Wiki Tenosynovitis left wrist

[bridgeway21]

All dissection was done to look magnification, Identified the extensor retinaculum and Lister's tubercle. We went between the third and fourth compartments and lifted out the EP L tendon which she did have significant tenosynovitis. We did a tenosynovectomy in that compartment. We kept the EPL out of its compartment We then incised the radial aspect of the extensor retinaculum there was noted to be abundant tenosynovitis of the extensor tendons. We did an extensive tenosynovectomy of the fourth compartment and noted significant attritional tearing of the index and long finger extensors- It was not a complete tear. There was significant bulbous enlargement with no synovitis within the tendon itself. We split the tendon longitudinally and then dissected out and removed the inflamed tenosynovium. Then repaired both tendons using multiple 3-0 running Mersilene sutures. We rongeured a portion of Lister's tubercle and palpated the area of the carpus and there was nothing bulging that looked inflammatory. There was no bony prominences. We identify the anterior interosseous nerve at the wrist and did a neurectomy. We then cauterized the edges. We deflated the tourniquet at this time is noted to be at about 40 minutes. Major bleeding was coagulated with bipolar. There is no no major bleeding but some bloody oozing from the soft tissues. We once again irrigated the wound. We reinflated the tourniquet. We repaired the retinaculum with multiple 3-0 Mersilene sutures. We made certain there was no undue tension on the extensor tendons as we did this. We then closed the subtenons tissue with interrupted 3-0 Vicryl skin was closed with 3-0 nylon. We did place a hemorrage drain deep within the wound and let it egressed by gravity. i injected the wound with about 15 cc of quarter percent Marcaine plain. Antibiotic ointment sterile dressing were applied a s welt a s a volar plaster splint with the wrist in about 40 degrees of extension as well as extension of the IP joints, PIP joints were left free. The tourniquet was then deflated was noted to be at 77 mins.

How would you guys code this op report. Dr says 25270 x2, 25310, and 25116. Please advise what you think.