ICD 10 CM M21.23 | Description & Clinical Information

ICD 10 M21.23 describes a medical condition characterized by the inability to straighten the wrist due to the shortening or contraction of muscles, tendons, and ligaments caused by various factors such as bone disease, arthritis, poliomyelitis, and prolonged immobility of the extremity due to spinal injury or disease.

Official Description Of M21.23

The ICD 10 CM book defines ICD 10 code M21.23 as:

Flexion deformity, wrist
Parent Code Notes: M21

Excludes1: acquired absence of limb (Z89.-)
congenital absence of limbs (Q71-Q73)
congenital deformities and malformations of limbs (Q65-Q66, Q68-Q74)

Excludes2: acquired deformities of fingers or toes (M20.-)
coxa plana (M91.2)

When To Use M21.23

The diagnosis describes by ICD-10-CM M21.23 is a flexion deformity of the wrist that can result in various complications such as joint pain, bone destruction, stiffness, and fusion of a joint. This condition is a medical concern that requires proper attention to prevent further damage and to effectively manage symptoms.

Medical providers use different methods to diagnose the condition, beginning with assessing the patient’s history and physical examination. During the physical examination, the physician may perform muscle strength and joint range of motion tests to determine the severity of the patient’s condition. X-rays are also often conducted to provide a clear picture of the joint, identify any deformities or bone destruction, and help with planning the appropriate management.

Once the diagnosis of flexion deformity of the wrist is confirmed, the medical team will plan the appropriate treatment method. Treatment options for this condition include active range of motion exercises that improve and strengthen the muscles around the wrist. Passive range of motion exercises can help move the affected joint, which is also beneficial in preventing the fusion of a joint.

Physical therapy and the application of an orthosis are also common management methods for this condition. An orthosis, commonly known as a wrist splint, aids in stabilizing the flexion of the affected wrist, decreasing the pain and allowing proper alignment of the bones in the wrist joint. Additionally, doctors may recommend the application of nonsteroidal anti-inflammatory drugs or other pain-relieving medications to help alleviate any symptoms or pain the patient may experience.

Severe cases of flexion deformity of the wrist may require surgery to correct the deformity, improve joint mobility, and reduce pain. During the surgery, the medical team will examine the bones and soft tissue around the affected joint and perform any repairs or adjustments necessary. In some cases, a joint replacement may also be an option to consider.

In conclusion, the diagnosis of flexion deformity of the wrist is a concerning medical condition that can lead to multiple complications if left untreated. Effective management of the condition is essential to reduce pain, restore the range of motion for the affected joint, and prevent the occurrence of further complications. With appropriate diagnosis and a tailored treatment plan, individuals affected by this condition can effectively manage it and return to their daily activities.

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