May 15 2009 1 hi all just looking for some help to educate my docs.
Arthoscopy medial gutter knee.
Arthroscopy is a surgical technique that can be applied to perform the following types of procedures.
Arthroscopy knee w lateral gutter.
Start date may 15 2009.
Messages 22 best answers 0.
Removal of loose bodies.
Medial knee chondral surfaces and meniscus and easier use of arthroscopic instrumentation in the medial compartment.
The al and am portals are established through the standard al and am soft spots standard knee arthroscopy portal sites whereas the sm portal is established 2 cm superior and 2 cm medial to the sm edge of the patella.
Acl and pcl reconstruction.
29881 arthroscopy knee surgical with meniscectomy medial or lateral including any meniscal shaving including debridement shaving of articular cartilage chondroplasty same or separate compartment s when performed.
Diagnostic arthroscopy medial and lateral meniscectomies shaving chondroplasty most microfracture techniques removal of loose bodies and all inside meniscal repair as well as many others.
The two primary portals anterolateral and anteromedial are the workhorse portals of knee arthroscopy fig.
Therefore in the knee arthroscopy does not routinely visualize and evaluate abnormalities of the superficial medial collateral ligament complex soft tissue structures of the posterolateral corner the extensor mechanism the pes anserine and semimembranosus tendons and popliteal cysts.
Synovial biopsy or synovectomy.
I d say you could bill for the lateral and medial menisectomy.
Arthroscopy includes visualization of the suprapatellar pouch medial gutter lateral gutter medial compart ment lateral compartment intercondylar notch and posterior medial and posterior lateral compartments.
The knee should be placed in flexion of approximately 20 to 30 and the valgus force applied to open up the medial compartment.
Meniscal repair or resection.
This nonconsecutive case series highlights a distinctive clinical finding that correlates with inferiorly displaced flap tears of the medial meniscus that become trapped in the medial gutter of the knee as identified through magnetic resonance imaging mri and arthroscopy.
The sl portal is established about 2 cm superior and 2 cm lateral to the sl edge of the patella.
Inspection of the medial compartment is performed with the knee slightly flexed to allow the scope to enter the compartment over the anterior horn of the medial meniscus.
They do not place any significant neurovascular structures at risk are easy to identify and facilitate a wide variety of procedures.
During a meniscectomy the surgeon removes a piece of the torn meniscus or the entire meniscus.
