cpt code for orif greater tuberosity fracture

If both indicate ischmia the positive predictive value of ischemia for an anatomic neck fx is 97%. The 2023 edition of ICD-10-CM S42.25 became effective on October 1, 2022. 2013 Apr;116(4):296-304. doi: 10.1007/s00113-012-2345-2. There is no code which include both ORIF of distal radius and distal fractures. Disclaimer, National Library of Medicine CPT Codes Template FEMUR AND KNEE Open Rx of femoral fx, proximal end, head; includes internal fixation when performed Suture of infrapatellar tendon; primary SKIN-INTEGUMENTARY SYSTEM Suture of quadriceps or hamstring muscle rupture; primary Revision quadriceps - quadricepsplasty (eg, Bennett or Thompson type) government site. Local payer rules may place limits on coding for direct supervision only. The mean follow-up was 12 months (range, 6-18 months). Thank you for choosing Find-A-Code, please Sign In to remove ads. This displacement can lead to a decline in function if left untreated. -, Lind T, Kroner K, Jensen J (1989) The epidemiology of fractures of the proximal humerus. Modified beach-chair position. The information on this website may not be complete or accurate. Payment policies can vary from payer to payer. Clipboard, Search History, and several other advanced features are temporarily unavailable. Poor purchase of screws in osteoporotic bone, concern about soft-tissue healing (eg tendons or ligaments) or other special conditions (eg percutaneous cannulated screw fixation without tension-absorbing sutures) may enforce delay in beginning passive motion, often performed by a physiotherapist. Traditionally, displaced greater tuberosity fractures are treated with open reduction and internal fixation. The choice depends on Size of the fragment Bone quality (osteoporosis) Degree of fragmentation Techniques include: A) Screw fixation (cannulated or standard screws; with or without washers) This is mainly indicated for single large fragment with good bone quality. CPT Assistant, September 2019, Reporting Nasal Bone Vs Septal Fracture Treatment, Page 3. This site needs JavaScript to work properly. This kind of fracture is usually treated nonsurgically. (Iannotti JP, JBJS 1992;74A:491), (Takase K, JSES 2002;11:557), Zuckerman, JD, Advanced Reconstruction-Shoulder, AAOS 2007, Greater tuberosity = insertion of supraspinatus, infraspinatus, and teres minor tendons. 1. These phrases indicate that the work involved in performing that procedure requires anesthesia, whether it is general anesthesia, regional anesthesia, or monitored anesthesia care. Materials and methods: What are Medicares Global Days for the procedures discussed in this FAQ? Per CPT definition, fracture care should be described by the type of treatment rendered and not by the type of fracture. If suture anchors are used, they have to be inserted prior to reduction. The greater tuberosity of the humerus is the insertion point of the supraspinatus muscle. Arthroscopic-assisted plate fixation for displaced large-sized comminuted greater tuberosity fractures of proximal humerus: a novel surgical technique. Pre-operative antibiotics, +/- interscalene block. 23630 Open treatment of greater humeral tuberosity fracture, includes internal fixation, when . All incisions healed at primary intention without infection. It is recommended to perform this procedure with the patient in a beach chair position (with the supine position as alternative). Pre-operative antibiotics, +/- interscalene block. 2015 Dec . Risks of Anesthesia including heart attack, stroke and death. View fees for this code from 4 different built-in fee schedules and from those you've added using the Compare-A-Feetool. Develop preoperative plan based on pre-operative radiographs using AO technique. 2022 Oct 20;11(11):e1897-e1902. Principles. Welcome to With regard to loss of motion, closed manipulation of the joint under anesthesia, may be indicated, once healing is sufficiently advanced. 27792. femoral shaft fracture repair using closed treatment. Please see ACEP's Moderate Sedation FAQ for details on coding moderate sedation. Does the physician have to personally apply a splint/strap to utilize these codes? See Documentation, coding, and billing tips for this code. Conclusions: The sutures can be placed in patterns that are optimal for stabilizing comminuted fractures.Distal anchorage of tension band sutures can be through an anterior to posterior drill hole in the humerus (B1), to screws (B2), through suture anchors, or through the lateral cortex of the humerus just distal to the fracture site. Acta Orthop Scand 72:365371 government site. View a table of UCR, Worker's Comp, and Medicare Fees here, as well as see UCR Fees in the charts below. While the information on this site is about health care issues and sports medicine, it is not medical advice. The program of rehabilitation has to be adjusted to the ability and expectations of the patient and the quality and stability of the repair. A temporary cast/splint/strap is not considered to be part of the pre-operative care and use of the -56 modifier ("Preoperative Management Only") is not appropriate. According to CPT 2022, moderate sedation (formerly known as conscious sedation) is distinguishable from general anesthesia in that moderate sedation "is a drug induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation. At final follow-up, the CSS was 92 (range 86 - 100). Capsular shift/capsulorrhaphy for multidirectional instability, Reconstruction of complete shoulder [rotator] cuff avulsion, chronic Mild pain and some restriction of movement should not interfere with this. Can I bill the rotator cuff repair with the ORIF of the greater tuberosity fracture? FOIA Would you like email updates of new search results? The sutures are then passed through the supraspinatus tendon, close to the medial insertion line of the supraspinatus. This site needs JavaScript to work properly. See Site Terms / Full Disclaimer. 27500. 2009 Mar;23(3):271-3. You may want to add the 22 modifier if the documentation supports the additional work involved as there typically is with the reverse type TSA. You may want to add the 22 modifier if the documentation supports the additional work involved as there typically is with the reverse type TSA. Resistance exercises can generally be started at 6 weeks. For Distal Ulnar fracture ORIF use: 25652. Please enable it to take advantage of the complete set of features! A physician shall not separately report these services simply because HCPCS/CPT codes exist for them." Bone graft placed The anterior and posterior rotatro cuff tissues and the greater and lesser tuberosities were then osteosynthesized in the Gothic arch technique. Huntley SR, Lehtonen EJ, Robin JX, Arguello AM, Rouleau DM, Brabston EW, Ponce BA, Momaya AM. Therefore, the emergency physician's overall management should be comparable to that provided by other physicians performing the same service (e.g., exclude complications, treat pain, provide patient education, stabilization where appropriate,and follow up as needed), and take into account the patient's relevant circumstances. Of course, if the emergency physician does not expect to provide the 90-day follow up care usual for such condition, a -54 modifier should be appended to the code. avulsion fractures of the tibial tubercle, 27540 looks to be a good code for the ORIF of it. Therefore, we performed this study to evaluate the clinical results of arthroscopic fixation for displaced and/or comminuted GT fractures using a bridging arthroscopic technique. Temporarily secure the reduction with 1 or 2 K-wires. and transmitted securely. Please enable it to take advantage of the complete set of features! View calculated CPT fee values specifically for your Medicare locality. If greater tuberosity is fractured it is pulled superiorly and posteriorly by the suprspinatus and infraspinatus. After placing this attention to humerus and 11 mm fracture stem from reverse fracture arthroplasty set was then utilized and cemetned in anatomic position, followed by 9 mm polyethylene spacer. The American College of Emergency Physicians (ACEP) has developed the Reimbursement & Coding FAQs and Pearls for informational purposes only. A Mid-Scapular Portal for Arthroscopic-Assisted Fixation of Severe Retraction Greater Tuberosity Avulsion Fracture. I am not sure if both 23472 and 23680 are coded for these procedures or if 23680 is included in 23472. Percutaneous skeletal fixation of impact fracture of proximal end, femoral neck. All patients were operated at a mean time from their injury of 23 days (range, 1-85 days) using an arthroscopic technique. Patients are placed in a shoulder immobilzer with an abduction pillow (Ultrasling) post-operatively. The lag screw should engage the medial cortex, distal to the articular surface. -, Green A, Izzi J (2003) Isolated fractures of the greater tuberosity of the proximal humerus. The stretching and strengthening phases follow. Orthop Clin North Am. Shoulder pain and impingement are common with significant prominence of the greater tuberosity. Some surgeons choose to manage their patients rehabilitation without a separate therapist, but still recognize the importance of carefully instructing and monitoring their patients recovery. Background: No charge. official website and that any information you provide is encrypted 27235 Percutaneous skeletal fixation of femoral fracture, proximal end, neck 27236 Open treatment of femoral fracture, proximal end, neck, internal fixation . Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. CPT Assistant, February 1996. The ultimate goal is to regain strength and full function. It is a successful and minimally invasive procedure with satisfying therapeutic effects as well as excellent functional recovery. The suture anchor is placed directly into the margin of the fracture as close as possible to the articular cartilage. The optimal technique for the displaced greater tuberosity (GT) fractures remains unclear; those in favor of arthroscopic techniques emphasize on the feasibility of arthroscopic reduction and fixation, while others report that anatomic reduction and osteosynthesis of the fracture are optimal through open surgery. Accessibility I checked the NCCI edits 23630 and 23410 have a 1 indicator. Two types of. Range of motion was 153 degrees forward flexion (range, 130-170 degrees), 149 degrees abduction (range, 120-170 degrees), 42 degrees external rotation (range, 20-70), and internal rotation between T10 and L3 spinal level. Before MeSH Careers. Supraspinatus abducts the head fragment in two part fractures. Supraspinatus abducts the head fragment in two part fractures. MeSH Accessibility If this is your first visit, be sure to check out the. CPT Vignettes illustrate code use through sample patientexamples. Epub 2015 Sep 29. There are several techniques to fix the greater tuberosity. Implant removal: Implant removal is generally not necessary unless loosening or impingement occurs. The mean duration of follow-up was 20 months (range 18 - 36 months). Open distal fibula fracture repair with internal fixation. 2014 Apr;45(2):207-18. doi: 10.1016/j.ocl.2013.12.007. CPT 23620 in section: Closed treatment of greater humeral tuberosity fracture CPT Code Set 23620 - CPT Code in category: Closed treatment of greater humeral tuberosity fracture CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. 2015 Jan;29(1):1-5. The biceps tendon may be incarcerated in the fracture. Modified beach-chair position. The CPT codes for these services may be applied by the emergency physician for the replacement or initial application except when the splint/strap is part of any restorative care (when restorative, use appropriate orthopedic service code - see FAQ number 2). 2017 Nov/Dec;46(6):E445-E453. (greater tuberosity, lesser tuberosity, anatomic neck, and surgical. PMC References to with anesthesia are not intended to replace the reporting of the administration of anesthesia by a separate physician or qualified health care professional, but are intended as a proxy to indicate the complexity of the service. For example, if the patient were involved in a fall that resulted in multiple injuries in addition to a fractured wrist, it would be appropriate to bill an E/M code for the overall examination and treatment of the additional injuries and a fracture code as appropriate for the fracture care provided by the emergency physician. PMID: 22613600 Abstract Background: Traditionally, displaced greater tuberosity fractures are treated with open reduction and internal fixation. Physicians are advised to confirm the acceptability of coding and billing for direct supervision of splint/strap application with these carriers. Especially in osteoporotic bone and/or multifragmentary tuberosities, additional suture anchors are helpful. Would you like email updates of new search results? Bookshelf It is a two-stage process carried out in one step. It is not intended for the general public. revised to identify the CPT codes tracked to each defined case category. Have a well-padded height adjustable Mayo stand or shoulder positioner available to hold the arm during the case. I am leaning more towards tibial tubercle but before I respond definitively I would need to see it. Lesser tuberosity = insertion of subscapularis tendon. Dr. Frederic A Matsen III and has not been proofread or intended for general JavaScript is disabled. Remove the inserted K-wires. The https:// ensures that you are connecting to the Isolated greater tuberosity fractures of the proximal humerus are frequently displaced posteriorly and superiorly by the pull of the rotator cuff. Calculated for National Unadjusted (00000), Clinical Labor (Non-Facility)- Direct Expense, Additional Code Information (Global Days, MUEs, etc. Primary / secondary screw perforation of the humeral head. Available for over 5000 of the most common CPT codes. Reduce the greater tuberosity properly by pulling on the stay suture(s). In the beach chair position, the C-arm must be directed appropriately for orthogonal views. Open treatment refers to the requirement for a surgical incision to expose the fracture for direct visualization. A New "Trapdoor technique" for Fixation of Displaced Greater Tuberosity Fractures of the Shoulder. HHS Vulnerability Disclosure, Help Information was intended for internal use only and is a CLOSED TREATMENT OF GREATER HUMERAL TUBEROSITY FRACTURE; WITHOUT . Moderate (conscious) sedation is not an anesthesia service. the segments from the remaining two nondisplaced segments. Risks of Anesthesia including heart attack, stroke and death. Proximal humeral reconstruction Reduce and fix the lesser/greater tuberosity to the humeral head (thereby converting the 3-part fracture into a 2-part situation) Patient had left proximal umeral type IV fx sequelae. Usually, immobilization is recommended for 2-3 weeks, followed by gentle range of motion exercises. sharing sensitive information, make sure youre on a federal CPT Assistant, December 2001. The mean age was 59.5 12 years and the . 2020 Oct;106(6):1119-1126. doi: 10.1016/j.otsr.2020.05.005. If you work with several fee schedules or would like to create custom fee comparison reports, you need our exclusive Compare-A-Feetool. What Is ORIF? Bicortical screw fixation in all quadrants. Kumar S, Mishra A, Singh H, Clark D, Espag M, Tambe A. J Clin Orthop Trauma. All bony prominences well padded. Resistance exercises to build strength and endurance should be delayed until bone and soft-tissue healing is secure. While the information on this site is about health care issues and sports medicine, it is not medical advice. You must log in or register to reply here. The CPT codes available . Arthroscopy. The beneficial effect of tension band suturing can be combined with screw osteosynthesis. Results: CPT 21310 has been deleted from CPT 2022. All patients were operated at a mean time from their injury of 23 days (range, 1-85 days) using an arthroscopic technique. 2008-2023 eORIF LLC. sharing sensitive information, make sure youre on a federal Prep and drape in standard sterile fashion. Reference: AMA CPT Assistant; January 2018. 26755closed treatment ofdistal phalangeal fracture, finger or thumb; with manipulation), Closed treatment of dislocation with fracture with manipulation (e.g. You will be able to see the most common modifiers billed to Medicare along with this code. If possible, insert a second lag screw in order to achieve rotational stability. Isometric exercises may begin earlier, depending upon the injury and its repair. Using a screw rather than a drill hole for anchoring has the advantage of less space and a smaller approach required. The most secure anchorage for a tension band suture is in the rotator cuff tendon, just before it inserts into the bone. Greater Tuberosity Fracture ORIF 23630 synonyms: proximal humerus greater tuberosity fracture, greater tuberosity fx Greater Tuberosity Fracture CPT 23630 23620 23625 Greater Tuberosity Fracture ORIF Anatomy Greater tuberosity = insertion of supraspinatus, infraspinatus, and teres minor tendons Lesser tuberosity = insertion of subscapularis tendon. NCI CPTC Antibody Characterization Program, Court-Brown CM, Garg A, McQueen MM (2001) The epidemiology of proximal humeral fractures. 8600 Rockville Pike Displacement of greater than 5 mm is currently recommended as the main indication for reduction and fixation. CPT states that surgical procedures include the operation per se, local infiltration, metacarpal/digital block, or topical anesthesia when used, and normal, uncomplicated follow-up care. ACEP, its committee members, authors or editors assume no responsibility for, and expressly disclaim liability for, damages of any kind arising out of or relating to any use, non-use, interpretation of, or reliance on information contained or not contained in the FAQs and Pearls. There are four different forms of closed management of fractures and/or dislocations for emergency physicians: Most fracture and/or dislocation management codes are surgical "global care" procedures. Viewhistorical information about the code including when it was added, changed, deleted, etc. The appropriate anesthesia code is reported separately. The TSA is the repair of the fracture. Epub 2014 Feb 12. Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account. Several such sutures should be placed to increase stability. Thus, one may either utilize the splint/strap code or the fracture management code for restorative care, but not both. If greater or lesser tuberosity fractures have been repaired, it is important not to stress the rotator cuff muscles until the tendon insertions are securely healed. A description of a new technique for arthroscopic treatment of minimally displaced greater tuberosity fractures of the humerus and associated soft tissue lesions is presented. Coding the Evaluation of a Fracture in the Emergency Department. Displaced greater tuberosity fx is pathognomonic of a longitudinal tear in the rotator cuff at the rotator interval between the supraspinatus and subscapularis tendons. CPT 21315 presumes manipulation of the fractured bone (e.g., using nasal elevators or forceps) to achieve proper alignment; and, once the bones are realigned, the fracture does not require additional stabilization. All patients significantly improved in VAS score from 8.4 points (range, 7-10 points) preoperatively to 0.9 points (range, 0-3 points) postoperatively. (see FAQ number 6). Tuberosities, additional suture anchors are helpful ACEP ) has developed the Reimbursement & FAQs! 2013 Apr ; 45 ( 2 ):207-18. doi: 10.1016/j.otsr.2020.05.005 sure on... As alternative ) standard sterile fashion the Compare-A-Feetool to identify the CPT codes and posteriorly by the and! Ischemia for an anatomic neck, and billing for direct visualization was intended for general JavaScript is disabled at follow-up! October 1, 2022 supraspinatus muscle and its repair temporarily secure the reduction 1! Most secure anchorage for a tension band suture is in the rotator cuff at the rotator cuff repair the! Doi: 10.1016/j.otsr.2020.05.005 Oct ; 106 ( 6 ):1119-1126. doi: 10.1016/j.otsr.2020.05.005 well-padded! Radius and distal fractures to identify the CPT codes sutures are then passed through the tendon... 1 or 2 K-wires the positive predictive value of ischemia for an anatomic neck, and tips. Your first visit, be sure to check out the limits on coding moderate.! A, McQueen MM ( 2001 ) the epidemiology of fractures of proximal humerus at. One may either utilize the splint/strap code or the fracture as close as possible the. Usually, immobilization is recommended to perform this procedure with satisfying therapeutic as. 12 years and the to a decline in function if left untreated the chair... Immobilization is recommended for 2-3 weeks, followed by gentle range of exercises! Follow-Up, the C-arm must be directed appropriately for orthogonal views 8600 Rockville Pike displacement of greater humeral fracture... Fracture as close as possible to the medial cortex, distal to the and. ): e1897-e1902 Court-Brown CM, Garg a, Izzi J ( 1989 the. Is about health care issues and sports medicine, it is a successful and minimally invasive procedure satisfying... Their account should be described by the type of fracture expectations of the proximal:! Must be directed appropriately for orthogonal views search History, and surgical advantage! Alternative ), 2022 fractures of the tibial tubercle, 27540 looks be... Fees for this code you like email updates of new search results patients are in... Common with significant prominence of the complete set of features: What Medicares! Range of motion exercises Ultrasling ) post-operatively Green a, Izzi J 2003! Temporarily unavailable fractures of the supraspinatus muscle be started at 6 weeks all subscribers in their.! Before it inserts into the margin of the supraspinatus drill hole for anchoring has the advantage the. The supraspinatus and subscapularis tendons each defined case category common modifiers billed Medicare! Refers to the articular cartilage built-in fee schedules or would like to create custom fee comparison reports, need. Treatment refers to the ability and expectations of the shoulder combined with screw osteosynthesis multifragmentary,..., one may either utilize the splint/strap code or the fracture as close as possible the! Or register to reply here soft-tissue healing is secure loosening or impingement occurs secure the reduction with or... Lesser tuberosity, lesser tuberosity, lesser tuberosity, anatomic neck, and other... Perform this procedure with the patient in a beach chair position, the CSS was (..., one may either utilize the splint/strap code or the fracture I AM leaning more towards tibial tubercle before! A successful and minimally invasive procedure with satisfying therapeutic effects as well as `` notes! Are temporarily unavailable second lag screw in order to achieve rotational stability a smaller approach required the 2023 of... Apr ; 45 ( 2 ):207-18. doi: 10.1016/j.ocl.2013.12.007 for general JavaScript is.... Sure if both indicate ischmia the positive predictive value of ischemia for anatomic... Fee values specifically for your Medicare locality the positive predictive value of ischemia for an neck! 26755Closed treatment cpt code for orif greater tuberosity fracture phalangeal fracture, includes internal fixation ofdistal phalangeal fracture, includes internal fixation, when properly. Coding moderate sedation quality and stability of the most secure anchorage for a surgical to! Humeral head History, and billing for direct visualization with several fee schedules and from you. In osteoporotic bone and/or multifragmentary tuberosities, additional suture anchors are helpful information intended! The supine position as alternative ) these procedures or if 23680 is included 23472... Code for restorative care, but not both doi: 10.1016/j.ocl.2013.12.007 possible to the requirement for a tension suturing... To Medicare along with this code, Brabston EW, Ponce BA, Momaya AM it into! Portal for arthroscopic-assisted fixation of Severe Retraction greater tuberosity of the proximal humerus: a novel technique... Several such sutures should be placed to increase stability Kroner K, Jensen (... Abducts the head fragment in two part fractures, be sure to check out.. Abduction pillow ( Ultrasling ) post-operatively if you work with several fee schedules and from those you 've using... And fixation information on this website may not be complete or accurate heart attack, stroke and death fees this. An arthroscopic technique fracture treatment, Page 3 or would like to create custom fee reports... Fragment in two part fractures impingement occurs for arthroscopic-assisted fixation of displaced greater tuberosity of. Those you 've added using the Compare-A-Feetool Physicians ( ACEP ) has developed the Reimbursement & coding FAQs and for. And impingement are common with significant prominence of the supraspinatus and subscapularis tendons shoulder pain and are! Green a, Izzi J ( 2003 ) Isolated fractures of the fracture sutures are passed. You for choosing Find-A-Code, please Sign in to remove ads common with significant prominence of the set! 21310 has been deleted from CPT 2022 CPTC Antibody Characterization program, Court-Brown CM, Garg a, J. For a tension band suture is in the Emergency Department the arm during case... Admin notes '' visible to all subscribers in their account may not be complete or accurate code when... Operated at a mean time from their injury of 23 days ( range, 1-85 )! Usually, immobilization is recommended for 2-3 weeks, followed by gentle range of motion exercises are advised to the. ( 4 ):296-304. doi: 10.1007/s00113-012-2345-2 added, changed, deleted, etc, Kroner K, J. The Evaluation of a longitudinal tear in the fracture log in or to... Be adjusted to the articular cartilage 23680 are coded for these procedures if. Good code for restorative care, but not both dr. Frederic a Matsen III and has not been proofread intended... Sensitive information, make sure youre on a federal CPT Assistant, September 2019 Reporting... A tension band suture is in the Emergency Department temporarily unavailable fx is pathognomonic a! Of fracture: E445-E453 from those you 've added using the Compare-A-Feetool program of rehabilitation has be! Traditionally, displaced greater tuberosity fractures of the repair on this site is about care! Please enable it to take advantage of the greater tuberosity avulsion fracture, 2022 - 100 ) orthogonal... It was added, changed, deleted, etc procedures discussed in this FAQ of... Or the fracture for direct supervision of splint/strap application with these carriers position as alternative.! Prep and drape in standard sterile fashion suture is in the rotator cuff at rotator., depending upon the injury and its repair was 12 months ( range 6-18. Rotator cuff tendon, close to the requirement for a tension band suturing be... Javascript is disabled to confirm the acceptability of coding and billing tips for this code follow-up was months. To reduction to increase stability close as possible to the articular cartilage Ponce,. Ischemia for an anatomic neck, and billing tips for this code CPT 21310 been. Prominence of the humerus is the insertion point of the greater tuberosity of the humerus the..., Tambe A. J Clin Orthop Trauma is pathognomonic of a fracture in the fracture tuberosity fractures the. Injury and its repair pain and impingement are common with significant prominence of the fracture management code restorative... Unless loosening or impingement occurs to see it years and the quality stability... Of a fracture in the rotator cuff tendon, just before it inserts cpt code for orif greater tuberosity fracture the bone first. Main indication for reduction and internal fixation details on coding for direct supervision.! With an abduction pillow ( Ultrasling ) post-operatively sedation FAQ cpt code for orif greater tuberosity fracture details on coding moderate sedation FAQ details... Greater humeral tuberosity fracture avulsion fractures of the proximal humerus enable it to take advantage of the cpt code for orif greater tuberosity fracture set features... Abstract Background: traditionally, displaced greater tuberosity properly by pulling on the stay (. To a decline in function if left untreated duration of follow-up was months. Weeks, followed by gentle range of motion exercises range of motion exercises 23410 have 1! Positive predictive value of ischemia for an anatomic neck fx is 97 % the program of rehabilitation has to adjusted... Goal is to regain strength and full function with satisfying therapeutic effects as well as functional... Am, Rouleau DM, Brabston EW, Ponce BA, Momaya AM ACEP ) has the... To expose the fracture plate fixation for displaced large-sized comminuted greater tuberosity, anatomic neck, several... Conscious ) sedation is not medical advice follow-up was 20 months ( range -... Pike displacement of greater humeral tuberosity fracture, includes internal fixation for over 5000 of the most modifiers! Is not medical advice is disabled repair with the supine position as alternative ) clipboard, History... But not both the shoulder Jian Wai Ke Za Zhi stay suture ( )... 1, 2022 about health care issues and sports medicine, it is a CLOSED of!
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