What is the CPT code for scapholunate ligament repair?

What is the CPT code for scapholunate ligament repair?

Scapholunate Ligament Repair-Bruneli 25320 | eORIF.

What is scapholunate ligament reconstruction?

Description of Technique Our technique for scapholunate (SL) reconstruction involves ligament reconstruction utilizing a portion of the flexor carpi radialis tendon rerouted via transosseous tunnels across the scaphoid, lunate, and triquetrum (scapholunotriquetral tenodesis).

What is the treatment for scapholunate ligament?

Partial injuries where there is no instability of the scapholunate joint are most commonly treated with splinting or casting, anti-inflammatories and hand therapy. Surgical treatments including arthroscopic debridement and thermal shrinkage of the ligament have been used.

What is scapholunate ligament disruption?

Scapholunate Ligament Disruption is an injury involving the ligaments attaching the scaphoid to the lunate. There is a dorsal and volar ligament as well as proximal ligament which connect these two carpal bones.

What is the ICD 10 code for scapholunate dissociation?

391A.

What is a DISI deformity?

Dorsal intercalated segment instability (DISI) is a deformity of the wrist where the lunate angulates to the posterior side of the hand.

Where is the scapholunate ligament?

A very common ligament injured in a sprained wrist is the scapholunate ligament. This ligament is in the middle of the wrist between the scaphoid and lunate bones (Figure 1). It is an important structure for painless and full wrist motion.

Where is the scapholunate joint?

The scapholunate joint is a small joint between two carpal bones at the wrist crease, namely the scaphoid and lunate bones. The scapholunate joint is very important for the stability of the wrist joint. It is often injured during sport, for example, if you fall heavily onto your hand.

How do you fix a SLAC wrist?

Asymptomatic (SLAC) wrist generally does not require treatment. Symptomatic mild SLAC is managed nonoperatively, for example, wrist immobilization with splints, nonsteroidal anti-inflammatory drugs, and corticosteroid injections.

Where is the scapholunate ligament located?

What is a scapholunate ligament?

The scapholunate ligament (SLL) is one of the two proximal interosseous carpal ligaments of the wrist. The other being the lunotriquetral interosseous ligament. These ligaments cover the dorsal, proximal and palmar aspects of their respective joints. The distal aspect of each joint articulates with the midcarpal joint.

What is scapholunate dissociation?

Scapholunate (SL) dissociation is part of a spectrum of traumatic carpal bone instabilities and is defined as disruption of the ligamentous complex holding the scaphoid and lunate together.1 The SL ligament complex consists of the volar, dorsal, and intermediate components, with the dorsal component being the strongest …

What is the ICD 10 code for scapholunate ligament?

The 2022 edition of ICD-10-CM S63. 391A became effective on October 1, 2021. This is the American ICD-10-CM version of S63.

What is DISI and visi?

Dorsal intercalated segment instability (DISI) and volar intercalated segment instability (VISI) are the two largest categories of carpal instability and are associated with wrist pain, restricted motion and weakness.

What does DISI stand for wrist?

Dorsal intercalated segment instability (DISI) is a form of carpal instability featuring dorsal tilt of the lunate. It occurs mainly after the disruption of the scapholunate ligament and is more often encountered than volar intercalated segment instability (VISI).

What is the ligament between scaphoid and lunate?

The scapholunate ligament is between the scaphoid and lunate bones.

What is scapholunate joint?

What is Stage 3 SLAC wrist?

Stage III SLAC wrist entails sclerosis and joint space narrowing between the lunate and capitate. Eventually, the capitate will migrate proximally into the space created by the scapholunate dissociation.

  • October 18, 2022