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perhaps bucket-handle tear? NM

Posted By: MTDays on 2007-11-01
In Reply to: (s/l buchanal) tear of the medial menicus - Orthopedic help needed!

Subject: perhaps bucket-handle tear? NM




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it's bucket-handle tear
Subject: it's bucket-handle tear


bucket-handle
Subject: bucket-handle


Flipped bucket handle?
Subject: Flipped bucket handle?

I am reading a report for my mother and I am new to radiology and this is what I have:


"There is a large flipped bucket handle tear of the medial meniscus, anterior horn body and posterior horn with a large flipped component sitting in the anterior intercondylar notch"


What in the world does this mean in layman's terms? Is anybody willing to help? We are nervous because her MRI was yesterday and the surgeon called to get her in tomarrow morning already. I hope somebody knows what in the world this means. Thanks!


hmm..maybe bucket-handle oriented?
Subject: hmm..maybe bucket-handle oriented?


bucket handle tears read here
Subject: bucket handle tears read here

http://www.unipa.it/~radpa/p3/bucket.html
Decoding radiology report, flipped bucket handle?
I am reading a report for my mother and I am new to radiology and this is what I have:

"There is a large flipped bucket handle tear of the medial meniscus, anterior horn body and posterior horn with a large flipped component sitting in the anterior intercondylar notch"


What in the world does this mean in layman's terms? Is anybody willing to help? We are nervous because her MRI was yesterday and the surgeon called to get her in tomarrow morning already. I hope somebody knows what in the world this means. Thanks!


inner surface tear? insertion tear?
Subject: inner surface tear? insertion tear?


SLAP tear/FLAP tear
Subject: SLAP tear/FLAP tear

The diagnosis is right shoulder impingement syndrome with **the doctors says FLAP tear* but shouldn't it be SLAP tear?..I have never heard of a FLAP tear of the shoulder. tia.
How would you handle this?
Subject: How would you handle this?

I have a doc who rather consistently uses the word "escharrified," meaning to him covered with eschar.  "Scarified" really doesn't have anything to do with the already-existing presence of scars, and having an eschar isn't even close.  But he keeps using it, and the general rule, as we know, is verbatim transcribing.  I've been using it the way he says is for a while, now, but I feel like I'm crossing my fingers behind my back every time, and I WILL NOT add it to the spell checker dictionary! 


Just wanted to poll other MTs out there and see how you would handle it and maybe get a consensus.   Thanks! 


Let the administrator handle it, sm
Subject: Let the administrator handle it, sm

why point it out?  I highly doubt this newbie will blame this board for anything.  She is going to learn new things from this board as we all have.  She obviously was just feeling a little frustrated.  But to blatently point it out I think is being a tattle tale.  It is too bad you didn't have anyone to assist you.  Neither did I at that time, but to blatently make her look bad on this board makes it seem like you are jealous or something.  Aren't we supposed to be helping one another?  If she lands the job, believe me, it won't be because she asked a verbatim question on this board.  More than likely, this poor girl will land a job not paying very much and learn from that.  She will eventually gain experience and knowledge.    All of us experienced ones won't live forever.  We need to support out future not rat them out.


Cute handle! :) ....and Toto, too! nm
Subject: Cute handle! :) ....and Toto, too! nm

s
It's probably adenosine thallium but it would be best to verify how to handle sm
Subject: It's probably adenosine thallium but it would be best to verify how to handle sm

with your QA person or ask the dictator himself if it's your own account.
Love your handle Pizza for Breakfast!
Subject: Love your handle Pizza for Breakfast!

That's all I wanted to say because I'm starving right now and that sounds mighty tasty!


   


Can you see samples of how the other MTs handle it? Are these SOAP notes? Can you number the probs
Subject: Can you see samples of how the other MTs handle it? Are these SOAP notes? Can you number the probs

s
Yes, definitely would be tear.
Subject: Yes, definitely would be tear.

//


intimal tear? nm
Subject: intimal tear? nm


labral tear ?? nm
Subject: labral tear ?? nm

ss
sometimes I want to tear my hair out
Subject: sometimes I want to tear my hair out

but tumescing makes a crazy kind of sense when you look at the definition (at least I think so)!
rent/tear
Subject: rent/tear

Has anyone every heard of this:


small s/l rent or tear in the left upper anterior vaginal mucosa.


Doc is not saying "rip."


s/l buckenhale tear
Subject: s/l buckenhale tear

2-1/2 months postoperative from an arthroscopy and debridement of the left knee. Findings at the time of surgery revealed a S/L buckenhale tear of the medial meniscus...any ideas. tia.
s/l intersepsions tear
Subject: s/l intersepsions tear

the left hip indicates distal left gluteus minimus tendinopathy, probably includes a partial intersepsions tear.
s/l foreignthology of the tear sm
Subject: s/l foreignthology of the tear sm

ASSESSMENT: Labrale tear of the right hip.

The plan will be for arthroscopic treatment of her labrale injury. The s/l foreignthology of the tear appears to be more likely to require excision; however, repair will not be ruled out until visualized directly at surgery.
s/l roadringe and OCL tear...
Subject: s/l roadringe and OCL tear...

....with a torn medial meniscus and anterolateral S/L roadringe ???s/l above the secondary to S/L OCL tear. Any ideas?? I am lost.
cleavage tear
Subject: cleavage tear


laboral labrum tear
Subject: laboral labrum tear

No evidence of any laboral labrum tear shown on MRI


Pt has hip pain. 


Celluvisc is a tear substitute. nm
Subject: Celluvisc is a tear substitute. nm

nm
s/l Mallory Royce tear
Subject: s/l Mallory Royce tear

Status post-Mallory Royce tear.


sorry, but not much more info than this as there are no other references to it in the dictation.



Mallory-Weiss tear. nm
Subject: Mallory-Weiss tear. nm

nm
obturator internus tear. Thank You.
Subject: obturator internus tear. Thank You.

nm
"intact subscap tear"
Subject: "intact subscap tear"

This guy has no accent or anything, and orthopedics is one of my favs--but this guy says FLAP tear one place, and SLAP tear another.  It's stuff like that.  All I can say is thank heavens for QA when I get boogers like this guy.  As much as I hate to add to their workload, I can't take a chance, either. 


And thank you for your help.  Who knows how this will end up.  It's his slurring, not mine (but I may consider it later, even tho I don't drink)!


s/l buclia oriented tear...
Subject: s/l buclia oriented tear...

There is a s/l buclia oriented tear in the infraspinatus tendon as well. TIA
I agree, cleavage tear. nm
Subject: I agree, cleavage tear. nm

.
got one of them its tear-away catheter insteady of Caraway =]
Subject: got one of them its tear-away catheter insteady of Caraway =]


(s/l buchanal) tear of the medial menicus
Subject: (s/l buchanal) tear of the medial menicus

The doctor says this twice in this report, but I cannot verify or find the correct spelling anywhere.


"MRI reveals a (s/l buchanal or buck-can-nell) tear of the medial meniscus."


TIA


superior labral tear or a ? starts with a 'B'
Subject: superior labral tear or a ? starts with a 'B'

Review of the MR arthrogram shows that she does not have any evidence of a superior labral tear or _____.
Maybe an iatrogenic tear, meaning one caused by the doc during
Subject: Maybe an iatrogenic tear, meaning one caused by the doc during

s
Large two-tendon tear that was repaired
Subject: Large two-tendon tear that was repaired

First of . .  .is two-tendon the correct way to type it or is it 2-tendon or is it either one of those just without the hyphen?


Thanks for your help.


rotator cuff tear with s/l crevacy
Subject: rotator cuff tear with s/l crevacy

Thanks.
Congenerative medial meniscus tear
Subject: Congenerative medial meniscus tear

Is there such a thing as a congenerative medial meniscus tear?  I cannot seem to find any information on congenerative tears anywhere I look.
usually medial meniscus tear and chondromalacia
Subject: usually medial meniscus tear and chondromalacia

or lateral meniscus tear, depending....



intact subscapular tear? sound right? tks. n/m
Subject: intact subscapular tear? sound right? tks. n/m

xx
Most likely epiphora, tear ducts blocked etc. nm
Subject: Most likely epiphora, tear ducts blocked etc. nm


s/l linear partial tear also does this paragraph
Subject: s/l linear partial tear also does this paragraph

make sense?


There is a focal tear of the posterior supraspinatus tendon noted. No other tear or retraction evident. There is also S/L linear partial tear of the long head of the biceps tendon noted. Mild degenerative changes to the glenohumeral joint also indicated. TIA.
skin tear S/L Barda absorptive gel applied?
Subject: skin tear S/L Barda absorptive gel applied?


tape does tear some fragile skin areas....nm
Subject: tape does tear some fragile skin areas....nm


came across FasT repair for meniscal tear when Googled
Subject: came across FasT repair for meniscal tear when Googled


bursitis and rotator cuff tear meds
Subject: bursitis and rotator cuff tear meds

To end her sterile conditions, we injected right shoulder with 3 units of Celestone s/l "(J702)and 4 cc of Marcaine (J3490 a). Does this make sense?
Xray help with rotator cuff tear views
Subject: Xray help with rotator cuff tear views

we will obtain some x-rays of that right shoulder, an AP s/l grasivial only .


 


or something that starts with the letter g and then view only?


Rotator cuff tear in bilateral shoulders
Subject: Rotator cuff tear in bilateral shoulders

The biceps in both shoulders have been (s/l) ten-don-eec-ed; it looks like into the biceps screw.


Thanks.


large rotator cuff tear with retraction?
Subject: large rotator cuff tear with retraction?


Massive Rotator Cuff Tear - If you understand
Subject: Massive Rotator Cuff Tear - If you understand

I know this may not make any sense at all, but this is what I am hearing . .


The patient is going to proceed with a reversed shoulder arthroplasty.  She may necessitate a left s/l lan transfer rangeropathy at the same time.


It has been a very emotional week here in North Port FL with the murder of a young mother, so I am drained and not 'hearing' well. Tx