ICD-10: M76.41

Tibial collateral bursitis, specifically referred to as Pellegrini-Stieda syndrome, is a condition characterized by inflammation of the bursa located near the tibial collateral ligament in the knee. The ICD-10 code for this condition is M76.41, which specifically denotes tibial collateral bursitis in the right leg. 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 and refers to the same condition characterized by calcification or ossification of the bursa.
2. Tibial Collateral Ligament Bursitis: This name emphasizes the anatomical location of the bursitis in relation to the tibial collateral ligament.
3. Medial Knee Bursitis: This term highlights the medial aspect of the knee where the bursitis occurs.
4. Knee Bursitis: A more general term that can refer to inflammation of any bursa in the knee, but can be contextually understood to refer to tibial collateral bursitis when specified.

Related Terms

1. Bursitis: A general term for inflammation of a bursa, which can occur in various locations throughout the body.
2. Tendonitis: While not the same condition, tendonitis can occur in conjunction with bursitis, particularly in the knee region.
3. Calcific Bursitis: Refers to the presence of calcium deposits in the bursa, which can be a feature of Pellegrini-Stieda syndrome.
4. Chronic Knee Pain: A broader term that may encompass symptoms associated with tibial collateral bursitis.
5. Medial Compartment Syndrome: This term may be used in discussions of knee pain and conditions affecting the medial side of the knee, including bursitis.

Conclusion

Understanding the alternative names and related terms for ICD-10 code M76.41 can aid in better communication among healthcare professionals and enhance patient education. Recognizing these terms can also assist in accurate diagnosis and treatment planning for individuals experiencing symptoms associated with tibial collateral bursitis. If you have further questions or need additional 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 in the knee. This condition is often associated with pain and swelling on the inner side of the knee, particularly affecting the right leg when coded as M76.41 in the ICD-10 classification system.

Clinical Description

Definition

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 arthritis. Pellegrini-Stieda syndrome specifically refers to the calcification or ossification of the tibial collateral ligament, which can occur alongside bursitis, leading to additional pain and functional impairment.

Symptoms

Patients with tibial collateral bursitis may experience:
- Localized Pain: Pain is typically felt on the medial (inner) side of the knee, which may worsen with activity or prolonged sitting.
- Swelling: There may be noticeable swelling around the knee joint.
- Stiffness: Patients often report stiffness, particularly after periods of inactivity.
- Reduced Range of Motion: Difficulty in fully extending or flexing the knee may be observed.

Diagnosis

Diagnosis of tibial collateral bursitis involves a combination of clinical evaluation and imaging studies. Physicians typically perform a physical examination to assess tenderness, swelling, and range of motion. Imaging techniques such as ultrasound or MRI may be utilized to visualize the bursa and surrounding structures, confirming inflammation or any associated calcifications.

ICD-10 Code Details

Code M76.41

The ICD-10 code M76.41 specifically designates "Tibial collateral bursitis [Pellegrini-Stieda], right leg." This code falls under the broader category of bursitis and is part of the M76 group, which encompasses various conditions related to bursitis and tendinopathy.

Coding Guidelines

• Use of Code: This code should be used when documenting cases of tibial collateral bursitis affecting the right leg, ensuring accurate representation of the patient's condition for billing and treatment purposes.
• Related Codes: Other related codes may include M76.40 for the left leg or M76.42 for bilateral involvement, depending on the patient's presentation.

Treatment Options

Conservative Management

Initial treatment typically involves conservative measures, including:
- Rest: Reducing activities that exacerbate symptoms.
- Ice Therapy: Applying ice packs to reduce swelling and pain.
- Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Medications such as 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 aid in recovery and prevent future episodes.

Invasive Procedures

In cases where conservative management fails, more invasive treatments may be considered, such as:
- Corticosteroid Injections: To reduce inflammation directly in the bursa.
- Surgical Intervention: Rarely, surgery may be necessary to remove the inflamed bursa or address any underlying structural issues.

Conclusion

Tibial collateral bursitis (Pellegrini-Stieda) is a significant condition that can impact mobility and quality of life. Accurate coding with ICD-10 code M76.41 is essential for effective treatment planning and insurance reimbursement. Understanding the clinical presentation, diagnostic criteria, and treatment options is crucial for healthcare providers managing this condition.

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 often associated with pain and swelling, and it can significantly impact a patient's mobility and quality of life. Below is a detailed overview of the clinical presentation, signs, symptoms, and patient characteristics associated with ICD-10 code M76.41, which specifically refers to tibial collateral bursitis of the right leg.

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 various factors, including repetitive stress, trauma, or underlying conditions such as osteoarthritis or rheumatoid arthritis. Pellegrini-Stieda syndrome may also be associated with calcification of the ligament due to chronic inflammation.

Common Patient Characteristics

• Age: Typically affects adults, particularly those aged 30-60 years.
• Activity Level: More common in individuals engaged in activities that involve repetitive knee movements, such as athletes or manual laborers.
• Gender: May have a slight male predominance, although both genders can be affected.

Signs and Symptoms

Pain

• Location: Patients often report localized pain on the medial aspect of the knee, specifically around the tibial collateral ligament.
• Nature of Pain: The pain may be sharp or aching and can worsen with activity or prolonged standing.

Swelling

• Edema: Swelling may be observed around the knee joint, particularly on the inner side, due to fluid accumulation in the bursa.
• Warmth and Redness: The affected area may exhibit warmth and redness, indicating inflammation.

Limited Range of Motion

• Stiffness: Patients may experience stiffness in the knee, particularly after periods of inactivity or upon waking.
• Difficulty with Movement: There may be difficulty in fully extending or flexing the knee, impacting daily activities.

Other Symptoms

• Tenderness: The area over the bursa may be tender to touch.
• Crepitus: Some patients may report a grinding sensation during knee movement, which can be indicative of underlying joint issues.

Diagnostic Considerations

Clinical Examination

• A thorough physical examination is essential to assess the range of motion, tenderness, and swelling.
• The physician may perform specific tests to evaluate the integrity of the tibial collateral ligament and the presence of bursitis.

Imaging Studies

• Ultrasound or MRI: These imaging modalities can help visualize the bursa and assess for inflammation or other associated conditions, such as ligament tears or joint effusion.

Conclusion

Tibial collateral bursitis (Pellegrini-Stieda syndrome) is a condition that can significantly affect an individual's knee function and overall quality of life. Understanding the clinical presentation, signs, symptoms, and patient characteristics is crucial for accurate diagnosis and effective management. Early intervention, including rest, physical therapy, and possibly corticosteroid injections, can help alleviate symptoms and restore function. If you suspect you or someone you know may be experiencing these symptoms, consulting a healthcare professional for a comprehensive evaluation is recommended.

Tibial collateral bursitis, also known as Pellegrini-Stieda syndrome, is a condition characterized by inflammation of the bursa located near the tibial collateral ligament in the knee. The diagnosis of this condition, particularly for the ICD-10 code M76.41, involves several criteria and considerations.

Diagnostic Criteria for Tibial Collateral Bursitis

Clinical Evaluation

1. Patient History: A thorough medical history is essential. The clinician will inquire about:
   - Symptoms such as pain, swelling, and tenderness around the knee.
   - Any history of trauma or repetitive stress to the knee joint.
   - Previous knee injuries or surgeries that may contribute to the current condition.

2. Physical Examination: The physical exam typically includes:
   - Inspection for swelling or deformity around the knee.
   - Palpation to identify tenderness over the tibial collateral ligament and bursa.
   - Assessment of range of motion and stability of the knee joint.

Imaging Studies

1. X-rays: While X-rays may not show bursitis directly, they can help rule out other conditions such as fractures or osteoarthritis. In cases of Pellegrini-Stieda syndrome, X-rays may reveal calcification near the tibial collateral ligament.

2. Ultrasound or MRI: These imaging modalities are more definitive for diagnosing bursitis. They can visualize:
   - Fluid accumulation in the bursa.
   - Inflammation or thickening of the bursal lining.
   - Any associated soft tissue changes or injuries.

Laboratory Tests

• Blood Tests: While not routinely used for diagnosing bursitis, blood tests may be conducted to rule out inflammatory conditions or infections if the clinical picture suggests such possibilities.

Differential Diagnosis

It is crucial to differentiate tibial collateral bursitis from other conditions that may present similarly, such as:
- Medial meniscus tears.
- Ligament injuries.
- Osteoarthritis.
- Gout or pseudogout.

Conclusion

The diagnosis of tibial collateral bursitis (Pellegrini-Stieda syndrome) for the ICD-10 code M76.41 relies on a combination of patient history, physical examination, imaging studies, and, when necessary, laboratory tests. Accurate diagnosis is essential for effective management and treatment of the condition, which may include conservative measures such as rest, ice, compression, elevation (RICE), physical therapy, or, in some cases, corticosteroid injections to reduce inflammation.

Tibial collateral bursitis, also known as Pellegrini-Stieda syndrome, is a condition characterized by inflammation of the bursa located near the tibial collateral ligament in the knee. This condition can lead to pain, swelling, and limited mobility in the affected leg. The ICD-10 code for this condition is M76.41, specifically indicating it occurs in the right leg. Here, we will explore standard treatment approaches for this condition.

Understanding Tibial Collateral Bursitis

What is Pellegrini-Stieda Syndrome?

Pellegrini-Stieda syndrome is associated with chronic inflammation of the bursa, which can result from repetitive stress, trauma, or underlying conditions such as osteoarthritis. The bursa serves as a cushion between bones and soft tissues, and when inflamed, it can cause significant discomfort and functional impairment.

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 pain is crucial. Patients are often advised to avoid high-impact activities and prolonged standing or walking.

• 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 an elastic bandage or compression wrap can help minimize swelling and provide support to the knee.

• Elevation: Keeping the leg elevated can assist in reducing swelling, especially after activities that may aggravate the condition.

2. Medications

• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter medications such as ibuprofen or naproxen can help reduce pain and inflammation. In some cases, a physician may prescribe stronger anti-inflammatory medications.

• Corticosteroid Injections: If conservative measures are insufficient, corticosteroid injections into the bursa may be considered to provide more immediate relief from inflammation and pain.

3. Physical Therapy

Engaging in physical therapy can be beneficial for rehabilitation. A physical therapist may develop a tailored exercise program focusing on:

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

• Stretching: Enhancing flexibility in the surrounding muscles and tendons to reduce strain on the bursa.

• Manual Therapy: Techniques such as massage or mobilization may be employed to alleviate pain and improve function.

4. Surgical Intervention

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

• Bursectomy: Removal of the inflamed bursa if it is causing persistent symptoms.

• Repair of Associated Structures: If there are concurrent injuries to ligaments or cartilage, surgical repair may be necessary.

Conclusion

Tibial collateral bursitis (Pellegrini-Stieda syndrome) can significantly impact a patient's quality of life, but with appropriate treatment, most individuals can achieve relief and regain function. Conservative management, including rest, ice, compression, and medications, is typically the first line of treatment. Physical therapy plays a crucial role in rehabilitation, while surgical options are reserved for cases that do not respond to conservative measures. If you suspect you have this condition, consulting a healthcare professional for a tailored treatment plan is essential.