The patient is a 17-year-old male who was struck on the elbow by another player’s stick while playing hockey. He is found to have a fracture of the olecranon process. The patient was brought to the OR, anesthetized and intubated. The right upper extremity was prepped with Betadine scrub and draped free in the usual sterile orthopedic manner. The arm was then elevated and exsanguinated and the tourniquet inflated to 250 mm/Hg. A five-inch incision was made with the scalpel on the extensor side of the elbow, beginning distally and proceeding in an oblique fashion up the proximal forearm. Dissection was carried through subcutaneous tissue and fascia, and bleeding was controlled with electrocautery. We then subperiosteally exposed the proximal ulna and olecranon to visualize the fracture site. The fracture could be seen at the base of the olecranon process. We irrigated the site thoroughly and reduced the fracture fragments without difficulty. Extending the elbow, we inserted two smooth K-wires across the fracture site. Through a drill hole in the proximal ulnar shaft, we threaded an 18-gauge wire through it and wrapped it around the K-wires in a figure-of-eight manner to further stabilize the fixation. Wires were then twisted and placed into soft tissues. The K-wires in the olecranon were advanced slightly after being bent and cut. Sterile dressing was applied and the patient was placed in a splint. What CPT® code is reported? a. 24635-RT b. 24685-RT c. 24586-RT d. 24675-RT

A patient is seen in the hospital’s outpatient surgical area with a diagnosis of a displaced fracture of the lateral condyle, right elbow. An ORIF (open reduction) procedure was performed and included the following techniques: An incision was made in the area of the lateral epicondyle. This was carried through subcutaneous tissue, and the fracture site was easily exposed. Inspection revealed the fragment to be rotated in two places about 90 degrees. It was possible to manually reduce this quite easily, and the manipulation resulted in an almost anatomic reduction. This was fixed with two pins driven across the humerus. The pins were cut off below skin level. The wound was closed with plain catgut subcutaneously and 5-0 nylon for the skin. Dressings and a long arm cast were applied. What CPT® and ICD-10-CM codes are reported? a. 24579-RT, 29065-51-RT, S42.434B b. 24575-RT, S42.434B c. 24579-RT, S42.451A d. 24577-RT, S42.451A

While walking to class on an icy winter morning, a student slips and falls on her outstretched hand. The intense pain forces her to go to the emergency room. After X-rays of her wrist are taken, the attending says," You were lucky, there is no Colles' nor scaphoid fractures, but you have dislocated the middle carpal bone of the proximal row." Which bone was dislocated?

Based on the definition provided by the National Center for Catastrophic Sports Injury Research (NCCSIR), a broken arm is considered as a catastrophic injury and must be reported to UIL. True False

A 6-year-old male suffered a fracture after falling off the monkey bars at school. He fell on an outstretched hand and suffered a transcondylar fracture of the left humerus. After prep and drape, a manipulation was done to achieve anatomic reduction. Once the joint was adequately reduced, pins were placed through the skin distally and proximally into the bone to maintain excellent fixation and anatomic reduction. The pins were bent, trimmed and covered with a sterile dressing and a posterior splint was placed on the patient’s arm. What CPT® code is reported? a. 24546-LT b. 24530-LT c. 24538-LT d. 24516-LT

A type of sports injury wherein the bone ends are pushed out of the joint capsule.*fracturedislocationconcussionsprain