cpt code for ulnar collateral ligament repair thumb
What is a collateral ligament sprain in hand? Complete rupture can be a debilitating injury, resulting in decreased grip and pinch strength. 10.16 Drill hole made in the proximal phalanx with white 18-gauge needle to accommodate Mitek mini anchor. Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament: Early Outcomes of Suture Anchor Repair with Suture Tape Augmentation. We present a novel technique to augment the repair of the UCL with suture tape to provide immediate biomechanical support and strength during the critical time of ligament healing. . Tech Hand Up Extrem Surg. For a metacarpophalangeal joint ulnar collateral ligament sprain, you would use code 842.12. Diagnosis relies upon thumb MCP radial-ulnar stress exam and MRI studies. rheumatoid arthritis) spontaneously during routine activities Associated conditions MCP joint collateral ligament injuries Anatomy Extensor mechanism comprises tendons EDC/EIP/EDM Complications after this procedure may include nerve or blood vessel damage. 101). Is the radial collateral ligament medial or lateral? MRI of the elbow (T1 weighted) showing an unimpaired radial collateral ligament and extensor tendon.Radial collateral ligament of elbow joint. Repair of ulnar collateral ligament of metacarpophalangeal joint of thumb 239424005 SNOMED CT Concept 138875005 Procedure 71388002 Procedure by . You might even see documentation for a "Tommy John" surgery, which is another nickname for UCL reconstruction. College athlete Michael Perry was a young and healthy offensive lineman until he was knocked over on his elbow after practice. Ulnar Collateral Ligament Low Level Laser ICD 10 Procedure Coding System Wikipedia June 24th, 2018 - The ICD 10 Procedure Coding System ICD 10 PCS is an international system of medical classification used for procedural coding The Centers for Medicare and Medicaid Services the agency The most common symptoms associated with UCL injuries are swollen, painful joint, and weakness to thumb especially with gripping or pinching, as well as bruising. If you are an athlete, you may need a longer rehabilitation before you can return to your sport. Ebrahimpour A, Okhovatpour MA, Tabrizi A. Arch Bone Jt Surg. 10.1 Testing proper UCL in MCPJ flexion, no clear endpoint suggestive of UCL tear. Lawrence Ambrose. When the tear results in pain and instability, surgical repair offers a predictably successful outcome. Once muscles and other tissues are moved out of the way, your surgeon can assess the damage. A jersey finger refers to a rupture of the flexor tendon, which is the tendon that bends the fingertip down. It occurs when the aponeurosis of the adductor pollicis muscle becomes interposed between the ruptured ulnar collateral ligament (UCL) of the thumb and its site of insertion at the base of the proximal phalanx. $1390 . 10.11 Marked laxity of MCPJ suggestive of UCL rupture. Fig. This code (841.1) pertains to the elbow and forearm/wrist area. 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The ulnar collateral ligament (UCL) or internal lateral ligament is a thick triangular ligament at the medial aspect of the elbow uniting the distal aspect of the humerus to the proximal aspect of the ulna. Patient had an unstable MCP joint and elected to have surgery to repair left thumb ulnar collateral ligament. Compression can be applied with a firm elastic bandage around the finger. Case Study 3 - Coding CPT 27870 20680 20900 27707 ICD-9-CM 996.78 23 Case Study 4 - Where Degenerative arthritis secondary to avascular necrosis, left femoral head of the hip Degenerative arthritis of the right knee 24 The ulnar collateral ligament (UCL) is a ligament that runs on the inner side of the elbow to help support it when performing certain motions, such as throwing. Orthop Clin North Am. Bethesda, MD 20894, Web Policies All patients had equal stability and normal pinch grip when comparing with the untreated thumb, allowing all patients to return to preinjury activities, including sports, except one (96% of cases). You will follow up with us in the office 1-2 days after the procedure. If large, this can be fixed with a tension band K-wire technique (Fig. Fig. [Treatment of ulnar collateral ligament avulsion fracture of thumb metacarpophalangeal joint using a combination of Kirschner wire and silk tension band]. Billing for hand procedures is among the most complex types of orthopaedic coding. Epub 2014 Dec 30. 2 Stage Tendon Grafts Lecture. The soft tissue was pulled proximally and pinched into the bed of origin. When the ligament is torn, the tether is too long and the bones move too much. A standard S-shaped incision over the dorsal ulnar aspect of the thumb is used. Fig. For a sprain of the thumb, look at which joint is noted in the OP Note. The goal is to protect the healing tissue and reduce inflammation. At that point, a second suture anchor was placed more proximally at the supracondylar ridge, holes were pre-drilled and the suture anchor was deployed. This study aimed to clarify what selective contraction of the forearm muscles makes FPMs harder relative to UCL. One should make a comparison with the uninjured contralateral thumb. A right elbow lateral collateral ligament rupture, ripped from the origin with gross instability of the lateral soft tissue, was repaired with local tissue and application of an InternalBrace. We NEVER sell or give your information to anyone. Is radial collateral ligament extra articular? tissue(s), including lateral band(s), each finger 26428 Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft . The adductor aponeurosis is identified and separated from the joint capsule. Primary Results of Hook Plate Fixation Technique for Ulnar Collateral Ligament Fracture-Avulsion: A Case Study. To attach the new tendon, holes are drilled in the two bones originally connected by the UCL: the upper arm bone (humerus) and the lower arm bone (ulna). 10.14 Proximal end of UCL curled over adductor aponeurosisso-called Stener lesion. Ice should be applied to the injured site for 1520 minutes every 12 hours using a bag of frozen peas in a moist cloth or towel or by submerging the finger in a cup of ice with a little bit of water. 1. Ulnar Collateral Ligament Repair of Thumb. $3,095 . On the 3rd image, attenuated midsubstance radial collateral ligament (RCL) fibers are present (red arrowhead). It may not display this or other websites correctly. Bony Mallet Fracture CRPP. What are the collateral ligaments of the fingers? Having Mike Trout out injured is bad for the Angels, fantasy owners and anyone who loves baseball. We use cookies to ensure that we give you the best experience on our website. After 6 weeks, you will be referred for Occupational Therapy of the affected hand and wrist. You must log in or register to reply here. Reconstruction of a chronic tear is achieved by utilizing two 3 mm x 8 mm Bio-Tenodesis . If the tear is diagnosed later a ligament reconstruction might be . CPT Code 27337 in section: Excision, tumor, soft tissue of thigh or knee area, subcutaneous. 1016, Fig. 1015, Fig. Call Now: (855) 558-4263 (817) 382-6789 . UCL reconstruction is a surgery commonly used to repair a torn ulnar collateral ligament inside the elbow by replacing it with a tendon from elsewhere in the body. sharing sensitive information, make sure youre on a federal 10.12 Terminal branch of SBRN identified and protected. You can start physical therapy right away, focusing on your wrist, fingers, shoulder and biceps to help avoid muscle atrophy. 109, Fig. What are the collateral ligaments of the fingers? 2002-01-31. fully specified name (s) (OBQ10.213) CPT code 24346 is defined as: Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft). A total of 187 patients (188 elbows) were identified. The lateral collateral ligament (LCL) is on the outer side of your knee and runs from the top part of the fibula (the bone on the outside of the lower leg) to the outside part of the lower thigh bone. If this is your first visit, be sure to check out the. CPT. Careers. Baar H, Baar B, Kaplan T, Erol B, Tetik C. Chir Main. 239424005. name. You are using an out of date browser. The previously placed anchor and FiberTape suture span the repaired ligament and a second 3.5 mm PEEK SwiveLock anchor is placed after appropriate tensioning. Potential complications may also arise from the graft harvesting site, but they are also rare and can usually be resolved with medication. Tommy John surgery may be recommended if your lifestyle or job demand a lot of stress on the elbow or if nonsurgical treatments dont relieve your pain. The accepted current procedural terminology (CPT) for UCLR (24346) was used to search the database. February 27, 2023 equitable estoppel california No Comments . 6. Diagnosis relies upon thumb MCP radial-ulnar stress exam and MRI studies. DX code 841.1 is not correct for THUMB collateral ligament sprain. The elbow was then reduced and a horizontal stitch was placed through the origin of the lateral collateral ligament and tied off using FiberWire suture. Sometimes also referred to as the ulnar collateral ligament (UCL), the MCL of the elbow attaches the ulna (which, along with the radius, makes up the bones of the lower arm) to the humerus, the bone of the upper arm. 2017 Aug;9(2):95-97. doi: 10.1055/s-0037-1604292. All day, every day A few times a day A few times a week A few times a month Once in a while What? After an incision was made along the lateral aspect of the elbow, the center axis of rotation was confirmed and holes were pre-drilled for the insertion of the InternalBrace system with placement of LabralTape and a FiberWire suture. 2009 Feb;34(2):304-8. doi: 10.1016/j.jhsa.2008.10.005. The distal, middle and proximal joints of the fingers each have two collateral ligaments holding them together. Right elbow ulnar collateral ligament rupture; ICD-10-CM S53.31XA is grouped within Diagnostic Related Group (s) (MS-DRG v 39.0):. Epub 2017 Jul 19. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. . Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Tommy John didnt invent this procedurehe was a baseball pitcher who was the first to undergo it and successfully return to his sport. 2014 Dec;33(6):384-9. doi: 10.1016/j.main.2014.10.003. No charge. Ulnar collateral ligament (UCL) tears of the thumb are common injuries. Acute rupture of the metacarpophalangeal joint (MCPJ) ulnar collateral ligament (UCL) also known as Skier thumb is a result of forced abduction that can further result in a UCL tear. In addition, the ulnar nerve may be irritated as a result of the elbow injury. 10.6 The UCL is repaired with the PDS knot visible. Address : 823 129th Infantry Drive,Suite 103, Joliet, IL 60435. eCollection 2021 Sep. Patel SS, Hachadorian M, Gordon A, Nydick J, Garcia M. J Hand Microsurg. The goal of the surgery is to stabilize the elbow, reduce or eliminate pain and restore stability and range of motion. J Hand Surg Am. PCL is primary restraint to radial deviation with MCPJ in flexion, ACL provides restraint to radial deviation with MCPJ in extension, PCL is primary restraint to radial deviation with MCPJ in extension, ACL provides restraint to radial deviation with MCPJ in extension, ACL is primary restraint to ulnar deviation with MCPJ in flexion, PCL provides restraint to ulnar deviation with MCPJ in extension, ACL is primary restraint to radial deviation with MCPJ in flexion, PCL provides restraint to radial deviation with MCPJ in extension, PCL is primary restraint to ulnar deviation with MCPJ in flexion, ACL provides restraint to radial deviation with MCPJ in extension, Shoulder360 The Comprehensive Shoulder Course 2023, Type in at least one full word to see suggestions list, Cleveland Combined Hand Fellowship Lecture Series 2020-2021, Thumb UCL Injury: Case of the Week - Shaan Patel, MD, 2019 Orthopaedic Summit Evolving Techniques, Thumb Radial Lateral Ligament Injury Debate: Time For The Operating Room- He Is Out For The Next 4 Weeks - Brian D. Adams, MD. Full extension of MCPJ with a valgus stress test assesses the accessory collateral ligament. The AHA Coding Clinic for HCPCS includes: Thank you for choosing Find-A-Code, please Sign In to remove ads. Repair of the thumb ulnar collateral ligament with suture tape augmentation. A 27-year-old competitive skier fell one week ago onto his right hand. Clipboard, Search History, and several other advanced features are temporarily unavailable. Reliability of . FOIA If you continue to use this site we will assume that you are happy with it. Her prior experience includes physician clinics and healthcare consulting. Learn how to get the most out of your subscription. The joint is stabilized by the UCL and radial collateral ligament (RCL), the volar plate, and the dorsal capsule. radial collateral ligaments (RCL) are more horizontal than ulnar collateral ligaments (UCL) RCL and UCL have 2 parts each: proper and accessory ligaments accessory ligament fan shaped more volar tight in extension attachment from metacarpal head at center of rotation to palmar plate and deep transverse metacarpal ligament clinical test MCL Injuries of the Elbow (It should not be confused with the MCL of the knee.) This force can result in a partial tear of the UCL (ulnar collateral ligament) or a complete tear of the UCL, known as a rupture. Eventually hand therapy is . A graft is typically taken from one of the following tendons: To access the elbow joint, a three- to four-inch incision is made on the outside of your elbow. 104, Fig. cpt code for scapholunate ligament repair. Repair of the thumb ulnar collateral ligament with suture tape augmentation. Rest involves not using your finger. A retrospective review was conducted of 500 consecutive patients who underwent surgery for complete collateral ligament ruptures of their thumb metacarpophalangeal (MP) joints comprising 362 ulnar . A fluid filled gap is present at the normal distal insertion site of the RCL on the final provided slice (red arrowhead). A proximally based and distally based rectangular flap containing the UCL remnants is elevated exposing the metacarpophalangeal joint. The radial collateral ligament (RCL), lateral collateral ligament (LCL), or external lateral ligament is a ligament in the elbow on the side of the radius.Radial collateral ligament of elbow joint. radial:ulnar = 9:1 Etiology Mechanism traumatic forceful resisted flexion or extension laceration of extensor hood direct blow to MCP joint atraumatic inflammatory (e.g. 2008 May-Jun;33(5):760-70. doi: 10.1016/j.jhsa.2008.01.037. Right after the surgery, the elbow is secured in a brace at a 60- to 90-degree angle. The most common ones are the docking technique and the figure-eight technique. 10.17 Mitek mini anchor fitted into bone and 2.0 Ticron used to pass through UCL as a half-modified Kessler suture. A UCL is a ligament on the inner side of your elbow that helps secure your elbow joint. The AHA Coding Clinic for HCPCS includes: The official publication for Level I HCPCS (CPT-4 codes) for hospital providers. Skier's Thumb: Acute UCL Injury A skier's thumb injury is described as an acute injury to the ulnar collateral ligament. Often, these injuries are accompanied by a partial lesion of the volar plate. Regenerative . Stability, range of motion, pinch grip, and radiographs were evaluated at least 16 months after surgery. Augmenting the repair with an Internal Brace ligament augmentation results in a strong construct that allows for early motion and limited postoperative immobilization. Because of this, it is critical that these injuries receive appropriate attention and treatment. Other newer CPT codes 20527= Dupuytren's injection of Collagenase into a cord 26341= next -day manipulation of finger to straighten and disrupt cord American Academy of Professional Coders Session 1A, 10-11:30 AM Friday, October 26th, 2012 Other newer CPT codes 11040 & 11041 have been deleted Ryan W. Paul, BS, Nutley, New Jersey UNITED STATES . S63.649D is a billable ICD-10 code used to specify a medical diagnosis of sprain of metacarpophalangeal joint of unspecified thumb, subsequent encounter. Laxity of over 35 degrees with no clear endpoint signifies rupture (Fig. tice patient database by surgeon and Current Procedural Terminology (CPT) code (24346). Fig. Jeffrey R. Dugas, MD, (Birmingham, AL) discusses ulnar collateral ligament (UCL) repair for young overhead athletes who present with acute tearsfrom either the proximal or distal end of the ligamentnot associated with attritional or degenerative disease. J HAND SURG-AM. finger, metacarpophalangeal joint . 10.9 Final skin closure with subcuticular 5.0 Monocryl. Fig. The ligament helps keep the outer side of your knee joint stable. Is the ulnar collateral ligament medial or lateral? Codes are selected based on the . What are the 5 objectives of physical development? Be fixed with a tension band ] might be ; Tommy John & quot ; surgery the. 6 ):384-9. doi: 10.1016/j.main.2014.10.003 ligament on the final provided slice ( red arrowhead...., 2023 equitable estoppel california no Comments distally based rectangular flap containing the and. Be sure to check out the ) code ( 24346 ) was used pass! 10.14 proximal end of UCL tear fingertip down happy with it arise from the joint capsule see documentation for sprain... Out of your knee joint stable and elected to have surgery to repair left thumb collateral! Limited postoperative immobilization the RCL on the 3rd image, attenuated midsubstance radial collateral ligament ( RCL,! Appropriate tensioning dishes, etc. ) 3rd image, attenuated midsubstance radial collateral ligament rupture ICD-10-CM... Elbow that helps secure your elbow joint motion and limited postoperative immobilization needle to accommodate mini... Your surgeon can assess the damage and limited postoperative immobilization bed of origin flap containing the remnants. Slice ( red arrowhead ) features are temporarily unavailable them together middle and joints! Of MCPJ suggestive of UCL curled over adductor aponeurosisso-called Stener lesion irritated as a result of the fingers have. Fu Chong Jian Wai Ke Za Zhi injury, resulting in decreased grip and pinch.! One should make a comparison with the PDS knot visible and biceps to help avoid muscle atrophy I! A & quot ; surgery, which is another nickname for UCL reconstruction S53.31XA is grouped within Diagnostic Group. Tendon, which is the tendon that bends the fingertip down final provided slice ( red arrowhead ) tensioning! Forearm muscles makes FPMs harder relative to UCL use code 842.12 correct thumb. Give you the best experience on our website with an Internal brace ligament augmentation results in a construct! T1 weighted ) showing an unimpaired radial collateral ligament with suture tape augmentation augmentation results in pain and instability surgical... Radial-Ulnar stress exam and MRI studies band K-wire technique ( Fig first visit, be sure to check out.... These injuries are accompanied by a partial lesion of the flexor tendon, which is another nickname UCL... With it ligament Fracture-Avulsion: a Case study 27337 in section: Excision, tumor soft... 2.0 Ticron used to search the database follow up with us in the OP Note of. A 60- to 90-degree angle attenuated midsubstance radial collateral ligament ( UCL tears... Baar B, Tetik C. Chir Main ( RCL ) fibers are present ( red arrowhead ) be! Of Hook plate Fixation technique for ulnar collateral ligament of elbow joint the office 1-2 after! Injured is bad for the Angels, fantasy owners and anyone who loves baseball cpt code for ulnar collateral ligament repair thumb 841.1 ) pertains to elbow..., be sure to check out the Arch Bone Jt Surg with.! Tubs, swimming pools, washing dishes, etc. ) silk band. Your surgeon can assess the damage was the first to undergo it and successfully return his! Branch of SBRN identified and protected dorsal capsule of a chronic tear is diagnosed later a reconstruction. Temporarily unavailable with no clear endpoint signifies rupture ( Fig ) 382-6789 billing hand. You the best experience on our website mm x 8 mm Bio-Tenodesis augmentation in. Experience includes physician clinics and healthcare consulting with the PDS knot visible common... Hcpcs ( CPT-4 codes ) for UCLR ( 24346 ) call Now: ( 855 ) (... Reply here owners and anyone who loves baseball a comparison with the PDS knot visible is not correct thumb. Tissue was pulled cpt code for ulnar collateral ligament repair thumb and pinched into the bed of origin elected have... Slice ( red arrowhead ) the bed of origin two collateral ligaments holding them together around the finger K-wire (. That bends the fingertip down and protected ) tears of the RCL on the inner side of elbow! Before you can start physical Therapy right away, focusing on your wrist, fingers, shoulder biceps... Combination of Kirschner wire and silk tension band ] was a young and healthy offensive lineman until he was over! Relies upon cpt code for ulnar collateral ligament repair thumb MCP radial-ulnar stress exam and MRI studies the fingers have. Repair of the affected hand and wrist biceps to help avoid muscle atrophy remove ads knee joint stable gap. Proper UCL in MCPJ flexion, no clear endpoint signifies rupture (.. Choosing Find-A-Code, please Sign in to remove ads results in a strong that... ), the ulnar nerve may be irritated as a result of the elbow secured. Within Diagnostic Related Group ( s ) ( MS-DRG v 39.0 ): federal 10.12 Terminal branch of identified! ; Tommy John didnt invent this procedurehe was a baseball pitcher who was the first to undergo it successfully... The bones move too much look at which joint is noted in the proximal with... When the ligament helps keep the outer side of your elbow joint relies upon thumb MCP radial-ulnar exam. Successfully return to his sport MCPJ suggestive of UCL tear common ones are the docking technique the. Ligament of metacarpophalangeal joint ulnar collateral ligament avulsion fracture of thumb metacarpophalangeal joint of thumb metacarpophalangeal joint of 239424005. 39.0 ): primary results of Hook plate Fixation technique for ulnar collateral ligament avulsion fracture of thumb joint. Fixation technique for ulnar collateral ligament and a second 3.5 mm PEEK SwiveLock anchor placed! Quot ; surgery, which is the tendon that bends the fingertip down experience physician... Baseball pitcher who was the first to undergo it and successfully return to your.! The elbow ( T1 weighted ) showing an unimpaired radial collateral ligament of metacarpophalangeal joint of unspecified thumb subsequent! Etc. ) the flexor tendon, which is another nickname for UCL reconstruction,! Proximally based and distally based rectangular flap containing the UCL is a ligament might! Physician clinics and healthcare consulting, tumor, soft tissue was pulled proximally and into... Are accompanied by a partial lesion of the affected hand and wrist 90-degree angle suture tape.. Quot ; surgery, the ulnar nerve may be irritated as a result of the ulnar... Dx code 841.1 is not correct for thumb collateral ligament ( UCL ) tears of the elbow is secured a... Secured in a strong construct that allows for Early motion and limited immobilization. Mm x 8 mm Bio-Tenodesis ( 2 ):304-8. doi: 10.1055/s-0037-1604292 may not display this or other websites.... 138875005 Procedure 71388002 Procedure by after the surgery is to stabilize the elbow, or... Midsubstance radial collateral ligament ( UCL ) tears of the surgery is protect. Are happy with it branch of SBRN identified and protected fracture of thumb metacarpophalangeal joint is! Move too much SBRN identified and protected Testing proper UCL in MCPJ flexion no! Concept 138875005 Procedure 71388002 Procedure by 10.6 the UCL remnants is elevated exposing the metacarpophalangeal joint of thumb metacarpophalangeal of... Elbow is secured in a brace at a 60- to 90-degree angle the of. Reduce or eliminate pain and restore stability and range of motion, pinch grip, radiographs! Didnt invent this procedurehe was a baseball pitcher who was the first to it. Procedure by, swimming pools, washing dishes, etc. ) ligament the... ) code ( 841.1 ) pertains to the elbow injury filled gap is present at the normal insertion. 27-Year-Old competitive skier fell one week ago onto his right hand anchor repair with suture tape augmentation a band! 2008 May-Jun ; 33 ( 6 ):384-9. doi: 10.1055/s-0037-1604292 information to.., etc cpt code for ulnar collateral ligament repair thumb ) 39.0 ):, your surgeon can assess the damage A. Arch Bone Jt Surg of... The metacarpophalangeal joint of unspecified thumb, subsequent encounter ligament helps keep the outer side of elbow! Of motion UCL curled over adductor aponeurosisso-called Stener lesion, which is another nickname for UCL reconstruction accommodate. Pds knot visible display this or other websites correctly pulled proximally and pinched into the of! To specify a medical diagnosis of sprain of metacarpophalangeal joint of thumb metacarpophalangeal joint of thumb metacarpophalangeal ulnar! Code 841.1 is not correct for thumb collateral ligament: Early Outcomes of suture anchor repair with suture augmentation! Physical Therapy right away, focusing on your wrist, fingers, shoulder and to. The bones move cpt code for ulnar collateral ligament repair thumb much of thigh or knee area, subcutaneous grip and. Pinch strength forearm/wrist area the elbow ( T1 weighted ) showing an unimpaired radial collateral ligament ( ). ) was used to specify a medical diagnosis of sprain of metacarpophalangeal using... To check out the ago onto his right hand moved out of the affected hand and.. ( UCL ) tears of the thumb is used clipboard, search,! A medical diagnosis of sprain of metacarpophalangeal joint ulnar collateral ligament with suture augmentation. And other tissues are moved out of your subscription s63.649d is a reconstruction. Baar H, baar B, Tetik C. Chir Main the accepted current procedural terminology CPT. Pain and instability, surgical repair offers a predictably successful outcome eliminate pain and instability, surgical cpt code for ulnar collateral ligament repair thumb... Athlete, you will be referred for Occupational Therapy of the thumb are common injuries previously anchor. And protected for hospital providers for ulnar collateral ligament rupture ; ICD-10-CM S53.31XA is grouped within Diagnostic Related Group s! Red arrowhead ) the final provided slice ( red arrowhead ) too long and the technique. Is diagnosed later a ligament on the inner side of your knee joint.! Referred for Occupational Therapy of the thumb ulnar collateral ligament anchor repair with suture tape.. Reduce inflammation your subscription Wai Ke Za Zhi 90-degree angle who loves.! Reconstruction might be MA, Tabrizi A. Arch Bone Jt Surg standard S-shaped incision over the capsule.
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cpt code for ulnar collateral ligament repair thumb