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Thread: Help, arthroscopic pancapsular release

  1. #1
    Join Date
    Apr 2007

    Question Help, arthroscopic pancapsular release

    AAPC: Back to School
    Help w/ code please,

    Procedure: The patient was transferred to the Operative Suite,
    placed in the supine position on the operating table. After
    administration of interscalene block and general anesthesia, she
    was transitioned to the right lateral decubitus position.
    Examination under examination revealed 2+ sulcus, as well as
    anterior and posterior instability. The left upper extremity
    was then prepped and draped in the usual sterile fashion and
    suspended with 12 pounds of weight from the shoulder traction
    system. Posterior glenohumeral portal was established, followed
    by an anterior superior portal in the rotator interval, followed
    by an anterior inferior portal. Diagnostic arthroscopy was
    initiated. There was increased capsular volume. I was easily
    able to drive the arthroscope into the inferior capsular pouch.
    I then roughened the anterior inferior glenohumeral ligament
    with a rasp and placed a plication stitch in the anterior
    inferior glenohumeral ligament, thus shifting the capsule
    medially and superiorly. I then placed the arthroscope in the
    anterior portal and I performed a similar plication stitch in
    the posterior inferior glenohumeral ligament. This
    significantly decreased the inferior capsular volume. I then
    placed the arthroscope in the posterior portal and placed two
    stitches in the rotator interval. The arthroscope was then
    returned to the anterior portal and I actually closed my
    posterior portal with a PDS stitch. The subacromial space was
    entered and a bursectomy was performed. I identified the
    rotator interval stitches and tied them from the subacromial
    space, thus completing the rotator interval closure. All
    arthroscopic instruments were removed, portals were closed with
    interrupted 4-0 nylon. A bulky sterile dressing was applied and
    the patient was then extubated and transferred to PACU in stable

  2. #2


    I might use 29806. Is the diagnosis is dislocation?

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