Medial epicondyle release surgery is what doctors often use to treat golfer's elbow. Medial epicondylitis of the elbow involves pathologic alteration in the musculotendinous origins at the medial epicondyle. Using this technique, each wire can be exchanged for its screw, skipping the drilling step. The doctor then reattaches a healthy tendon in its place. CCI edits do allow both (24101 with a 59), however I'm not sure both should be reported. CPT Codes: 24358 Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open 0 Open Medial Epicondylitis Tendon Debridement … Price: $4,600*. Lateral Epicondyle Debridement (Tennis Elbow). Tennis Elbow surgery (called lateral epicondylitis debridement) involves creating a series of small incisions around the elbow and accessing the diseased bones, cartilage, ligaments, or tendons via an arthroscopic. . FIGURE 3-3 Landmarks outlined include the medial epicondyle, ulnar nerve, olecranon tip, lateral epicondyle, and radial head. MI 48313 586-247-3714 37000 Woodward Ave., Ste.300, Bloomfield Hills, MI 248-952-9200 Weeks 0-6: 10.1055/b-0040-177432 17 Lateral Epicondylar DebridementFrederic E. Liss Abstract This chapter on lateral epicondylar debridement will review some of the techniques available for surgical treatment of recalcitrant lateral epicondylitis (LE) and focus on the author's preferred methods of treatment. Do not soak or put the operative elbow in a tub, pool, hot tub, sink or ocean/river/lake for 2 weeks after surgery. ... debridement. 1 (a) AP radiograph depicting incarcerated medial epicondyle fracture in ulnohumeral joint. Thereby tendon degeneration appears instead of repair. The medial epicondyle and flexor/pronator origin are reflected medially and distally to identify the metaphyseal surface of the avulsed apophysis. • Control edema and inflammation: Apply ice for 20 minutes two to three times a day. These arthroscopic techniques have continued to evolve beyond simple debridement, with ECRB repair and plication utilizing both simple suture and suture anchor devices being described . 1999). Mark the injection site with the pen tip in order to leave an impression in the skin — Point of maximal tenderness (usually just distal to medial epicondyle). This condition can be very painful. Surgical treatment results in a high degree of subjective … Medial epicondylitis commonly known as Golfer’s elbow is a painful condition occurring from repeated muscle contractions in the forearm that leads to inflammation and micro tears in the tendons that attach to the medial epicondyle. Rehabilitation Guidelines for Medial/Lateral Epicondyle Debridement The intent of this protocol is to provide the clinician with a general guideline of the post-operative course of the patient that has undergone the above stated procedure. Although commonly referred to as “ golfer's elbow ”, the condition may in fact be caused by a variety of sports and occupational activities. Repetitive activity damages the wrist muscle flexor tendon and leads to pain with activity, often called Golfer's elbow. Technique Summary Medial epicondyle fractures constitute approximately 14 % of fractures involving the distal humerus and 11.5 % of all fractures in the elbow region [1–3]. The limb is exsanguinated, and the tourniquet is inflated to 250 mm Hg. Provider wants to bill CPT 24101 & 24359. Accurate diagnosis requires a thorough understanding of the anatomic, epidemiologic, and pathophysiologic factors. 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