Case -T8-2B OPERATIVE REPORT, CLOSED REDUCTION

Essay

Case
-T8-2B OPERATIVE REPORT, CLOSED REDUCTION
LOCATION: Outpatient, Hospital
PATIENT: Mary Smith
SURGEON: Mohomad Almaz, MD
DIAGNOSIS: Right hand fifth metacarpal fracture shaft with angulatory and rotational change due to striking the hand against a closing door
PROCEDURE PERFORMED: Closed reduction and percutaneous pinning of right hand fifth metacarpal
PROCEDURE: After satisfactory level of general anesthesia was reached and patient was in the supine position, the extremity was prepped and draped. At this setting, we could translationally displace this fracture in a manner as to correct valgus and rotational anomaly. She remained somewhat subtly foreshortened and translationally opposed by about 1-2 mm (millimeter). At this setting, I accepted this as an acceptable reduction without opening of the skin. We proceeded with the advancement of a single .054 intramedullary pin.
AP (anterior posterior), lateral, and oblique views at this time were confirmatory for restoration of alignment as noted fluoroscopically. The patient was then sandwich splint immobilized with ulnar gutter splint and transferred to the recovery room in a stable manner without complication or compromising events.
T8-2B:
SERVICE CODE(S): ___________________________________________________
ICD-10-CM DX CODE(S): ______________________________________________