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CONDITION/DISORDER SYNONYMS

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  • Hip arthritis

  • Hip degenerative joint disease

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ICD-9-CM CODES

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  • 715 Osteoarthrosis and allied disorders

  • 715.15 Osteoarthrosis localized primary involving pelvic region and thigh

  • 715.25 Osteoarthrosis localized secondary involving pelvic region and thigh

  • 715.35 Osteoarthrosis localized not specified whether primary or secondary involving pelvic region and thigh

  • 715.9 Osteoarthrosis unspecified whether generalized or localized

  • 715.95 Osteoarthrosis unspecified whether generalized or localized involving pelvic region and thigh

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ICD-10-CM CODES

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  • M16.10 Unilateral primary osteoarthritis, unspecified hip

  • M16.7 Other unilateral secondary osteoarthritis of hip

  • M16.9 Osteoarthritis of hip, unspecified

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PREFERRED PRACTICE PATTERNS

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  • 4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated With Connective Tissue Dysfunction1

  • 4F: Impaired Joint Mobility, Motor Function, Muscle Performance, Range of Motion, and Reflex Integrity Associated with Spinal Disorders2

  • 4H: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Joint Arthroplasty3

  • 4I: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Bony or Soft Tissue Surgery4

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PATIENT PRESENTATION

Patient is a 58-year-old male with insidious onset of groin pain on the right that has worsen over the years. It bothers him with walking, squatting, and going up and down stairs. He has an x-ray that showed arthritis. He has no complaints of low back pain. There is no other prevalent PMH.

Patient has limited hip range of motion (ROM) on the right with marked limitation in internal rotation. General weakness of all hip musculature 4/5 except adductors are 5/5. Sensation is intact and patient has capsular tightness. States when the hip is “acting up” his walking changes. Today, he has decreased stance time on the right with a wide gait pattern and bilateral decreased step length.

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FIGURE 186-1

Frontal view of the right hip in a 59-year-old woman with renal failure and a long history of hemodialysis who was seen in the emergency department having experienced 2 days of intense right hip pain and fever. She had a fall 8 days ago. She has substantial limitation of motion in the right hip on physical examination. (From Chen MYM, Pope TL, Ott DJ. Basic Radiology. 2nd ed. http://www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)

Graphic Jump Location
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KEY FEATURES

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Description
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  • Most common form of arthritis

  • Degenerative

  • Commonly affects hip and knee joints (weight-bearing joints)

  • May also affect spinal facet joints

  • Associated with increased age, obesity, female sex, race/ethnicity

  • Associated with abnormal loading of joints

  • Characterized by joint pain

  • Arthrosis

  • Osteoarthrosis

  • Degenerative joint disease

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Essentials of Diagnosis
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  • Radiography is standard method for diagnosis

  • Kellgren and Lawrence (KL) grade ≥ 2 (definite radiographic osteoarthritis [OA])5

  • Osteophytes, joint-space narrowing, ...

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