DOCSLIB.ORG

Spinal Conditions Management and Joint Surgery Program Prior Authorization Code Matrix Applies to the Following Tufts Health Plan Products

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Spinal Conditions Management and Joint Surgery Program Prior Authorization Code Matrix Applies to the Following Tufts Health Plan Products Spinal Conditions Management and Joint Surgery Program Prior Authorization Code Matrix Applies to the following Tufts Health Plan products: ☒ Tufts Health Plan Commercial (including Tufts Health Freedom Plan)1 ☐ Tufts Medicare Preferred HMO (a Medicare Advantage product) ☐ Tufts Health Plan Senior Care Options (SCO) (a dual-eligible product) Applies to the following Tufts Health Public Plans products: ☒ Tufts Health Direct (a Massachusetts Qualified Health Plan [QHP]; a commercial product) ☒ Tufts Health Together (a MassHealth MCO Plan and Accountable Care Partnership Plans) ☒ Tufts Health RITogether (a Rhode Island Medicaid Plan) ☐ Tufts Health Unify (OneCare Plan; a dual-eligible product) Note: Audit and disclaimer information is located at the end of this document. The matrix below contains all of the CPT codes for which NIA will authorize on behalf of Tufts Health Plan. The CPT codes for interventional pain management (IPM), spinal surgery and joint surgery services are subject to prior authorization by NIA. Certain procedures, items and/or services may require referral and/or prior authorization. While you may not be the provider responsible for obtaining prior authorization, as a condition of payment you must confirm that prior authorization has been obtained. Tufts Health Plan does not compensate add-on codes (prefixed with +) if the primary procedure code has not been submitted for the same date of service. Add-on codes pertain to services performed in conjunction with a primary procedure and should never be reported as a stand-alone service. Refer to the AMA CPT manual for additional information. INTERVENTIONAL PAIN MANAGEMENT: OUTPATIENT² If a procedure from the allowable billed groupings is billed, and a valid authorization number for the corresponding authorized CPT procedure code has been issued within the date of service validity period, the service is eligible for coverage, subject to the provisions of the member’s benefit plan document. Services for IPM rendered as part of emergency department (ED) services, observation services or in a hospital inpatient setting, are not subject to prior authorization. If the billed CPT code does not match a corresponding CPT code from the allowable billed groupings, the claim will deny and the member is not responsible. Procedure Primary CPT Code Allowable Billed Groupings Cervical/thoracic interlaminar epidural 62321 62320, 62321, 64479, +64480 Cervical/thoracic transforaminal epidural 64479 62320, 62321, 64479, +64480 Lumbar/sacral interlaminar epidural 62323 62322, 62323, 64483, +64484 Lumbar/sacral transforaminal epidural 64483 62322, 62323, 64483, +64484 Cervical/thoracic facet joint block³ 64490 64490, + 64491, +64492 1 Commercial products include HMO, POS, PPO, USFHP, Tufts Health Freedom Plan, and CareLinkSM when Tufts Health Plan is the primary administrator. 2 Add-on codes do not require separate authorization and are to be used in conjunction with the approved primary code for the service rendered. 3 The following CPT codes for procedures performed with ultrasound guidance are not a covered service and are nonreimbursable: 0213T, +0214T, +0215T, 0216T, +0217T, +0218T Revised 08/2021 1 Spinal Conditions Management and Joint Surgery Program Prior Authorization Code Matrix Procedure Primary CPT Code Allowable Billed Groupings Lumbar/sacral facet joint block³ 64493 64493, +64494, +64495 Cervical/thoracic facet joint radiofrequency 64633 64633, +64634 neurolysis Lumbar/sacral facet joint radiofrequency 64635 64635, +64636 neurolysis Note: Due to the repeat nature of IPM procedures, multiple authorizations may exist within the same validity period. LUMBAR AND CERVICAL SPINE SURGERY² If a procedure from the allowable billed groupings column is billed and a valid authorization number for the corresponding authorized CPT procedure code has been issued within the date of service validity period, the service is eligible for coverage, subject to the provisions of the member’s benefit plan document. Spinal surgery services rendered as part of ED services are not subject to prior authorization. For procedures performed in an inpatient setting, inpatient notification is required from Tufts Health Plan in addition to the appropriate authorization from NIA. Spinal deformity surgery does not require prior authorization. If the billed CPT code does not match a corresponding CPT code from the allowable billed groupings column, the claim will deny and the member cannot be held responsible. Note: Spine surgeries typically have more than one CPT associated with each case and often times a decompression is performed during the fusion surgery; in these instances, both will be billed. LUMBAR SPINE SURGERY These codes do not require prior authorization. If the main surgical procedure is Authorization is provided for the primary surgery requested. approved, these codes are There are multiple CPT codes that can be associated with each procedure. understood to be These are assumed to be part of the primary surgery request and when included in completed in combination, do not require a separate prior authorization. conjunction and do not require prior authorization. Note: This is not an all-inclusive list of every ancillary code Primary Additional Primary Primary Surgery Ancillary Other Covered Surgery CPT Allowable Procedures / Procedure Procedures / Request Code Billed Codes Names Codes Groupings Lumbar 62380, 63030, 63030 Discectomy Microdiscectomy +63035 63005, 63012, 63017, 63042, Microdiscectomy: Laminectomy, Lumbar 63047 +63044, 63047, 62380, 63030, Laminotomy, Decompression +63048, 63056, +63035 Foraminotomy +63057 Revised 08/2021 2 Spinal Conditions Management and Joint Surgery Program Prior Authorization Code Matrix LUMBAR SPINE SURGERY These codes do not require prior authorization. If the main surgical procedure is Authorization is provided for the primary surgery requested. approved, these codes are There are multiple CPT codes that can be associated with each procedure. understood to be These are assumed to be part of the primary surgery request and when included in completed in combination, do not require a separate prior authorization. conjunction and do not require prior authorization. Note: This is not an all-inclusive list of every ancillary code Primary Additional Primary Primary Surgery Ancillary Other Covered Surgery CPT Allowable Procedures / Procedure Procedures / Request Code Billed Codes Names Codes Groupings Instrumentation: Microdiscectomy: +22840, +22841, 62380, 63030, +22842, +22845, +63035 +22853 ALIF, TLIF, 22533, 22558, Decompression: Bone Grafts: Lumbar Fusion PLIF, XLIF, 22612 22612, 22630, 63005, 63012, +20930, +20931, (Single Level) OLIF, Postero- 22633 63017, 63042, +20936, +20937, lateral fusion +63044, 63047, +20938 +63048, 63056, Bone Marrow +63057 Aspiration: +20939 Microdiscectomy: 62380, 63030, Instrumentation: +63035 +22840, +22841, Decompression: +22842, +22845, +22853 +22534, 63005, 63012, ALIF, TLIF, Bone Grafts: Lumbar Fusion +22585, 63017, 63042, PLIF, XLIF, 22614 +20930, +20931, (Multiple Levels) +22614, +63044, 63047, OLIF, Postero- +20936, +20937, +22632, +22634 +63048, 63056, lateral fusion +63057 +20938 Single Level Bone Marrow Fusion: 22533, Aspiration: 22558, 22612, +20939 22630, 22633 Sacroiliac joint Sacroiliac Joint arthrodesis, 27279 27279 Fusion (SIJ)4 Percutaneous SIJ Fusion 4 Effective for dates of service on or after October 1, 2021, NIA will review prior authorization requests for SIJ fusion with use of fixation devices only. Revised 08/2021 3 Spinal Conditions Management and Joint Surgery Program Prior Authorization Code Matrix CERVICAL SPINE SURGERY These codes do not require prior authorization. If the main surgical procedure is Authorization is provided for the primary surgery requested. approved, these codes are There are multiple CPT codes that can be associated with each understood to be procedure. These are assumed to be part of the primary surgery included in request and when completed in combination, do not require a separate conjunction and do prior authorization. not require prior authorization. Note: This is not an all-inclusive list of every ancillary code Primary Primary Primary Additional Ancillary Other Surgery CPT Surgery Covered Procedures / Procedure Request Code Allowable Procedures / Codes Names Billed Codes Groupings Cervical 63075 63075, +63076 Vertebral Instrumentation: Anterior Corpectomy: +22859 Decompression 63081, (without +63082, fusion) 63300, 63304, +63308 Anterior 22551 22548, 22551, Vertebral Instrumentation: ACDF Cervical 22554 Corpectomy: +22845, 22853, Decompression 63081, 22854 with Fusion +63082, Bone Grafts: (Single Level) 63300, 63304, +20930, +20931, +63308 +20936, +20937, Decompressio +20938 n: 63075, +63076 Removal of Artificial Disc: 22864 Anterior 22552 +22552, Vertebral Instrumentation: ACDF Cervical +22585 Corpectomy: +22845, +22846, Decompression 63081, 22853, 22854 with Fusion +63082, Bone Grafts: (Multiple 63300, 63304, 20930, +20931, Levels) +63308 +20936, +20937, Decompressio +20938 n: 63075, Bone Marrow +63076 Aspiration: Single-Level +20939 ACDF: 22548, 22551, 22554 Removal of Artificial Disc: 22864 Revised 08/2021 4 Spinal Conditions Management and Joint Surgery Program Prior Authorization Code Matrix CERVICAL SPINE SURGERY These codes do not require prior authorization. If the main surgical procedure is Authorization is provided for the primary surgery requested. approved, these codes are There are multiple CPT codes that can be associated with each understood to be
Load more

Recommended publications
  • Effectiveness of Distal Tibial Osteotomy
    Nozaka et al. BMC Musculoskeletal Disorders (2020) 21:31 https://doi.org/10.1186/s12891-020-3061-7 RESEARCH ARTICLE Open Access Effectiveness of distal tibial osteotomy with distraction arthroplasty in varus ankle osteoarthritis Koji Nozaka* , Naohisa Miyakoshi, Takeshi Kashiwagura, Yuji Kasukawa, Hidetomo Saito, Hiroaki Kijima, Shuichi Chida, Hiroyuki Tsuchie and Yoichi Shimada Abstract Background: In highly active older individuals, end-stage ankle osteoarthritis has traditionally been treated using tibiotalar arthrodesis, which provides considerable pain relief. However, there is a loss of ankle joint movement and a risk of future arthrosis in the adjacent joints. Distraction arthroplasty is a simple method that allows joint cartilage repair; however, the results are currently mixed, with some reports showing improved pain scores and others showing no improvement. Distal tibial osteotomy (DTO) without fibular osteotomy is a type of joint preservation surgery that has garnered attention in recent years. However, to our knowledge, there are no reports on DTO with joint distraction using a circular external fixator. Therefore, the purpose of this study was to examine the effect of DTO with joint distraction using a circular external fixator for treating ankle osteoarthritis. Methods: A total of 21 patients with medial ankle arthritis were examined. Arthroscopic synovectomy and a microfracture procedure were performed, followed by angled osteotomy and correction of the distal tibia; the ankle joint was then stabilized after its condition improved. An external fixator was used in all patients, and joint distraction of approximately 5.8 mm was performed. All patients were allowed full weight-bearing walking immediately after surgery. Results: The anteroposterior and lateral mortise angle during weight-bearing, talar tilt angle, and anterior translation of the talus on ankle stress radiography were improved significantly (P < 0.05).
    [Show full text]
  • Open Latarjet: Tried, Tested and True
    Review Article Page 1 of 14 Open Latarjet: tried, tested and true Owen Mattern1, Allan Young1, Gilles Walch2 1Sydney Shoulder Research Institute, Sydney, Australia; 2Centre Orthopédique Santy, Lyon, France Contributions: (I) Conception and design: G Walch, A Young; (II) Administrative support: A Young; (III) Provision of study materials or patients: None; (IV) Collection and assembly of data: None; (V) Data analysis and interpretation: None; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Allan Young. Sydney Shoulder Research Institute, Suite 201, 156 Pacific Highway, St Leonards, Sydney, New South Wales 2065, Australia. Email: [email protected]. Abstract: The open Latarjet procedure has proven to be an effective procedure in the treatment of anterior shoulder instability, particularly in patients with glenoid bone loss and/or an engaging Hill-Sachs lesion. The transfer of the coracoid bone block to the anterior glenoid provides stability via the “triple blocking effect”. We describe our indications and surgical technique for the open Latarjet procedure. Keywords: Latarjet; coracoid transfer; anterior shoulder instability Received: 04 June 2017; Accepted: 18 September 2017; Published: 08 November 2017. doi: 10.21037/aoj.2017.10.01 View this article at: http://dx.doi.org/10.21037/aoj.2017.10.01 Introduction Latarjet included a lower recurrence and dislocation rate, whilst loss of external rotation was less with Latarjet of Traumatic anterior shoulder instability is a common injury 11.5° compared to 20.9° with Bankart repair (11). for the contact athlete, with high rates of recurrence in some athletic populations (1-4). Anatomical Bankart repair procedures have been successful, however high recurrence Principles rates have been shown in certain patient groups (5,6).
    [Show full text]
  • Musculoskeletal Program CPT Codes and Descriptions
    Musculoskeletal Program CPT Codes and Descriptions Spine Surgery Procedure Codes CPT CODES DESCRIPTION Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition 20930 to code for primary procedure) 20931 Allograft, structural, for spine surgery only (List separately in addition to code for primary procedure) Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar 20936 fragments) obtained from same incision (List separately in addition to code for primary procedure) Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial 20937 incision) (List separately in addition to code for primary procedure) Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separate 20938 skin or fascial incision) (List separately in addition to code for primary procedure) 20974 Electrical stimulation to aid bone healing; noninvasive (nonoperative) Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral 22206 body subtraction); thoracic Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral 22207 body subtraction); lumbar Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral 22208 body subtraction); each additional vertebral segment (List separately in addition to code for
    [Show full text]
  • Priority Health Spine and Joint Code List
    Priority Health Joint Services Code List Category CPT® Code CPT® Code Description Joint Services 23000 Removal of subdeltoid calcareous deposits, open Joint Services 23020 Capsular contracture release (eg, Sever type procedure) Joint Services 23120 Claviculectomy; partial Joint Services 23130 Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Joint Services 23410 Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute Joint Services 23412 Repair of ruptured musculotendinous cuff (eg, rotator cuff) open;chronic Joint Services 23415 Coracoacromial ligament release, with or without acromioplasty Joint Services 23420 Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) Joint Services 23430 Tenodesis of long tendon of biceps Joint Services 23440 Resection or transplantation of long tendon of biceps Joint Services 23450 Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation Joint Services 23455 Capsulorrhaphy, anterior;with labral repair (eg, Bankart procedure) Joint Services 23460 Capsulorrhaphy, anterior, any type; with bone block Joint Services 23462 Capsulorrhaphy, anterior, any type;with coracoid process transfer Joint Services 23465 Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Joint Services 23466 Capsulorrhaphy, glenohumeral joint, any type multi-directional instability Joint Services 23470 ARTHROPLASTY, GLENOHUMERAL JOINT; HEMIARTHROPLASTY ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER [GLENOID
    [Show full text]
  • Multidirectional Shoulder Instability with Bone Loss and Prior Failed
    Technical Note Multidirectional Shoulder Instability With Bone Loss and Prior Failed Latarjet Procedure: Treatment With Fresh Distal Tibial Allograft and Modified T-Plasty Open Capsular Shift Liam A. Peebles, B.A., Zachary S. Aman, B.A., Fletcher R. Preuss, B.S., Brian T. Samuelsen, M.D., M.B.A., Tyler J. Zajac, M.S., A.T.C., O.T.C., Mitchell I. Kennedy, B.S., and Matthew T. Provencher, M.D., C.A.PT., M.C., U.S.N.R. Abstract: Recurrent multidirectional shoulder instability (MDI) is a challenging clinical problem, particularly in the setting of connective tissue diseases, and there is a distinct lack of literature discussing strategies for operative management of this unique patient group. These patients frequently present with significant glenoid bone loss, patulous and abnormal capsulolabral structures, and a history of multiple failed arthroscopic or open instability procedures. Although the precise treatment algorithm requires tailoring to the individual patient, we have shown successful outcomes in correcting recurrent MDI in the setting of underlying connective tissue disorders by means of a modified T-plasty capsular shift and rotator interval closure in conjunction with distal tibial allograft bony augmentation. The purpose of this Technical Note was to describe a technique that combines a fresh distal tibial allograft for glenoid bony augmentation with a modified T-plasty capsular shift and rotator interval closure for the management of recurrent shoulder MDI in patients presenting with Ehlers-Danlos syndrome or other connective tissue disorders after failed Latarjet stabilization. ecurrent multidirectional shoulder instability Conversely, MDI without hyperlaxity is more likely to R(MDI) is a difficult clinical problem and becomes present with anterior and/or posterior capsulolabral even more challenging in the face of connective tissue pathology1,2 in addition to bony lesions.
    [Show full text]
  • Knee Joint Surgery: Open Synovectomy
    Musculoskeletal Surgical Services: Open Surgical Procedures; Knee Joint Surgery: Open Synovectomy POLICY INITIATED: 06/30/2019 MOST RECENT REVIEW: 06/30/2019 POLICY # HH-5588 Overview Statement The purpose of these clinical guidelines is to assist healthcare professionals in selecting the medical service that may be appropriate and supported by evidence to improve patient outcomes. These clinical guidelines neither preempt clinical judgment of trained professionals nor advise anyone on how to practice medicine. The healthcare professionals are responsible for all clinical decisions based on their assessment. These clinical guidelines do not provide authorization, certification, explanation of benefits, or guarantee of payment, nor do they substitute for, or constitute, medical advice. Federal and State law, as well as member benefit contract language, including definitions and specific contract provisions/exclusions, take precedence over clinical guidelines and must be considered first when determining eligibility for coverage. All final determinations on coverage and payment are the responsibility of the health plan. Nothing contained within this document can be interpreted to mean otherwise. Medical information is constantly evolving, and HealthHelp reserves the right to review and update these clinical guidelines periodically. No part of this publication may be reproduced, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photocopying, or otherwise, without permission from HealthHelp.
    [Show full text]
  • The Open Eden-Hybinette Procedure for Recurrent Anterior Shoulder Instability with Glenoid Bone Loss Joseph W
    The Open Eden-Hybinette Procedure for Recurrent Anterior Shoulder Instability With Glenoid Bone Loss Joseph W. Galvin, DO,* Zachary R. Zimmer, MD,* Alexander M. Prete, BS,* and Jon J.P. Warner, MD* In the setting of significant glenoid bone loss, soft tissue stabilization procedures for recur- rent anterior shoulder instability have high failure rates. The open or arthroscopic Eden- Hybinette procedure with tricortical iliac crest autograft has been shown to provide good results with low rates of recurrent instability. Indications for this technique include severe glenoid bone loss (>40%), recurrent instability following a Latarjet or distal tibial allograft procedure, or patients with abnormal coracoid morphology. In this technique article, we review the indications, contraindications, surgical technique, postoperative care, out- comes, and complications of the open Eden-Hybinette procedure. Oper Tech Sports Med 27:95-101 © 2019 Elsevier Inc. All rights reserved. KEYWORDS Eden-Hybinette, recurrent anterior instability Introduction through advanced imaging with MRI and 3-dimensional recon- struction computed tomography (CT) scans has likely led to nterior shoulder instability is a common problem in young increased utilization of bone augmentation techniques such as A active individuals with an incidence in the United States the Latarjet procedure, distal tibial allograft (DTA), and distal 1,2 (US) general population of 0.08 per 1000 person-years. Cer- clavicular autograft.13-17 The Latarjet and DTA procedures have tain at-risk populations involved in contact and collision activi- showntobeeffectiveandprovidegoodoutcomeswithlow ties, such as American football players and military athletes, rates of recurrent instability in primary and revision instability have anterior instability at an order of magnitude greater of scenarios,18-20 with the Latarjet showing long-term durability.
    [Show full text]
  • H3 Schedule of Procedures H3 Insurance Schedule of Procedures
    H3 Schedule of Procedures H3 Insurance Schedule of Procedures This schedule is based on the CCSD schedule of procedures. H3 Schedule of Procedures Version 2020 All codes listed detail the maximum amount we will pay towards the fee a specialist and anaesthetist will charge for the operation/procedure. H3 Insurance is a trading name of Insure I Limited which is authorised and regulated by the Financial Conduct Authority. Insure I Ltd is registered in Northern Ireland, Registered number NI072940. H3 Insurance Registered address is Channel Wharf, 21 Old Channel Road, Belfast, BT3 9DE. T: 028 9046 9990 www.h3insurance.com H3 Schedule of Procedures Index Guidance Notes .................................................................................................................. 1 Abdomen – excluding urinary / reproductive organs......................................................... 3 Bones, joints & connective tissue / tendon muscle ......................................................... 13 Brain, cranium & other intracranial organs ...................................................................... 29 Breasts .............................................................................................................................. 32 Consultations, simple investigations & general procedures ............................................ 35 Ear, nose & throat… .......................................................................................................... 38 Endoscopic GIT procedures .............................................................................................
    [Show full text]
  • The Biomechanics of the Latarjet Reconstruction: Is It All About the Sling? Nobuyuki Yamamoto, MD,* and Scott P
    The Biomechanics of the Latarjet Reconstruction: Is It All About the Sling? Nobuyuki Yamamoto, MD,* and Scott P. Steinmann, MD† It has been clinically believed that the stabilizing mechanism of the Latarjet procedure is the sling effect. Biomechanical studies have demonstrated that there are 3 stabilizing mecha- nisms of the Latarjet procedure, the main one being the sling effect produced by the sub- scapularis and conjoint tendons. The other 2 mechanisms are the suturing of the capsular flap at the end-range arm position and reconstruction of the glenoid concavity at the mid- range arm position. All 3 stabilizing mechanisms function at both the mid- and end-range arm positions. After the Latarjet procedure, the shoulder even with a large glenoid defect can have stability increased by 14% compared to the normal shoulder. The acceptable clini- cal outcomes of the Latarjet procedure are supported by these 3 stabilizing mechanisms. Oper Tech Sports Med 27:49-54 © 2019 Elsevier Inc. All rights reserved. KEYWORDS biomechanics, Latarjet reconstruction, sling, subscapularis Why Good Clinical Results Can in which the essential lesion, the Bankart lesion is not repaired? To date, “sling effect of the subscapularis muscle” Be Obtained Without the Bankart has been clinically believed as the main stabilizing mechanism Repair? of this procedure. This was speculation among surgeons. Its he Latarjet procedure has gained popularity with recent precise stabilizing mechanism had not been studied. T reports1,2 showing that postoperative arthritis can be avoided by appropriate positioning of the coracoid bone graft. Excellent clinical results even for shoulders with a large Biomechanical Experiments glenoid defect have been reported.
    [Show full text]
  • 2019 Orthopaedic Updates Bookle
    Doctors Consulting here Dr Todd Gothelf Concord 47-49 Burwood Road Tel 02 9744 2666 Dr Samya Lakis CONCORD NSW 2137 Fax 02 9744 3706 Dr Paul Mason Dr John Negrine Dr Rodney Pattinson Dr Doron Sher Dr Kwan Yeoh Doctors Consulting here Dr Paul Annett Dr Jerome Goldberg Level 7 Dr Todd Gothelf Hurstville Waratah Private Tel 02 9580 6066 Dr Samya Lakis 29-31 Dora Street Fax 02 9580 0890 Dr Andreas Loefler HURSTVILLE NSW 2220 Dr John Negrine Dr Rodney Pattinson Dr Ivan Popoff Dr Allen Turnbull Dr Kwan Yeoh Doctors Consulting here Suite 5B Penrith Tel 02 4721 7799 Dr Todd Gothelf 119-121 Lethbridge St Fax 02 4721 7997 Dr Kwan Yeoh PENRITH NSW 2750 Doctors Consulting here Dr John Best Dr Jerome Goldberg Dr Leigh Golding Dr Todd Gothelf 160 Belmore Road Tel 02 9399 5333 Dr Samya Lakis Randwick RANDWICK NSW 2031 Fax 02 9398 8673 Dr Paul Mason Dr Andreas Loefler Dr John Negrine Dr Rodney Pattinson Dr Ivan Popoff Dr Doron Sher www.orthosports.com.au Topic Presenter Notes An approach to the stiffening painful shoulder Dr John Best Notes below Medial meniscal root tears Dr Doron Sher Notes below The first time dislocation of the shoulder Dr Jerome Goldberg Notes below Diagnosing and treating spinal pain Dr Paul Mason Rapid recovery after joint replacement Dr Andreas Loefler Case based sports medicine mimics, Dr Paul Annett rheumatology and others Lisfranc Injuries Dr Todd Gothelf International touring during a pandemic Dr Leigh Golding Vertebral body tethering (VBT): an update Dr Samya Lakis Notes below Interesting Case Studies Dr John Negrine Slipped upper femoral epiphysis Dr Rod Pattinson Dr John P Best B Med, Dip Sports Med (London), FACSP, FFSEM Sport & Exercise Medicine Physician An Approach to the Stiffening Painful Shoulder This handout complements the video presentation on this topic.
    [Show full text]
  • Radiation Synovectomy with 166Ho-Ferric Hydroxide: a First Experience
    Radiation Synovectomy with 166Ho-Ferric Hydroxide: A First Experience Sedat Ofluoglu, MD1; Eva Schwameis, MD2; Harald Zehetgruber, MD2; Ernst Havlik, PhD3; Axel Wanivenhaus, MD2; Ingrid Schweeger, MD1; Konrad Weiss, MD4; Helmut Sinzinger, MD1; and Christian Pirich, MD1 1Department of Nuclear Medicine, University of Vienna, Vienna, Austria; 2Department of Orthopedics, University of Vienna, Vienna, Austria; 3Department of Biomedical Engineering and Physics and Ludwig Boltzmann Institute of Nuclear Medicine, Vienna, Austria; and 4Department of Nuclear Medicine, General Hospital of Wiener Neustadt, Wiener Neustadt, Austria lage, leading to the progressive loss of joint function and Radiation synovectomy (RS) is indicated when conventional significant disability. Treatment of chronic synovitis using pharmacologic treatment of chronic synovitis has not relieved radiation synovectomy (RS) aims to stop the inflammatory its symptoms. The use of radionuclides that are bound to ferric process causing pain, disability, and nonreversible structural hydroxide (FH) particles has been shown to be effective and damage to the joint (1–3). RS has been in clinical use for 166 safe for this procedure. Ho-FH macroaggregates offer prom- 50y(4) primarily as an alternative to surgical treatment (5). ising properties for RS but there is a lack of clinical data. We Safety is one of the most important aspects when radionu- investigated the efficacy and safety of 166Ho-FH in a prospective clinical trial in patients suffering from chronic synovitis. Meth- clides are applied therapeutically. The use of ferric hydrox- ods: Twenty-four intraarticular injections were performed in 22 ide (FH) particles as a carrier may offer some advantages patients receiving a mean activity of 1.11 GBq (range, 0.77–1.24 over other carriers with respect to the frequency and degree GBq) 166Ho-FH.
    [Show full text]
  • ARTICULAR BLEEDING (HEMARTHROSIS) in HEMOPHILIA an ORTHOPEDIST’S POINT of VIEW Second Edition
    TREATMENT OF HEMOPHILIA April 2008 · No. 23 ARTICULAR BLEEDING (HEMARTHROSIS) IN HEMOPHILIA AN ORTHOPEDIST’S POINT OF VIEW Second edition E. C. Rodríguez-Merchán Consultant Orthopedic Surgeon La Paz University Hospital Madrid, Spain Associate Professor of Orthopedics University Autonoma Madrid, Spain Published by the World Federation of Hemophilia (WFH), 2000; revised 2008. © Copyright World Federation of Hemophilia, 2008 The WFH encourages redistribution of its publications for educational purposes by not-for-profit hemophilia organizations. In order to obtain permission to reprint, redistribute, or translate this publication, please contact the Programs and Education Department at the address below. This publication is accessible from the World Federation of Hemophilia’s eLearning Platform at eLearning.wfh.org Additional copies are also available from the WFH at: World Federation of Hemophilia 1425 René Lévesque Boulevard West, Suite 1010 Montréal, Québec H3G 1T7 CANADA Tel. : (514) 875-7944 Fax : (514) 875-8916 E-mail: [email protected] Internet: www.wfh.org The Treatment of Hemophilia series is intended to provide general information on the treatment and management of hemophilia. The World Federation of Hemophilia does not engage in the practice of medicine and under no circumstances recommends particular treatment for specific individuals. Dose schedules and other treatment regimes are continually revised and new side-effects recognized. WFH makes no representation, express or implied, that drug doses or other treatment recommendations in this publication are correct. For these reasons it is strongly recommended that individuals seek the advice of a medical adviser and/or to consult printed instructions provided by the pharmaceutical company before administering any of the drugs referred to in this monograph.
    [Show full text]