i just passed the exam (go me!) but i'm having trouble on this CPT and ICD-9. here's the op report:
PREOP DX: Salter-Harris type 2 fracture of the right lower extremity, distal tibia and fibula with external rotation.
POST OP DX: same.
PROCEDURE: closed reduction and application of sugar tong splint under conscious sedation anesthesia.
PROCEDURE IN DETAIL: the patient underwent a closed reduction. there was an audible and palpable click of reduction as longitudinal traction was placed and internal rotation was placed. good stability was noticed, and the leg appeared symmetric with the opposite side. check radiograph at this point showed good reduction, especially on the lateral view. again the previous displacement was very subtle on the plain films,. but there was definitely clinically symmetric malpositioning of the foot compared with the opposite side. A well-padded, well-molded sugar tong splint with the foot held with anterior traction and internal rotation well. He will be dismissed later this evening.
??
PREOP DX: Salter-Harris type 2 fracture of the right lower extremity, distal tibia and fibula with external rotation.
POST OP DX: same.
PROCEDURE: closed reduction and application of sugar tong splint under conscious sedation anesthesia.
PROCEDURE IN DETAIL: the patient underwent a closed reduction. there was an audible and palpable click of reduction as longitudinal traction was placed and internal rotation was placed. good stability was noticed, and the leg appeared symmetric with the opposite side. check radiograph at this point showed good reduction, especially on the lateral view. again the previous displacement was very subtle on the plain films,. but there was definitely clinically symmetric malpositioning of the foot compared with the opposite side. A well-padded, well-molded sugar tong splint with the foot held with anterior traction and internal rotation well. He will be dismissed later this evening.
??