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patient has "evolution" fracture of PIP joint...

Posted By: thanks on 2005-09-19
In Reply to:

Subject: patient has "evolution" fracture of PIP joint...




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Her x-ray shows slight angulation of her distal phalanx fracture in the s/l plane of joint motion.TY
Subject: Her x-ray shows slight angulation of her distal phalanx fracture in the s/l plane of joint motion.TY

 


Patient with heterotopic bone formation of the IP joint right thumb. please sm
Subject: Patient with heterotopic bone formation of the IP joint right thumb. please sm

Given the patient’s subjective complaints, findings on physical exam and failure with conservative treatment, surgical intervention was recommended. This comes in the form of excision of the bony fragment with 1) s/l capsular release and possible 2) s/l anchor repair versus pinning of the right thumb.
Does patient have a fracture?
Subject: Does patient have a fracture?


Patient with infected pilon fracture. please sm
Subject: Patient with infected pilon fracture. please sm

Exam reveals "clinically **planta grade to sinuses** which are clean"
s/l Chanz-type injury. The patient has a fracture...sm
Subject: s/l Chanz-type injury. The patient has a fracture...sm

subluxation of the thoracic spine.


Patient was seen in the ER, diagnosed with a distal humerus fracture and placed in please sm
Subject: Patient was seen in the ER, diagnosed with a distal humerus fracture and placed in please sm

a s/l Shilvertong splint. Thanks!
patient had a four part fracture of the greater tuberosity and had a sl/ *semer* prosthesis?? nm
Subject: patient had a four part fracture of the greater tuberosity and had a sl/ *semer* prosthesis?? nm

nm
Ortho report, patient underwent s/l cementa stabilization due to a pathologic fracture of lumbar spi
Subject: Ortho report, patient underwent s/l cementa stabilization due to a pathologic fracture of lumbar spi


The tibiotarsal joint is the joint between the tibia and the tarsus.
Subject: The tibiotarsal joint is the joint between the tibia and the tarsus.


patella femoral joint or patellofemoral joint?
Subject: patella femoral joint or patellofemoral joint?

what is correct?  if the doctor says patella femoral joint do you change it or do you leave it as he dictates it? 
metatarsal-tarsal fracture - "superb" fracture. Is this right?
Subject: metatarsal-tarsal fracture - "superb" fracture. Is this right?


It's coccygeal fracture. You can't fracture a germ or fungus. nm
Subject: It's coccygeal fracture. You can't fracture a germ or fungus. nm

"
Radial head fracture, possible capitellar fracture
Subject: Radial head fracture, possible capitellar fracture

Need help with the following:


posterior innerosity nerve


and


acutrac screws


TY 


s/l rule out "trillow" fracture or "metanews" fracture
Subject: s/l rule out "trillow" fracture or "metanews" fracture


no and, just one joint. Calcaneocuboid joint. nm
Subject: no and, just one joint. Calcaneocuboid joint. nm


could be -Jodi fracture is finger fracture,
Subject: could be -Jodi fracture is finger fracture,

nm
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM


joint
Subject: joint

thecal maybe
What joint are you in? nm
Subject: What joint are you in? nm

s
joint
Subject: joint

DIP joint
joint?
Subject: joint?


MP joint as well.
Subject: MP joint as well.


does CC joint mean...
Subject: does CC joint mean...

calcaneal cubiod joint?

CALCANEAL AND CUBOID FRACTURES, LEFT FOOT

There is no pain with loading of the CC joint. tia.
There is also a PIP joint.
Subject: There is also a PIP joint.

x
PIP joint
Subject: PIP joint

The doctor is a hand surgeon.  He does not give specific diagnosis, but indicates that this is a followup visit for surgery of the PIP joint.
MTV joint? sm
Subject: MTV joint? sm

I can't find it now but sometime ago I thought I found it meaning metatarsal varus joint?

DIAGNOSIS: Right bunionette and cyst at the s/l MTV joint.

I know it could be MTP but it really sounds like a "v".
PCP joint
Subject: PCP joint

I searched the word board as well as Google and couldn't find any mention of this. The doctor speaks very clearly and there is no doubt that he is saying PCP joint. I just do not know what it stands for and must expand all abbreviations used in the diagnosis/impression. Thank you for any help.
MC joint?
Subject: MC joint?

Arthritis at the first, the doctor first states MP joint and then corrects it as MC joint.  Is there a MC joint? 
Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.

nm
facet joint
Subject: facet joint

thank you - I did not know about "post" ii greatly appreciate.
scoring of the joint
Subject: scoring of the joint

Looking for a second opinion. Sounds like scarring/scoring talking about osteophytes and joint space narrowing.


s/l Liz Frank joint
Subject: s/l Liz Frank joint


Lisfranc joint. nm
Subject: Lisfranc joint. nm


Maybe facet joint?
Subject: Maybe facet joint?

nm


Probably is facet joint. (sm)
Subject: Probably is facet joint. (sm)

I do a lot of transcriptions on patients who have had spinal fusions, and the term facet joint has been used a lot.
congruitive joint?
Subject: congruitive joint?

 X-rays taken today reveal maintenance in the  __________ s/l congruitive joint.  Still a slightly bent pin. (this comes from a podiatry report)


thank you    


set joint injection?
Subject: set joint injection?

he had a cortisone injection into his back with a set-joint injection.


Not sure about the set joint part of this. Help!!


probably facet joint nm
Subject: probably facet joint nm

x
Joint replacement
Subject: Joint replacement

There is an Exact-Fit hip replacement system. Try googling and seeing if there is a similar system from that company for the knee.
available joint space
Subject: available joint space

Although ankle arthroscopy has been limited by the restricted available joint space, the use of distraction in addition to joint distention has permitted ...

found stuff when I typed in "available joint space" into google but not "unavailable joint space"
Could he be saying joint wrap ? nm
Subject: Could he be saying joint wrap ? nm

nm
Which joint is this? Wrist?
Subject: Which joint is this? Wrist?

You can get a ganglion cyst in almost any joint. If it's wrist, "fat pad" could be correct, but it seems unlikely.
colectomy of the 2nd MTP joint?
Subject: colectomy of the 2nd MTP joint?

I had a blank on a podiatry exam that my QA filled in like this...


"would recommended a modified Weil osteotomy to decompress the joint along with opening up and cleaning up any osteophytes and possibly a colectomy of the second metatarsophalangeal joint."


I had a blank where the word colectomy is.  I've never heard of a colectomy of the MTP joint.  I did a search but didn't find anything.  I'd like to document it if it exists.


Is there such a thing as DIT joint
Subject: Is there such a thing as DIT joint

This does show evidence of some arthritis at the CMC joint as well as his DIT joint throughout that hand.
s/l show-pod joint
Subject: s/l show-pod joint

of her first metatarsal phalangeal joint, her tarsal metatarsal joints, as well as her "show-pod" joints.


Chopart joint
Subject: Chopart joint


s/l metatarsotarsal joint. NM TIA
Subject: s/l metatarsotarsal joint. NM TIA

x
para SI joint
Subject: para SI joint

How would that be written out please?
parasacroliac joint
Subject: parasacroliac joint

There you go
BIP joint - hand?
Subject: BIP joint - hand?

I know there is a PIP joint, but he dictates both the BIP and PIP joint in one sentence. 
s/l tailotibial? joint
Subject: s/l tailotibial? joint