Ortho op note, dictator says up in the s/l b strap position? I hate ortho.

• Ortho op note, dictator says up in the s/l b strap position? I hate ortho. - mm
  • Do shoulder work in the beach chair position. nm - NYmt
    • That's it thanks. I thought he was saying bitch at first, didnt want to type that - mm
  • What kind of surgery? nm - oldtimer
    • ortho - mm
      • What kind of ortho surgery, knee, hip etc.? nm - like pulling teeth here! More info!
  • Are you in the shoulder? Could it be bra strap? nm - NYmt
    • No, he's doing surgery and places from supine up into the ? position, Thanks anyway. - mm
      • There is a beach chair position. - MTinTX
        • Thanks. - mm

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Blanks sound like guide hem, guyatome, guide tome?

After informed consent was obtained, the patient's left leg was marked as the preoperative site.  The patient was then taken back to the operating room and placed supine on the operating table.  She was placed under general anesthesia and time-out was performed to verify correct surgical site with surgical team.  The patient was given preoperative antibiotics of Kefzol.  Her left leg was then prepped and draped in the usual sterile fashion.  Fluoroscopy was brought in to identify correct starting site at the anterior femoral neck.  Once the correct starting site was identified, a skin incision was made, and dissection was carried down to the femoral neck.  A guide __________ was then used to find her correct surgical site on the bone again using fluoroscopic guidance.  Once the insertion site was identified, the __________ was driven into the femoral head.  This was checked on fluoroscopy and felt to be in good position.   

After the soft tissue s/l (muffled)position, fracture hematoma, and comminution were removed, reduction maneuver was performed using a large periarticular clamp. 

I am not sure if this is supposed to be part of soft tissue or what...Thanks.

do you type "Three centimeter mass" or 3 cm mass, QA told me first way was wrong in a diagnosis. Just one more way BOS has me totally confused. Thanks.

Wound was scrubbed with ??Shur-Clens??, dressed with ??serifoam?? gauze and placed in an ??Ortho-Glass?? splint.  Any help?

under upper extremity exam - s/l "ATE" is 110 degrees passive to 130+. 

I know the patient has a left rotator cuff sprain and left shoulder contusion.  TIA!!

An MRI shows an **arstious** cartilaginous protrusion at the C6-7 disc space, producing mild to moderate central canal stenosis and moderate foraminal stenosis on the left and severe foraminal stenosis on the right.

Thank you!

This sounds like aeron, or arion, the material used for interposition arthroplasty of the CMC joint.

Thanks for any help!

Good day to all!  I am typing for an orthopedic doctor this morning.  The patient has pain over his girdius tubercle.  Any suggestions for the correct spelling of "girdius?"  Also, do you have any helpful website tips for orthopedic transcription?

Thanks in advance!

Tender over FCR tendon especially near the (s/l-FCR DONNEL)??  His (s/l-FOBIAL region) is minimally tender.  25-hydroxy vitamin D level and intact (s/l-PPH?)

Thanks SO MUCH!!

This patient has knee impact injuries with bruising.

McMurray’s is negative for both medial and lateral compartments.  s/l Dover's maneuver and Lachman maneuver, as well as the medial and lateral collateral ligament testing, are unremarkable. 

TIA!

Need help with some words.

Sounds like the doctor is saying " Gluteal pain, possible ( cult ) sciatic"

also "The MRI ( reepalis ) did not show any bony abnormalities"

any help would be greatly appreciated.

Dee

he says this five times and is so mush-mouthed

The first three times he says it while discussing x-rays and CTs. This shows a compression fracture of L3 with compression of the superior endplate with **Meth-in-fac-late** present within the body, all contained within the body itself. 

Under impression:  History of a compression fracture with treatment of the meth-in-fac-late at the L3 vertebral body.

Under plan: Pedicle screws could not be placed into the pedicles of L3 because of the meth-in-fac-late

Thank you!!!

The rotator cuff was then repaired back to its insertion site utilizing SUPRAREVI??anchors spectrum SHUTTLE RELAY TRAY? the sutures were passed through the rotator cuff, saved and tied from the lateral portal while viewing from the anterior portal.

MUSH MOUTH, YIKES  I have no clue here.

OP report lumbar spine, I cannot find this type of "view." He is either saying "and/or toggle view" or and orthoggle view" along those lines. I hear a defintie th sound, though, and cannot find toggle view. 

Each screw at L4 and L5 bilaterally were confirmed with radiographic confirmation and **orthoggle ** views.  

Thank you!