DOCSLIB.ORG

ICD-10 Diagnoses on Router

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text

Load more

L ARTHRITIS R L HAND R L ANKLE R L FRACTURES R OSTEOARTHRITIS: PRIMARY, 2°, POST TRAUMA, POST _____ CONTUSION ACHILLES TEN DYSFUNCTION/TENDINITIS/RUPTURE FLXR TEN CLAVICLE: STERNAL END, SHAFT, ACROMIAL END CRYSTALLINE ARTHRITIS: GOUT: IDIOPATHIC, LEAD, CRUSH INJURY AMPUTATION TRAUMATIC LEVEL SCAPULA: ACROMION, BODY, CORACOID, GLENOID DRUG, RENAL, OTHER DUPUYTREN’S CONTUSION PROXIMAL HUMERUS: SURGICAL NECK 2 PART 3 PART 4 PART CRYSTALLINE ARTHRITIS: PSEUDOGOUT: HYDROXY LACERATION: DESCRIBE STRUCTURE CRUSH INJURY PROXIMAL HUMERUS: GREATER TUBEROSITY, LESSER TUBEROSITY DEP DIS, CHONDROCALCINOSIS LIGAMENT DISORDERS EFFUSION HUMERAL SHAFT INFLAMMATORY: RA: SEROPOSITIVE, SERONEGATIVE, JUVENILE OSTEOARTHRITIS PRIMARY/SECONDARY TYPE _____ LOOSE BODY HUMERUS DISTAL: SUPRACONDYLAR INTERCONDYLAR REACTIVE: SECONDARY TO: INFECTION ELSEWHERE, EXTENSION OR NONE INTESTINAL BYPASS, POST DYSENTERIC, POST IMMUNIZATION PAIN OCD TALUS HUMERUS DISTAL: TRANSCONDYLAR NEUROPATHIC CHARCOT SPRAIN HAND: JOINT? OSTEOARTHRITIS PRIMARY/SECONDARY TYPE _____ HUMERUS DISTAL: EPICONDYLE LATERAL OR MEDIAL AVULSION INFECT: PYOGENIC: STAPH, STREP, PNEUMO, OTHER BACT TENDON RUPTURES: EXTENSOR OR FLEXOR PAIN HUMERUS DISTAL: CONDYLE MEDIAL OR LATERAL INFECTIOUS: NONPYOGENIC: LYME, GONOCOCCAL, TB TENOSYNOVITIS SPRAIN, ANKLE, CALCANEOFIBULAR ELBOW: RADIUS: HEAD NECK OSTEONECROSIS: IDIOPATHIC, DRUG INDUCED, SPRAIN, ANKLE, DELTOID POST TRAUMATIC, OTHER CAUSE SPRAIN, ANKLE, TIB-FIB LIGAMENT (HIGH ANKLE) ELBOW: OLECRANON WITH OR WITHOUT INTRA ARTICULAR EXTENSION SUBLUXATION OF ANKLE, RECURRENT L HIP/PELVIS/THIGH R FOREARM: MONTEGGIA L SHOULDER R TENDON STRAIN/RUPTURE FLEXOR/EXTENSOR NAME AVN FEMORAL HEAD FOREARM: RADIAL SHAFT ULNAR SHAFT BOTH “BENT BONE” AC SPRAIN TENDON CHRONIC DYSFUNCTION FLEXOR/EXTENSOR NAME CDH-UNILATERAL DISTAL RADIUS: COLLES BARTONS SMITHS GALLEAZI AC DISLOCATION: % AND DIRECTION CDH-BILATERAL SYNOVITIS, HYPERTROPHIC RADIAL STYLOID ADHESIVE CAPSULITIS CSH-UNILATERAL DISTAL ULNA: ULNAR STYLOID AVN PROXIMAL HUMERUS L FOOT R CSH-BILATERAL WRIST: DESCRIBE WHICH CARPAL BONE AND TYPE OF BICEPS TENDINITIS AMPUTATION TRAUMATIC: LEVEL CONTUSION FRACTURE BICEPS TENDON RUPTURE BUNION METACARPAL THUMB: BENNETT’S, ROLANDO’S, SHAFT, FEMORAL ACETABULAR IMPINGEMENT BURSITIS CLAWTOE NECK, OTHER FEMORAL ANTEVERSION CHONDROMALACIA CLUB FOOT METACARPAL FINGERS: BASE, SHAFT, NECK LABRAL TEAR CALCIFIC TENDINITIS CONTUSION FOOT, GREATER, LESSOR TOES PHALANX: PROXIMAL, MEDIAL (SIC), DISTAL LEGG-CALVE-PERTHES CONTUSION CRUSH INJURY CERVICAL 1: BURST, POST ARCH, LATERAL MASS, OTHER OSTEOARTHRITIS PRIMARY/SECONDARY TYPE _____ DISLOCATION OR SUBLUXATION ACUTE: DIRECTION EQUINOVARUS CERVICAL 2: DENS TYPE 1, 2, 3. TRAUMATIC SPONDY OF C2 PAGET’S DISEASE DISLOCATION OR SUBLUXATION RECURRENT: DIRECTION HALLUX RIGIDUS CERVICAL: 3-7: WEDGE-COMPRESSION, BURST, OTHER PAIN EFFUSION HALLUX VALGUS (NEURAL ARCH, PROCESSES) HEMARTHROSIS SYNOVITIS, HYPERTROPHIC THORACIC: WEDGE-COMPRESSION, BURST (UNSTABLE?) HALLUX VARUS IMPINGEMENT SYNDROME TROCHANTERIC BURSITIS OTHER (ARCH, PROCESSES) HAMMERTOE LOOSE BODY SPRAIN OF HIP, ILIOFEMORAL OR ISCHIOCAPSULAR LIGAMENT RIBS: LEFT OR RIGHT, SINGLE OR MULTIPLE INGROWN TOENAIL OSTEOARTHRITIS PRIMARY, 2°, GH, AC, SC JOINT STRAIN QUADS, ADDUCTORS, POST MUSCLE GRP (HAM) LUMBAR: WEDGE-COMPRESSION, BURST (UNSTABLE?) METATARSALGIA PAIN OTHER (NEURAL ARCH, PROCESSES) METATARSUS PRIMUS VARUS TRAUMATIC SPONDYLOLISTHESIS RC TEAR CHRONIC INCOMPLETE L KNEE/LOWER LEG R MORTON’S METATARSALGIA COCCYX RC TEAR CHRONIC COMPLETE (MASSIVE) BAKER’S CYST RC TEAR ACUTE STRAIN OSTEOARTHRITIS PRIMARY/SECONDARY TYPE _____ SACRUM CHONDROMALACIA RC TENDINITIS OSTEOCHONDROSIS JUVENILE FOOT (SEVER’S) ILIUM: AVULSION, OTHER COMPARTMENT SYNDROME SLAP TEAR OSTEOCHONDROSIS METATARSAL (FRIEBERG’S) PUBIS: SUPERIOR RIM, OTHER CONTUSION LEG SPRAIN GH JOINT CORACOHUMERAL LIGAMENT PAIN ISCHIUM: AVULSION, OTHER CONTUSION KNEE SC JOINT DISLOC OR SUBLUX: DIRECTION PES CAVUS PELVIS MULTIPLE FRACTURES WITH DISRUPTION OF DISLOCATION KNEE: DIRECTION STRAIN MUSCLE PES PLANUS PELVIC RING, UNSTABLE OR STABLE EFFUSION PLANTAR FASCIITIS PELVIS MULTIPLE FRACTURES OF PELVIS WITHOUT DISRUPTION OF RING L ELBOW R FAT PAD HYPERTROPHY SPRAIN, SUBLUXATION, OR DISLOCATION OF TARSAL JOINT FLEXION CONTRACTURE ACETABULUM: ANT WALL, POST WALL, ANT COLUMN, CONTUSION SPRAIN, SUBLUXATION, OR DISLOCATION OF TARSOMETATARSAL JOINT GENU VALGUM POST COLUMN, TRANSVERSE, TRANSVERSE/POSTERIOR, DISLOC/SUBLUXATION OF ULNOHUMERAL JOINT DIRECTION SPRAIN IP JOINT MEDIAL WALL, DOME FRACTURE GENU VARUM EFFUSION SPRAIN MTP JOINT HIP: HEAD INTRA OR EXTRAARTICULAR, HEMARTHROSIS EPICONDYLITIS LATERAL TARSAL COALITION, CONGENITAL HIP: INTRACAPSULAR, MIDCERVICAL, BASILAR ILIOTIBIAL BAND SYNDROME EPICONDYLITIS MEDIAL TENDON STRAIN/RUPTURE FLEXOR OR EXTENSOR NAME FEMUR PROXIMAL: INTERTROCH, GREATER TROCH, LOOSE BODY INSTABILITY SPONTANEOUS (CHRONIC) ACL LESSER TROCH, SUBTROCH NURSEMAID’S ELBOW INSTABILITY SPONTANEOUS (CHRONIC) PCL L SPINE R FEMORAL SHAFT OLECRANON BURSITIS INSTABILITY SPONTANEOUS (CHRONIC) MCL COCCYDYNIA FEMUR DISTAL: MEDIAL CONDYLE, LATERAL CONDYLE, SUPRA- OSTEOARTHRITIS PRIMARY/SECONDARY TYPE _____ INSTABILITY SPONTANEOUS (CHRONIC) LCL DISC DEGENERATION MYELOPATHY? RADICULOPATHY? CONDLYLAR WITH OR WITHOUT INTERCONDYLAR EXTENSION OCD INSTABILITY SPONTANEOUS (CHRONIC) CAPSULAR DISC DISPLACEMENT (HNP) MYELOPATHY? RADICULOPATHY PATELLA: OSTEOCHONDRAL, LONGIT, TRANSVERSE, COMMINUTED PAIN INSTABILITY SPRAIN/TEAR (ACUTE) ACL DISCITIS TIBIAL PROXIMAL: SPINE, MEDIAL CONDYLE, LATERAL CONDYLE, BICONDYLAR SPRAIN OR RUPTURE RADIAL COLLATERAL INSTABILITY SPRAIN/TEAR (ACUTE) PCL PATHOLOGICAL FRACTURE: FATIGUE? SECONDARY TO:_______ TIBIAL SHAFT: TIBIA, FIBULA, BOTH SPRAIN OR RUPTURE ULNAR COLLATERAL INSTABILITY SPRAIN/TEAR (ACUTE) MCL KYPHOSIS TIBIAL: DISTAL: PILON STRAIN BICEPS/TRICEPS INSTABILITY SPRAIN/TEAR (ACUTE) LCL OSTEOMYELITIS ANKLE: MEDIAL MALLEOLUS, LATERAL MALLEOLUS, LOOSE BODY LORDOSIS BIMALLEOLAR, TRIMALLEOLAR, MAISONNEUVE’S L WRIST R MENISCUS LATERAL TEAR ACUTE BUCKET HANDLE PAIN CALCANEOUS: BODY, ANTERIOR PROCESS, TUBEROSITY, OTHER CONTUSION MENISCUS LATERAL TEAR ACUTE COMPLEX RADICULOPATHY WITH OR WITHOUT LUMBAGO TALUS: NECK, BODY, DOME, AVULSION DEQUERVAIN’S MENISCUS LATERAL TEAR ACUTE PERIPHERAL SCIATICA WITH OR WITHOUT LUMBAGO DORSAL WRIST PAIN TARSALS, OTHER: DESCRIBE BONE AND TYPE OF FRACTURE MENISCUS LATERAL TEAR CHRONIC ANTERIOR HORN SCOLIOSIS: CONGEN? IDIOPATHIC? NM? OTHER GANGLION/TENOSYNOVITIS/SYNOVITIS, HYPERTROPHIC METATARSALS: BASE, SHAFT, NECK MENISCUS LATERAL TEAR CHRONIC POSTERIOR HORN SI JOINT DYSFUNCTION/SPRAIN KEINBOCK’S FRACTURE OF GREAT TOE PROX/DISTAL PHALANX MENISCUS LATERAL TEAR CHRONIC BUCKET HANDLE SPONDYLOSIS: MYELOPATHY? RADICULOPATHY? OSTEOARTHRITIS PRIMARY/SECONDARY TYPE _____ FRACTURE OF LESSER TOES PROX/MIDDLE/DISTAL MENISCUS LATERAL TEAR CHRONIC CYSTIC SPONDYLOLISTHESIS: LEVEL? PAIN MENISCUS LATERAL TEAR CHRONIC DEGENERATIVE SPONDYLOLYSIS: LEVEL? SPRAIN RADIOCARPAL/CARPAL MENISCUS MEDIAL TEAR ACUTE BUCKET HANDLE SUBLUX OR DISLOC OF DIST R-U JOINT SPRAINS: LEVEL, LIGAMENT ANT LONG LIG MENISCUS MEDIAL TEAR ACUTE COMPLEX SUBLUX OR DISLOC OF RADIOCARPAL JOINT STENOSIS CENTRAL: BONY? CONN TISSUE? DISC? SPONDY? MENISCUS MEDIAL TEAR ACUTE PERIPHERAL STENOSIS FORAMINAL: OSSEOUS? CON TISSUE? DISC? SPONDY? SUBLUX OR DISLOC OF ULNOCARPAL JOINT L NERVES R SUBLUX OR DISLOC MIDCARPAL JOINT MENISCUS MEDIAL TEAR CHRONIC ANTERIOR HORN STRAIN MUSCLE THORACIC OUTLET SYNDROME TFCC TEAR MENISCUS MEDIAL TEAR CHRONIC POSTERIOR HORN WHIP LASH MENISCUS MEDIAL TEAR CHRONIC BUCKET HANDLE RADIAL NERVE COMPRESSION MENISCUS MEDIAL TEAR CHRONIC CYSTIC L POST OP COMPLICATIONS R ULNAR NERVE COMPRESSION L FINGER/THUMB R MENISCUS MEDIAL TEAR CHRONIC DEGENERATIVE DISLOCATION OF PROSTHESIS CARPAL TUNNEL SYNDROME BOUTONNIERE DEFORMITY OSGOOD-SCHLATTER’S DISEASE DVT/PE OTHER LESIONS OF MEDIAN NERVE DISLOC/SUBLUX MCP JOINT OSTEOARTHRITIS PRIMARY/SECONDARY TYPE _____ FIBROSIS BRACHIAL PLEXITIS DISLOC/SUBLUX PIP JOINT OSTEONECROSIS (CAUSE?) FRACTURE OF PROSTHESIS INTERCOSTAL NEUROPATHY GANGLION FLEXOR TENDON OCD FRACTURE OF BONE DURING IMPLANTATION SCIATIC NERVE COMPRESSION EXTRA SPINAL GANGLION JOINT MERALGIA PARESTHETICA LIGAMENT DISORDER OF FINGER PAIN FRACTURE PERIPROSTHETIC MALLET FINGER TENDON PATELLO FEMORAL DISORDER HEMATOMA FEMORAL NERVE COMPRESSION MALLET FINGER FRACTURE PATELLA CHONDROMALACIA INFECTION OF PROSTHESIS OR INTERNAL FIXATION LATERAL POPLITEAL NERVE LESION OSTEOARTHRITIS PRIMARY/SECONDARY TYPE _____ PATELLA ACUTE DISLOC/SUBLUX INSTABILITY OF PROSTHESIS PERONEAL NERVE PALSY PAIN PATELLA RECURRENT DISLOC/SUBLUX LOOSENING OF PROSTHESIS MEDIAL POPLITEAL NERVE LESION SPRAIN OR DISLOCATION OR LIG TEAR MCP JOINT PATELLAR TENDINITIS PAINFUL HARDWARE OR IMPLANT TIBIAL NERVE PALSY SPRAIN OR DISLOCATION OR LIG TEAR PIP JOINT PES ANSERINE BURSITIS POST LAMINECTOMY SYNDROME TARSAL TUNNEL SYNDROME SWAN NECK DEFORMITY PLICA SYNDROME POST LAMINECTOMY KYPHOSIS PLANTAR NERVE LESION TRAUMATIC AMPUTATION LEVEL STIFFNESS, CONTRACTURE POST-SURGICAL FLATBACK SYNDROME COMPLEX REGIONAL PAIN SYNDROME TRIGGER FINGER STRAIN POSTERIOR LEG MUSCLES POST-SURGICAL LORDOSIS MONONEUROPATHY SECONDARY TO _______ OPEN WOUND (TYPE) W/ OR W/O NAIL DAMAGE OR FB SYNOVITIS, HYPERTROPHIC PSEUDARTHROSIS POLYNEUROPATHY SECONDARY TO ________ DIAGNOSES: ____________________________________________________________________________ REV 03/22/17 50089 Green Router.indd 2 3/22/17 12:16 PM.
Recommended publications
  • Pes Anserine Bursitis

    Pes Anserine Bursitis

    BRIGHAM AND WOMEN’S HOSPITAL Department of Rehabilitation Services Physical Therapy Standard of Care: Pes Anserine Bursitis ICD 9 Codes: 726.61 Case Type / Diagnosis: The pes anserine bursa lies behind the medial hamstring, which is composed of the tendons of the sartorius, gracilis and semitendinosus (SGT) muscles. Because these 3 tendons splay out on the anterior aspect of the tibia and give the appearance of the foot of a goose, pes anserine bursitis is also known as goosefoot bursitis.1 These muscles provide for medial stabilization of the knee by acting as a restraint to excessive valgus opening. They also provide a counter-rotary torque function to the knee joint. The pes anserine has an eccentric role during the screw-home mechanism that dampens the effect of excessively forceful lateral rotation that may accompany terminal knee extension.2 Pes anserine bursitis presents as pain, tenderness and swelling over the anteromedial aspect of the knee, 4 to 5 cm below the joint line.3 Pain increases with knee flexion, exercise and/or stair climbing. Inflammation of this bursa is common in overweight, middle-aged women, and may be associated with osteoarthritis of the knee. It also occurs in athletes engaged in activities such as running, basketball, and racquet sports.3 Other risk factors include: 1 • Incorrect training techniques, or changes in terrain and/or distanced run • Lack of flexibility in hamstring muscles • Lack of knee extension • Patellar malalignment Indications for Treatment: • Knee Pain • Knee edema • Decreased active and /or passive ROM of lower extremities • Biomechanical dysfunction lower extremities • Muscle imbalances • Impaired muscle performance (focal weakness or general conditioning) • Impaired function Contraindications: • Patients with active signs/symptoms of infection (fever, chills, prolonged and obvious redness or swelling at hip joint).
  • Upper Extremity

    Upper Extremity

    Upper Extremity Shoulder Elbow Wrist/Hand Diagnosis Left Right Diagnosis Left Right Diagnosis Left Right Adhesive capsulitis M75.02 M75.01 Anterior dislocation of radial head S53.015 [7] S53.014 [7] Boutonniere deformity of fingers M20.022 M20.021 Anterior dislocation of humerus S43.015 [7] S43.014 [7] Anterior dislocation of ulnohumeral joint S53.115 [7] S53.114 [7] Carpal Tunnel Syndrome, upper limb G56.02 G56.01 Anterior dislocation of SC joint S43.215 [7] S43.214 [7] Anterior subluxation of radial head S53.012 [7] S53.011 [7] DeQuervain tenosynovitis M65.42 M65.41 Anterior subluxation of humerus S43.012 [7] S43.011 [7] Anterior subluxation of ulnohumeral joint S53.112 [7] S53.111 [7] Dislocation of MCP joint IF S63.261 [7] S63.260 [7] Anterior subluxation of SC joint S43.212 [7] S43.211 [7] Contracture of muscle in forearm M62.432 M62.431 Dislocation of MCP joint of LF S63.267 [7] S63.266 [7] Bicipital tendinitis M75.22 M75.21 Contusion of elbow S50.02X [7] S50.01X [7] Dislocation of MCP joint of MF S63.263 [7] S63.262 [7] Bursitis M75.52 M75.51 Elbow, (recurrent) dislocation M24.422 M24.421 Dislocation of MCP joint of RF S63.265 [7] S63.264 [7] Calcific Tendinitis M75.32 M75.31 Lateral epicondylitis M77.12 M77.11 Dupuytrens M72.0 Contracture of muscle in shoulder M62.412 M62.411 Lesion of ulnar nerve, upper limb G56.22 G56.21 Mallet finger M20.012 M20.011 Contracture of muscle in upper arm M62.422 M62.421 Long head of bicep tendon strain S46.112 [7] S46.111 [7] Osteochondritis dissecans of wrist M93.232 M93.231 Primary, unilateral
  • Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma (A57079)

    Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma (A57079)

    Local Coverage Article: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma (A57079) Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website. Contractor Information CONTRACTOR NAME CONTRACT TYPE CONTRACT JURISDICTION STATE(S) NUMBER Noridian Healthcare Solutions, A and B MAC 01111 - MAC A J - E California - Entire State LLC Noridian Healthcare Solutions, A and B MAC 01112 - MAC B J - E California - Northern LLC Noridian Healthcare Solutions, A and B MAC 01182 - MAC B J - E California - Southern LLC Noridian Healthcare Solutions, A and B MAC 01211 - MAC A J - E American Samoa LLC Guam Hawaii Northern Mariana Islands Noridian Healthcare Solutions, A and B MAC 01212 - MAC B J - E American Samoa LLC Guam Hawaii Northern Mariana Islands Noridian Healthcare Solutions, A and B MAC 01311 - MAC A J - E Nevada LLC Noridian Healthcare Solutions, A and B MAC 01312 - MAC B J - E Nevada LLC Noridian Healthcare Solutions, A and B MAC 01911 - MAC A J - E American Samoa LLC California - Entire State Guam Hawaii Nevada Northern Mariana Created on 09/28/2019. Page 1 of 33 CONTRACTOR NAME CONTRACT TYPE CONTRACT JURISDICTION STATE(S) NUMBER Islands Article Information General Information Original Effective Date 10/01/2019 Article ID Revision Effective Date A57079 N/A Article Title Revision Ending Date Billing and Coding: Injections - Tendon, Ligament, N/A Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma Retirement Date N/A Article Type Billing and Coding AMA CPT / ADA CDT / AHA NUBC Copyright Statement CPT codes, descriptions and other data only are copyright 2018 American Medical Association.
  • Vertical Perspective Medical Assistance Program

    Vertical Perspective Medical Assistance Program

    Kansas Vertical Perspective Medical Assistance Program December 2006 Provider Bulletin Number 688 General Providers Emergent and Nonemergent Diagnosis Code List Attached is a list of diagnosis codes and whether the Kansas Medical Assistance Program (KMAP) considers the code to be emergent or nonemergent. Providers are responsible for validating whether a particular diagnosis code is covered by KMAP under the beneficiary’s benefit plan and that all program requirements are met. This list does not imply or guarantee payment for listed diagnosis codes. Information about the Kansas Medical Assistance Program as well as provider manuals and other publications are on the KMAP Web site at https://www.kmap-state-ks.us. If you have any questions, please contact the KMAP Customer Service Center at 1-800-933-6593 (in-state providers) or (785) 274-5990 between 7:30 a.m. and 5:30 p.m., Monday through Friday. EDS is the fiscal agent and administrator of the Kansas Medical Assistance Program for the Kansas Health Policy Authority. Page 1 of 347 Emergency Indicators as noted by KMAP: N – Never considered emergent S – Sometimes considered emergent (through supporting medical documentation) Y – Always considered emergent Diagnosis Emergency Diagnosis Code Description Code Indicator 0010 Cholera due to Vibrio Cholerae S 0011 Cholera due to Vibrio Cholerae El Tor S 0019 Unspecified Cholera S 019 Late Effects of Tuberculosis N 0020 Typhoid Fever S 0021 Paratyphoid Fever A S 0022 Paratyphoid Fever B S 0023 Paratyphoid Fever C S 024 Glanders Y 025 Melioidosis
  • 2014 Newsletter – Winter

    2014 Newsletter – Winter

    NEWS ISSUE 14 I WINTER 2014 Welcome to our Winter edition of Orthosports News Winter is the time when Alpine Injuries present themselves WHO ORTHOSPORTS – Dr Doron Sher covers the most common types of alpine ARE WE? LOCATIONS injuries. Dr Kwan Yeoh takes a look at Mallet Finger and Orthosports is > Concord 02 9744 2666 “Imaging of the knee” is covered by Dr Sher in our Key a professional > Hurstville 02 9580 6066 Examination Points Section. association of > Penrith 02 4721 7799 Many GPs have attended our Category 1 Education Modules; AOA Orthopaedic > Randwick 02 9399 5333 A USTRAL I A N ORTHOPA EDIC Surgeons based Or visit our website there are 4 remaining dates for our 2014 RACGP approved A S S O CIA T I O N modules. See page 4 for details. in Sydney. www.orthosports.com.au We hope you enjoy this issue – The Team at Orthosports elbow injuries and more comminuted clavicle fractures. Alpine Injuries Shoulder dislocation is also very common. Snowboarders do not usually injure their legs when both feet are attached Skiing and snowboarding are exhilarating sports. They to the board but injuries to the knee are not uncommon are physically demanding and require co-ordination, getting on and off lifts when only one foot is bound to the strength, fitness and lots of specialized equipment. More board (more common in beginners). If they do injure their people ski than snowboard and snowboarders are generally knee, it is almost always in a terrain park landing from younger than skiers. Skiing and snowboarding injuries a big jump.
  • Hughston Health Alert US POSTAGE PAID the Hughston Foundation, Inc

    Hughston Health Alert US POSTAGE PAID the Hughston Foundation, Inc

    HughstonHughston HealthHealth AlertAlert 6262 Veterans Parkway, PO Box 9517, Columbus, GA 31908-9517 • www.hughston.com/hha VOLUME 24, NUMBER 3 - SUMMER 2012 Normal knee anatomy Fig. 1. Anterior knee Inside... pain can be caused by patellofemoral syndrome, • Orthopaedic Components: Quadriceps often called “cyclist’s knee,” muscle What makes a total knee implant? or by patellar tendinitis. • Tennis and Back Pain • Glucosamine and Chondroitin Femur • New Heat Policies - Summer 2012 Patella (kneecap) Imbalances in strength and • Hughston Clinic tone of the lower body Patellar can result in excessive tendon Fibula compressive forces Tibia across the joint. (shinbone) Cycling Overuse Injuries of the Knee Patellofemoral syndrome Compression and shearing across the cartilage of the Quadriceps The economy and higher gas prices are patella can lead to loss of muscle straining wallets and making cycling a more cartilage and the beginning attractive mode of transportation. Health of arthritis. Calf enthusiasts use cycling as a low-impact muscles exercise to improve overall fitness and Patella minimize knee pain. Cities throughout the (kneecap) country are turning old, abandoned railroad Damaged lines into miles of beautiful biking trails and cartilage Femur adding bike lanes to existing roads. In essence, Trochlear cycling is becoming one of the nation’s most groove popular pastimes. Patellar tendinitis Cycling has many health benefits; you Front Quadriceps Cross section of can tone your muscles, improve your view muscle a bent knee cardiovascular fitness, and burn as many as of bent 300 calories an hour during a steady ride. knee People often turn to cycling as a form of Fibula Femur exercise and enjoyment because it is a low- Tibia (thighbone) impact exercise that is easy on the knees.
  • Imaging of the Bursae

    Imaging of the Bursae

    Editor-in-Chief: Vikram S. Dogra, MD OPEN ACCESS Department of Imaging Sciences, University of HTML format Rochester Medical Center, Rochester, USA Journal of Clinical Imaging Science For entire Editorial Board visit : www.clinicalimagingscience.org/editorialboard.asp www.clinicalimagingscience.org PICTORIAL ESSAY Imaging of the Bursae Zameer Hirji, Jaspal S Hunjun, Hema N Choudur Department of Radiology, McMaster University, Canada Address for correspondence: Dr. Zameer Hirji, ABSTRACT Department of Radiology, McMaster University Medical Centre, 1200 When assessing joints with various imaging modalities, it is important to focus on Main Street West, Hamilton, Ontario the extraarticular soft tissues that may clinically mimic joint pathology. One such Canada L8N 3Z5 E-mail: [email protected] extraarticular structure is the bursa. Bursitis can clinically be misdiagnosed as joint-, tendon- or muscle-related pain. Pathological processes are often a result of inflammation that is secondary to excessive local friction, infection, arthritides or direct trauma. It is therefore important to understand the anatomy and pathology of the common bursae in the appendicular skeleton. The purpose of this pictorial essay is to characterize the clinically relevant bursae in the appendicular skeleton using diagrams and corresponding multimodality images, focusing on normal anatomy and common pathological processes that affect them. The aim is to familiarize Received : 13-03-2011 radiologists with the radiological features of bursitis. Accepted : 27-03-2011 Key words: Bursae, computed tomography, imaging, interventions, magnetic Published : 02-05-2011 resonance, ultrasound DOI : 10.4103/2156-7514.80374 INTRODUCTION from the adjacent joint. The walls of the bursa thicken as the bursal inflammation becomes longstanding.
  • The Rheumatoid Arthritis Articular Damage Score

    The Rheumatoid Arthritis Articular Damage Score

    20 EXTENDED REPORT Ann Rheum Dis: first published as 10.1136/ard.61.1.20 on 1 January 2002. Downloaded from The rheumatoid arthritis articular damage score: first steps in developing a clinical index of long term damage in RA T R Zijlstra, H J Bernelot Moens,MASBukhari ............................................................................................................................. Ann Rheum Dis 2002;61:20–23 Objective: To design and validate a clinical method for scoring irreversible long term articular dam- age in rheumatoid arthritis (RA). Methods: The rheumatoid arthritis articular damage score (RAAD score) is based on examination of 35 large and small joints. Concise definitions were formulated to score each joint on a three point scale See end of article for (0, no irreversible damage; 1, partially damaged; 2, severe damage, ankylosis, or prosthesis). The authors’ affiliations RAAD score was determined for 121 patients with RA with a large range of disease duration. Inter- ....................... observer agreement was studied in 39 patients scored by three observers. Data on disease duration, Correspondence to: Health Assessment Questionnaire, disease activity score, and Larsen score were collected for 121, 78, Dr T R Zijlstra, Medisch 47, and 45 patients, respectively. Spectrum Twente, Results: The RAAD score correlated well with the Larsen score (r =0.81) and disease duration (r =0.68) Secretariaat Reumatologie, s s Postbus 50000, 7500 KA and (as intended) not with disease activity (rs=0.10). Good interobserver agreement was found for total Enschede, The scores and individual joints. The wide range of RAAD scores for patients with the same disease dura- Netherlands; tion suggested good discriminating power, especially after >10 years.
  • First Metatarsophalangeal Joint Replacement with Total Arthroplasty in the Surgical Treatment of the Hallux Rigidus R

    First Metatarsophalangeal Joint Replacement with Total Arthroplasty in the Surgical Treatment of the Hallux Rigidus R

    Acta Biomed 2014; Vol. 85, Supplement 2: 113-117 © Mattioli 1885 Original article First metatarsophalangeal joint replacement with total arthroplasty in the surgical treatment of the hallux rigidus R. Valentini, G. De Fabrizio, G. Piovan Clinica Ortopedica e Traumatologica, Università degli Studi di Trieste, Azienda Ospedaliero-Universitaria “Ospedali Riuniti” di Trieste Abstract. The hallux rigidus, especially in advanced stage, has always been a challenge as regards the surgical treatment. Over the years there have been various surgical techniques proposed with the aim of relieving pain, correcting deformity and maintain a certain degree of movement. For some years we have addressed the prob- lem with the replacement metatarsophalangeal joint arthroplasty with Reflexion system. As far as our experi- ence we have operated and monitored 25 patients (18 females and 7 males) of mean age 58.1 years, operated with this technique from June 2008 to June 2011. It reached an average ROM of 72° (extension and flexion 45° and 27°) with a good functional recovery in 8 patients, and this articulation was good (50° - 40°) in 12 patients and moderate in 5 with a articular range from 40°- 30°. The clinical results, according to our experience, appear to be favorable, as even patient satisfaction is complete. (www.actabiomedica.it) Key words: hallux rigidus, metatarsophalangeal, arthroprosthesis Introduction The pathology of stiff big toe has ranked about Regnauld classification (5) in three stages, so that the Degenerative disease of the first metatarsal- I stage is characterized by wear of the joint with mini- phalangeal articulation, the so-called “Hallux rigi- mal osteophytes reaction, the II stage is reached when dus”, especially in advanced phase, has always been the joint line is further reduced, the articular surfaces a sort of challenge as a surgical treatment.
  • Hughston Health Alert US POSTAGE PAID the Hughston Foundation, Inc

    Hughston Health Alert US POSTAGE PAID the Hughston Foundation, Inc

    HughstonHughston HealthHealth AlertAlert 6262 Veterans Parkway, PO Box 9517, Columbus, GA 31908-9517 • www.hughston.com/hha VOLUME 26, NUMBER 4 - FALL 2014 Fig. 1. Knee Inside... anatomy and • Rotator Cuff Disease ACL injury. Extended (straight) knee • Bunions and Lesser Toe Deformities Femur • Tendon Injuries of the Hand (thighbone) Patella In Perspective: (kneecap) Anterior Cruciate Ligament Tears Medial In 1992, Dr. Jack C. Hughston (1917-2004), one of the meniscus world’s most respected authorities on knee ligament surgery, MCL LCL shared some of his thoughts regarding injuries to the ACL. (medial “You tore your anterior cruciate ligament.” On hearing (lateral collateral collateral your physician speak those words, you are filled with a sense ligament) of dread. You envision the end of your athletic life, even ligament) recreational sports. Today, a torn ACL (Fig. 1) has almost become a household Tibia word. Through friends, newspapers, television, sports Fibula (shinbone) magazines, and even our physicians, we are inundated with the hype that the knee joint will deteriorate and become arthritic if the ACL is not operated on as soon as possible. You have been convinced that to save your knee you must Flexed (bent) knee have an operation immediately to repair the ligament. Your surgery is scheduled for the following day. You are scared. Patella But there is an old truism in orthopaedic surgery that says, (kneecap) “no knee is so bad that it can’t be made worse by operating Articular Torn ACL on it.” cartilage (anterior For many years, torn ACLs were treated as an emergency PCL cruciate and were operated on immediately, even before the initial (posterior ligament) pain and swelling of the injury subsided.
  • Bilateral Hallux Varus Deformity Correction with a Suture Button Construct

    Bilateral Hallux Varus Deformity Correction with a Suture Button Construct

    A Case Report & Literature Review Bilateral Hallux Varus Deformity Correction With a Suture Button Construct Andrew R. Hsu, MD, Christopher E. Gross, MD, and Johnny L. Lin, MD common surgery for hallux varus correction is transfer of the Abstract extensor hallucis longus partially or completely under the deep Hallux varus deformity typically results from transverse intermetatarsal ligament to the lateral aspect base soft-tissue overcorrection at the metatarsopha- of the proximal phalanx.10,11 However, complications include langeal joint during surgery for hallux valgus. weakened extension and the inability to fix an overcorrected There are several soft-tissue procedures avail- intermetatarsal angle. Alternatively, the abductor hallucis can able for flexible hallux varus deformity includ- be tenotomized or transferred to the base of the proximal ing transfer of the extensor hallucis longus or phalanx to reconstruct the lateral capsular ligaments.8,9 The abductor hallucis. To our knowledge, there have lateral capsular ligaments can be reinforced or reconstructed not been any previous reports in the literature of with fascia lata or soft-tissue anchors, but these procedures rely bilateral hallux varus deformities in the setting of on adequate healthy tissue remaining around the MTP joint.9,12 potential pregnancy-related ligamentous laxity The Mini TightRope (Arthrex Inc, Naples, Florida) is an im- combined with iatrogenic injury. We present the planted suture endobutton device that has previously been used 13 case of an isolated bilateral hallux varus defor- for hallux valgus repair. The suture button technique has also mity occurring after pregnancy and prior bunion been used to recreate ligaments and tendons in syndesmotic 14,15 14 surgery.
  • The Rheumatoid Thumb

    The Rheumatoid Thumb

    THE RHEUMATOID THUMB BY ANDREW L. TERRONO, MD The thumb is frequently involved in patients with rheumatoid arthritis. Thumb postures can be grouped into a number of deformities. Deformity is determined by a complex interaction of the primary joint, the adjacent joints, and tendon function and integrity. Joints adjacent to the primarily affected one usually assume an opposite posture. If they do not, tendon ruptures should be suspected. Surgical treatment is individualized for each patient and each joint, with consideration given to adjacent joints. The treatment consists of synovectomy, capsular reconstruction, tendon reconstruction, joint stabilization, arthrodesis, or arthroplasty. Copyright © 2001 by the American Society for Surgery of the Hand he majority of patients with rheumatoid ar- ring between the various joints. Any alteration of thritis will develop thumb involvement.1,2,3 posture at one level has an effect on the adjacent joint. TThe deformities encountered in the rheuma- The 6 patterns of thumb postures described here, toid patient are varied and are the result of changes unfortunately, do not exhaust the deformities one taking place both intrinsically and extrinsically to the encounters in rheumatoid arthritis (Table 1). It is thumb. Synovial hypertrophy within the individual possible, for example, for the patient to stretch the thumb joints leads not only to destruction of articular supporting structures of a joint, causing a flexion, cartilage, but can also stretch out the supporting extension, or lateral deformity. However, instead of collateral ligaments and joint capsules. As a result, the adjacent joint assuming the opposite posture, it each joint can become unstable and react to the may assume an abnormal position secondary to a stresses applied to it both in function against the other tendon rupture.