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Chapter 8

Chapter 8 Misc, Muscles, Fx's, Acronyms, Modifiers

Flexor Causes flexion or bending of a limb or body part
Extensor Causes straightening of a limb or body part
Adductor Moves a part of the body towards the midline of the body
Abductor Moves a part of the body away from the midline of the body
Pronator Turns a part downward or backward by rotating
Supinator Turns a part upward or forward by rotating
Colles' Fracture A fracture of the wrist at the distal radius. Sometimes the ulnar styloid also is involved
Smith's Fracture Similar to a Colles' fracture, except the bones are displaced toward the palm
Jones Fracture A stress fracture of the fifth metatarsal of the foot
Salter- Harris Fracture An epiphyseal plate fracture; a common injury seen in children
Dupuytren's Fracture Fracture of the distal fibula with rupture of the distal tibiofibular ligaments and lateral displacement of the talus
Monteggia's Fracture Fracture of the proximal third of the ulna with associated dislocation of the radial head
Comminuted Fracture The bone is crushed or splintered into several pieces
Impacted Fracture One part of a bone is driven forcefully into another
Simple Fracture The bone is broken only in one place
Greenstick Fracture The bone broken on one surface and bent on the other (think of the way a "green" twig will break when bent to far); this fracture occurs in children before the bones have hardened
Pathologic Fracture A fracture caused by disease, such as an infection or tumor
Compression Fracture The bone is compressed onto another bone caused by trauma or osteoporosis and common in vertebrae
Torus or Incomplete Fracture One side of the bone buckles. This is mostly common in children because of their softer bones
AC Acromioclavicular
ACL Anterior Cruciate Ligament
AFO Ankle-Foot Othosis
AKA below the knee amputation
BLA below-knee amputation
C-Spine Cervical Spine
C1-C7 Cervical vertebrae
CMC carpometacarpal (joint)
CT computed tomography (scan)
CTS Carpal Tunnel Syndrome
DC doctor of chiropractic medicine
DDD degenerative disc disease
Dexa/DXA dual-energy x-ray absorptionmetry
DIP distal interphalangeal (joint)
DJD Degenerative joint disease
DME durable medical equipment
DO doctor of osteopathy
DTRs deep tendon reflexes
EMG electromyogram
FROM full range of motion
FX fracture
FWB full weight bearing
HNP herniated nucleus pulposus
INJ injection
IM intramuscular
IP interphalangeal
IT iliotibial
LE lower extremity
LP lumbar puncture
L-spine lumbar spine
L1-L5 lumbar vertebrae
LS lumbosacral (spine)
LT left side
MCL medical cruciate ligament
MCP metacarpophalangeal (joint)
MRI Magnetic resonance imaging
MTP metatarsophalangeal (joint)
NSAID nonsteroidal anti-inflammatory drug
ORIF open reduction internal fixation
PCL posterior cruciate ligament
PIP proximal interphalangeal joint
PT physical therapy
RA Rheumatoid Arthritis
RF Rheumatoid factor
ROM range of motion
RT right side
SI sacroiliac (joint)
SLAP superior labral anterior posterior (superior glenoid labrum or SLAP of shoulder)
TENS transcutaneous electrical nerve stimulation
THR total hip replacement
T-Spine thoracic spine
T1-T12 thoracic vertebrae
TMJ temporomandibular joint
UE Upper Extremity
Closed treatment without manipulation Closed TX involves simple immobilization of the affected body part using a cast, splint, or similar device. May be referred to as skin traction in the medical record which refers to the longitudinal application of force to a bone using felt or strapping a
Closed treatment with manipulation Bone ends do not always maintain alignment at the point of the Fx. When affected area must be manipulated to realign Fx or dislocation, code must be change to include work & risk involved. Codes indicating "with manipulation" may also specify w/ or w/o tr
Closed Treatment with or without the application of Traction CPT codes involving the application of traction to maintain the alignment of fractured bones or dislocations are usually worded with manipulation, with or without (specific type of) traction
Open treatment and reduction of a Fracture/Dislocation Fx is severely displaced or out of alignment the bones can't be manipulated through the skin. Some cases internal repair required. Surgical incision to expose Fx bone performed to repair.Ends of broken bone brought together& held pins,wires,or rods.
Percutaneous Skeletal Fixation This Fx Tx is neither open nor closed. Xrays taken. Fixation (screws or pins) placed through skin into bone. Small stab wounds usually under xray imaging these are inserted and then usually cast, splint, or brace
External Fixation Pertains to procedures in which metal pins, screws, or rods are inserted through the skin in order to attach to a metal frame or some form of stabilizing device. Can be applied percutaneously or during ORIF
Monocortical A graft of cortical bone removed from the outer cortex of the ilium (Ilium- part of pelvic or hip bone)
Bicortical A graft of cortical bone removed as one piece from the inner and outer portions of the ilium (eg having two layers of external bone surface)
Tricortical A graft of cortical bone from the ilium that includes the anterior-superior iliac spine & both the inner & outer iliac cortex as a single piece (eg having three layers of surface)
3 types of femoral shaft Fx's Type I- Spiral or transverse (most common;) Type II Comminuted; Type III Open
Silver Procedure (28290) Removal of the medial eminence of the distal metatarsal bone
Keller, Mcbride, or Mayo Type Procedure (28292) Removal of the medical eminence of the distal metatarsal bone and a resection of the base if the proximal phalanx
Keller-Mayo with Implant (28293) Removal of the medial eminence of the distal metatarsal bone and a resection of the base of the proximal phalanax, with insertion of a double stem implant in the proximal phalanx
Joplin Procedure (28294) Rearrangement of the tendons of the toe to correct a bunion deformity, followed by removal of the medial eminence of the distal metatarsal bone
Mitchell, Chevron, Austin, or Concentric Procedure (28296) A double osteotomy in the first distal metatarsal
Lapidus Procedure (28297) Fusion of the metatarsal bone to the cuneiform bone to affect a distal repair of the bunion and correction of the hallux valgus
Aiken Procedure (28298) Removal of a wedge of the bottom of the proximal phalanx and, usually, the medial eminence of the distal metatarsal bone. The toe is immobilized with the percutaneous placement of a Kirchner wire.
LT Left side of the body
RT Right side of the body
FA Left hand, thumb
F1 Left hand, second digit
F2 Left hand, third digit
F3 Left hand, fourth digit
F4 Left hand, fifth digit
F5 Right hand, thumb
F6 Right hand, second digit
F7 Right hand, third digit
F8 Right hand, fourth digit
F9 Right hand, fifth digit
TA Left foot, great toe
T1 Left foot, second digit
T2 Left foot, third digit
T3 Left foot, fourth digit
T4 Left foot, fifth digit
T5 Right foot, great toe
T6 Right foot, second digit
T7 Right foot, third digit
T8 Right foot, fourth digit
T9 Right foot, fifth digit
Created by: BBracha