The Upper Hand: Chuck & Chris Talk Hand Surgery Volar Approach to the Scaphoid: Technical considerations
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Feb 11, 2024 The hosts dive into the intricacies of treating scaphoid non-unions through the volar approach. They share innovative techniques and discuss challenges like k-wire fixation and previous surgical complications. Personal anecdotes about patient positioning and surgical experiences add humor and authenticity. Exciting advancements in managing acute nerve injuries are also highlighted, showcasing the importance of education in the field. Their camaraderie makes for an engaging and informative conversation on hand surgery.
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Patient Positioning for Cubital Tunnel Release
- Position patients supine with a towel bump under the elbow for cubital tunnel cases.
- Maximize external shoulder rotation, even consider checking rotation pre-operatively.
Coding for Cubital Tunnel Procedures
- Use CPT code 64718 for cubital tunnel decompression or transposition.
- Add code 24305 for flexor pronator mass lengthening in submuscular transpositions and consider 15740 for adipofascial flaps.
Hand Surgery Triathlon
- Chris Dy describes performing the "hand surgery triathlon."
- This involves using fluoroscopy, microscopy, and arthroscopy in one day.