This service can be done by either an open procedure or by an arthroscopic procedure. This is a useful technique to be able to offer to patients with a acromioclavicular joint pain secondary to degenerative change.
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Pain control with ice and anti-inflammatories.
. Under this audit the agency is specifying that 8-10 mm of bone must be removed to support coding either the open or arthroscopic distal clavicle excisions. Sling x4 weeks for comfort only Goals Normal AROM with normal glenohumeral mechanics Normal rotator cuff and scapular stabilizer strength. 29824 Arthroscopy shoulder surgical.
Edit on Wikidata The Mumford procedure also known as distal clavicle excision or distal clavicle resection is an orthopedic procedure performed to ameliorate shoulder pain and discomfort by excising the distal lateral end of the clavicle. Distal claviculectomy including distal articular surface Mumford procedure. Isolated acromioclavicular joint pain is quite common and can vary in severity from being either a minor.
In a review of the English literature we found very few complications with this procedure whether it was performed by open 4 7 8 10 14 15 23 26 28 31 33. Affiliation 1 Department of Orthopaedic Surgery University of Texas Health Science Center San Antonio. Our e-learning platform contains high resolution images and a certified CME of the Acromioclavicular joint.
BRACE INSTRUCTIONS AND RESTRICTIONS RANGE OF MOTION GOALS PT EXERCISESNOTES PHASE 1 First 4 Weeks 0-4 1 Sessionweek or once every other week Begin after 2 weeks - Sling x 2 weeks full time except. Most patients start with tea or broth adding crackers. AcromioplastyMumford Recovery Plan Post Op Tips for a better recovery Diet.
This is known as a Mumford procedure resection of the distal clavicle. Activity modification does not alleviate the pain surgical resection of the distal clavicle Mumford is often necessary. Early mechanical studies identified the importance of the primary and secondary stabilizers of the AC joint3 For over 6 decades open distal.
Open excision Mumford procedure surgical procedure. OPEN MUMFORD PROTOCOL Resection of the distal clavicle for chronic A-C separation DOS. The tendon can often become frayed or partially torn.
Partial and 29824 Arthroscopy shoulder surgical. The arthroscopic Mumford procedure is a safe reliable method of resecting the distal clavicle. Those suffering from osteoarthritis in the acromioclavicular joint can opt for this procedure when non-surgical alternatives eg cortisone.
Shoulder Surgery - Open Mumford Procedure. Using the lateral portal for visualization and the posterior and anterior portals for resection allows the surgeon to visualize the distal clavicle resection and is an effective method for clavicle resection. The operative report must indicate the distal clavicle excision size to separately report CPT codes 23120 Claviculectomy.
The exhibit consists of two images. Note that some carriers may consider an excision of less than 1 cm inclusive to the main. This full color medical exhibit depicts the open Mumford surgical procedure being performed on the distal clavicle.
Do not elevate surgical arm above 70 in any plane for the first 4 weeks post-op. Distal clavicle excision also known as the Mumford Procedure this is a medical operation performed to improve shoulder pain and discomfort by excising the lateral end of the clavical Those suffering from osteoarthritis in the Acromioclavicular joint can opt for this procedure when non-surgical alternatives are unsuccessful The surgery can be performed through open or arthroscopic procedure. This procedure has been reported to have a high level of patient satisfaction and long-term studies generally have reported a high rate of good to excellent results.
Our technique for the arthroscopic Mumford procedure Orthop Clin North Am. DISTAL CLAVICLE EXCISION MUMFORD PROCEDURE PT PROTOCOL. Do not lift any objects over 5 pounds with the surgical arm for the first 6 weeks.
A Mumford arthroscopic procedure resects the distal clavicle in cases of posttraumatic degenerative disease of the AC joint and shoulder impingement syndrome. Mumford Procedure Open Distal Clavicle Resection Rehab Protocol POST OPERATIVE MANAGEMENT. You may resume a regular diet when you return home.
Commercial Plan Policy SelectHealth will reimburse for a distal clavicle resection open or arthroscopic. DISTAL CLAVICLE EXCISION MUMFORD PROCEDURE PT PROTOCOL. Avoid excessive reaching and externalinternal rotation for the first 6 weeks.
Week 1 - Protection in sling - Patient out of sling for wrist hand and elbow ROM - Putty exercises - May begin gentle Codmans exercises and isometrics shoulder - Begin PROM to tolerance Week 2 Begin Date. Chronic impingement andor inflammation of the long head of the biceps Figure 1 can also be a pain generator in the shoulder. Of the acromioclavicular AC joint.
Freely download thousands of medical animations and illustrations when your school library subscribes to the SMART Imagebase. Mumford procedure rehab protocol. Both Mumford1 and Gurd2 simultaneously described an open resection of the distal clavicle as surgical treatment of symptomatic AC joint traumatic dislocations.
Ice shoulder 3 - 5 times 15 minutes each time per day to control swelling and inflammation. Distal claviculectomy including distal articular surface Mumford procedure. The second image shows the excision of the distal clavicle.
The choice of procedure depends on the problem you have and in some cases both are needed to relieve the persistent symptoms of shoulder pain. 8421607 Abstract This article describes a new technique and instrumentation for performing arthroscopic. The affected codes are as follows.
Authors B S Tolin 1 S J Snyder. The first shows the exposure of the clavicle.
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