cwilson3333
Expert
NEED HELP CODING THIS PROCEDURE
Title: Arthroscopy, Decompression, Graftlink Dermal Allograft to Supraspinatour tendon
Description o Procedure:
The patient ws taken to the OR , placed in supine position afte induction of block. Place in beach chair position. Right shoulde ws prepped and draped in usual sterile fashion. Glenohumeral joint infiltrated with 50 ml. normal saline. Posterior portal made and arthroscope placed into glenohumeral joint posterior portal. Anterior portal was made under direct vision at rotator cuff interaval, shoulder examined. The subscap tendon was normal. Long head of biceps normal as was the detachment of the superior labrum. Undersurface of supraspinatus and infraspinatus tendons had fairly minimal changes, no significant tearing. Scope placed in subacromial space. Lateral portal was made. A bur was placed in lateral portal. Soft tissue was taken off undersurface of acromion. Decompression performed with use of bur. 3 mm bone removed anteriorly and gently contoured posteriorly. Bursectomy performed on bursal sideto expose supraspinatus tendon. No obvious tearing. Some Fraying. Synovectomy performed and thorough debridement of all the bursa in the supraspinatus tendon as well as laterla to this along the proximal humerus. Total of 4 portals were made. The GraftLing graft was then placed through a lateral portal throug a PassPort. Four Fibertaks were placed to secure the graft. The shoulder was drained. Portals were closed with 3-0 Monocryl sucuticular suture. Benzoin and Steri-Strips were placed followed by sterline dressing, a sling and swath. Patient was extubated and transferred in stable condition.
Title: Arthroscopy, Decompression, Graftlink Dermal Allograft to Supraspinatour tendon
Description o Procedure:
The patient ws taken to the OR , placed in supine position afte induction of block. Place in beach chair position. Right shoulde ws prepped and draped in usual sterile fashion. Glenohumeral joint infiltrated with 50 ml. normal saline. Posterior portal made and arthroscope placed into glenohumeral joint posterior portal. Anterior portal was made under direct vision at rotator cuff interaval, shoulder examined. The subscap tendon was normal. Long head of biceps normal as was the detachment of the superior labrum. Undersurface of supraspinatus and infraspinatus tendons had fairly minimal changes, no significant tearing. Scope placed in subacromial space. Lateral portal was made. A bur was placed in lateral portal. Soft tissue was taken off undersurface of acromion. Decompression performed with use of bur. 3 mm bone removed anteriorly and gently contoured posteriorly. Bursectomy performed on bursal sideto expose supraspinatus tendon. No obvious tearing. Some Fraying. Synovectomy performed and thorough debridement of all the bursa in the supraspinatus tendon as well as laterla to this along the proximal humerus. Total of 4 portals were made. The GraftLing graft was then placed through a lateral portal throug a PassPort. Four Fibertaks were placed to secure the graft. The shoulder was drained. Portals were closed with 3-0 Monocryl sucuticular suture. Benzoin and Steri-Strips were placed followed by sterline dressing, a sling and swath. Patient was extubated and transferred in stable condition.