboratory tests are not typically required for the diagnosis of tibial collateral bursitis, they may be used to rule out other inflammatory or infectious conditions if indicated by the clinical scenario.

Conclusion

In summary, the diagnosis of tibial collateral bursitis (ICD-10 code M76.4) is based on a combination of clinical symptoms, physical examination findings, and imaging studies. A thorough assessment is necessary to confirm the diagnosis and differentiate it from other knee pathologies. If you suspect you have this condition, consulting a healthcare professional for a comprehensive evaluation is recommended.

Tibial collateral bursitis, also known as Pellegrini-Stieda syndrome, is characterized by inflammation of the bursa located near the tibial collateral ligament of the knee. This condition can lead to pain, swelling, and limited mobility in the affected knee. The ICD-10 code for this condition is M76.4. Here, we will explore standard treatment approaches for managing tibial collateral bursitis.

Understanding Tibial Collateral Bursitis

Tibial collateral bursitis often results from repetitive stress, trauma, or underlying conditions such as arthritis. The inflammation of the bursa can cause discomfort and restrict movement, making effective treatment essential for recovery.

Standard Treatment Approaches

1. Conservative Management

Most cases of tibial collateral bursitis can be effectively managed with conservative treatment options:

• Rest: Reducing activities that exacerbate the condition is crucial. Patients are advised to avoid high-impact activities and prolonged standing or kneeling.

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

• Compression: Using elastic bandages or knee sleeves can provide support and minimize swelling.

• Elevation: Keeping the leg elevated can help reduce swelling, especially after activities.

2. Medications

• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter medications such as ibuprofen or naproxen can help relieve pain and reduce inflammation.

• Corticosteroid Injections: In cases where pain persists despite conservative measures, corticosteroid injections into the bursa may be considered to provide more immediate relief.

3. Physical Therapy

Engaging in physical therapy can be beneficial for rehabilitation. A physical therapist may design a program that includes:

• Strengthening Exercises: Focused on the muscles around the knee to improve stability and support.

• Stretching Exercises: To enhance flexibility and reduce tension in the surrounding muscles.

• Manual Therapy: Techniques to improve joint mobility and reduce pain.

4. Activity Modification

Patients are often advised to modify their activities to prevent recurrence. This may include:

• Avoiding High-Impact Sports: Switching to low-impact activities such as swimming or cycling.

• Using Proper Footwear: Supportive shoes can help reduce stress on the knee.

5. Surgical Intervention

In rare cases where conservative treatments fail, surgical options may be considered. This could involve:

• Bursa Removal: If the bursa remains inflamed and symptomatic, surgical excision may be performed.

• Repair of Associated Structures: If there are concurrent injuries to ligaments or cartilage, these may also be addressed during surgery.

Conclusion

Tibial collateral bursitis, or Pellegrini-Stieda syndrome, can significantly impact a patient's quality of life, but with appropriate treatment, most individuals can achieve relief and return to their normal activities. Conservative management, including rest, ice, medications, and physical therapy, forms the cornerstone of treatment. In persistent cases, more invasive options may be explored. It is essential for patients to work closely with healthcare providers to tailor a treatment plan that addresses their specific needs and promotes recovery.