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radialis approach to carpal tunnel release? Guessing here. nm

Posted By: Txczech on 2009-02-07
In Reply to: Approach to CTR. SM - Me

Subject: radialis approach to carpal tunnel release? Guessing here. nm




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Carpal tunnel release
Subject: Carpal tunnel release

I see that there are Della suturing devices, would it make sense that the s/l Dellas were passed down the carpal tunnel, as well as the scope?  TIA
Pt. undergoing carpal tunnel release.
Subject: Pt. undergoing carpal tunnel release.

The carpal ligament was identified and this was opened proximally and distally through the palmar aspect of the hand. Distally, we placed a s/l flatmouth malleable.
2/7 camera with carpal tunnel release
Subject: 2/7 camera with carpal tunnel release


Next, the s/l -2/7- camera was placed inside the cutting guide, a straight knife was used to cut part of the transverse carpal ligament, next followed by the hooked knife and the hook knife was used to cut distally first, then the camera was flipped to the distal portal and the knife was placed in the proximal portal and the rest of the transverse carpal ligament was divided.


CCT or CCP pack, doing carpal tunnel release
Subject: CCT or CCP pack, doing carpal tunnel release

The wound was then dressed with bacitracin, Adaptic and a sterile gauze dressing and placed in a volar splint with a  CCT or CCP??? pack incorporated.
s/l Ragnow, for open carpal tunnel release
Subject: s/l Ragnow, for open carpal tunnel release


cammats procedure and carpal tunnel release. nm
Subject: cammats procedure and carpal tunnel release. nm

nm
doing a Carpal tunnel release s/l SUN retractors or Thumb retractors to the median nerve
Subject: doing a Carpal tunnel release s/l SUN retractors or Thumb retractors to the median nerve


FCR (flexor carpi radialis) and FCR tunnel. Foveal region. Not sure about the last one.
Subject: FCR (flexor carpi radialis) and FCR tunnel. Foveal region. Not sure about the last one.

Hope that helps.
Carpal tunnel
Subject: Carpal tunnel

s/l Banalog lotion for carpal tunnel
2 s/l re: carpal tunnel syndrome. sm
Subject: 2 s/l re: carpal tunnel syndrome. sm

Patient diagnosed with carpal tunnel.


Plan: 


1. *defell* supportive care *selfundi* course.


2.  Will use ibuprofen 800 mg 3 times a day over the next 10 days.


3.  She is provided with a cock-up wrist splint today.  This is fitted and applied in the office.


Carpal tunnel test
Subject: Carpal tunnel test

s/l Jerkin   sign is positive at 20 seconds.  DIAGNOSIS: is carpal tunnel syndrome. 


carpal tunnel sugery again...
Subject: carpal tunnel sugery again...

he is saying she is having a carpal tunnel release done, with some kind of ectomy?   I can't hear any of the first of it.  Any ideas?


TIA


there is a D-ring splint for carpal tunnel nm
Subject: there is a D-ring splint for carpal tunnel nm


carpal tunnel surg question...
Subject: carpal tunnel surg question...

s/l "as markeys dangling" at the arm and left on the forearm as a tourniquet


acute carpal tunnel syndrome ? - nm
Subject: acute carpal tunnel syndrome ? - nm


Phalen (for carpal tunnel syndrome testing)
Subject: Phalen (for carpal tunnel syndrome testing)


Under surgical history: s/l carpal tunnel ?effers? nm TIA
Subject: Under surgical history: s/l carpal tunnel ?effers? nm TIA


We will get a lassemer pad over the carpal tunnel for her pillar pain as well tia
Subject: We will get a lassemer pad over the carpal tunnel for her pillar pain as well tia


Yes. I've also found that it's used for carpal tunnel, so that makes sense - could not find m
Subject: Yes. I've also found that it's used for carpal tunnel, so that makes sense - could not find mcg


We will focus on s/l nerve intentive gliding" Pt had carpal tunnel surgery with complications.
Subject: We will focus on s/l nerve intentive gliding" Pt had carpal tunnel surgery with complications. nm


We will focus on s/l nerve intentive gliding" Pt had carpal tunnel surgery with complications.
Subject: We will focus on s/l nerve intentive gliding" Pt had carpal tunnel surgery with complications. nm


Postsurgical carpal release splint. s/l Veering splint
Subject: Postsurgical carpal release splint. s/l Veering splint

Patient was placed in a "Veering/V-ring".

Stumped!
The Phalen's test is a test for carpal tunnel--sm
Subject: The Phalen's test is a test for carpal tunnel--sm

syndrome and involves the wrist. It is a pressure test, but the doctor would hold the distal or proximal phalanx in the performance of that test while compressing the wrist and waiting for numbness to occur. I would like to hear the rest of your sentence before saying for sure what you are hearing is Phalen's.
could it be "posterior" fashion. My ortho always say posterior approach or lateral approach..
Subject: could it be "posterior" fashion. My ortho always say posterior approach or lateral approach..


Is it A standard modified Hardinge approach or Harding approach?
shows both ways when I Google it.   Thankis
Probably FCR (flexor carpi radialis).
Subject: Probably FCR (flexor carpi radialis).

There is also FCU (flexor carpi ulnaris).
Approach to CTR. SM
Subject: Approach to CTR. SM

s/l doc is saying rosea, rozaea approach to CTR??  I cannot find anything in my books or on google on this.  Please help?


TIA!


There is a Howorth approach.
Subject: There is a Howorth approach.

I found Howorth approach. If he says it very plainly, perhaps this is it, and you can google it.
surgical approach?
Subject: surgical approach?

Doc dictating on cheek biopsy says - we will approach the mass by a s/l "cul va luck" approach
axial LIF approach... nm
Subject: axial LIF approach... nm

s
type of surgical approach
Subject: type of surgical approach

breast surgery, surgeon states she used the s/l en fas approach.  Any ideas?
s/l louinudal retroperitoneal approach. Please help! Thanks!!! nm
Subject: s/l louinudal retroperitoneal approach. Please help! Thanks!!! nm


hysterectomy s/l lingal loop approach? nm
Subject: hysterectomy s/l lingal loop approach? nm

x
I have Chamay incision/approach written in my Stedmans! nm
Subject: I have Chamay incision/approach written in my Stedmans! nm

x
s/l loo-ee-nu-dil retroperitoneal approach to his aortic aneurism repair.
Subject: s/l loo-ee-nu-dil retroperitoneal approach to his aortic aneurism repair.


She would be an excellent candidate for an epidural and would recommend a s/l call approach SM
Subject: She would be an excellent candidate for an epidural and would recommend a s/l call approach SM

since she does have bilateral discogenic-type low back pain, multilevel.
I thought MPJ could apply to either carpal or tarsal... sm
Subject: I thought MPJ could apply to either carpal or tarsal... sm

In my abbreviations book metacarpophalangeal and metatarsophalangeal are both listed under MPJ. Like you, when they dictate MPJ and it needs to be expanded, I have both codes mcpj and mtpj to avoid an error.

have a productive day!
FCR tunnel ?
Subject: FCR tunnel ?

xx
tunnel? nm
Subject: tunnel? nm

nm
I would say tunnel since it goes thru one there. nm
Subject: I would say tunnel since it goes thru one there. nm

s
cubital tunnel?
Subject: cubital tunnel?


scleral tunnel? nm
Subject: scleral tunnel? nm


release?
Subject: release?

"to release some of the trigger points"
"to relieve some of the trigger points"

which one is correct?
release?
Subject: release?

"to release some of the trigger points using reiki"
"to relieve some of the trigger points using reiki"

which one is correct? is release a correct term for trigger points?
s/l tunnel cuminalis catheter?
Subject: s/l tunnel cuminalis catheter?

Patient has renal failure and the procedure is a placement of this catheter.  Any ideas?  This is the only time it is said.


Thanks


Pt with cubital tunnel syndrome. please sm
Subject: Pt with cubital tunnel syndrome. please sm

EMG is reviewed which shows ulnar nerve s/l disluction at the elbow.

ulnar tunnel syndrome
Subject: ulnar tunnel syndrome


You sure it's not p.o.? 15 mg would be 1/2 a tab, but it comes as extended release. Don't know
Subject: You sure it's not p.o.? 15 mg would be 1/2 a tab, but it comes as extended release. Don't know if

s
SR is sustained release and ER is
Subject: SR is sustained release and ER is

ER is extended release. It appears ER is the official way with glipizide, and yet SR would be just as clear to other MDs. So if you are supposed to correct, use ER. If you are supposed to transcribe verbatim, just give it to him, IMO.
lateral release
Subject: lateral release


a lateral release? nm
Subject: a lateral release? nm