Name of the Condition

• Other Specified Disorders of Tendon, Right Shoulder
• ICD-10 Code: M67.813

Summary

Other specified disorders of tendon, right shoulder, refers to a variety of tendon pathologies that don't fit into specific predefined categories. These conditions affect the tendons connecting the muscles of the shoulder to the bones, leading to discomfort and impaired shoulder function.

Causes

• Repetitive use or overuse of the shoulder
• Acute injuries or trauma
• Age-related wear and tear of the tendon
• Inflammatory conditions such as tendinitis or bursitis

Risk Factors

• Engaging in sports that require overhead movements, such as tennis or swimming
• Occupations involving repetitive shoulder motions
• Aging, which leads to tendon degeneration
• Poor posture or ergonomic setup

Symptoms

• Pain in the right shoulder, especially with movement
• Stiffness and reduced range of motion
• Swelling or tenderness around the affected area
• Possible clicking or snapping sensation

Diagnosis

• Physical examination to assess pain, tenderness, and range of motion
• Imaging tests like ultrasound or MRI to visualize tendon abnormalities
• Sometimes, X-rays to rule out bone issues

Treatment Options

• Rest and activity modification to avoid aggravation
• Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain and inflammation
• Physical therapy to improve strength and flexibility
• Corticosteroid injections to reduce severe inflammation
• Surgery may be considered if conservative treatments fail

Prognosis and Follow-Up

• Prognosis is generally favorable with appropriate treatment and modification of activities.
• Regular follow-ups to monitor progress and adjust treatment plans as needed.

Complications

• Chronic pain if untreated
• Frozen shoulder (adhesive capsulitis) due to prolonged immobility
• Tendon rupture in severe cases

Lifestyle & Prevention

• Regular shoulder-strengthening exercises
• Proper warm-up techniques before physical activities
• Ergonomic assessment of workspaces
• Avoiding repetitive overhead activities without proper form

When to Seek Professional Help

• Severe shoulder pain that does not improve with rest
• Significant swelling or an inability to move the shoulder
• Persistent weakness or tingling down the arm

Additional Resources

• American Academy of Orthopaedic Surgeons (AAOS) website
• National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) website

Tips for Medical Coders

• Ensure the right laterality is recorded and coded correctly (right shoulder).
• Differentiate from other tendon disorders that have specific ICD codes.
• Avoid using non-specific codes when patient documentation provides adequate details.