CPT® Code 23106

The procedure described by CPT® Code 23106 refers to an arthrotomy of the sternoclavicular joint, which involves a surgical opening of the joint to allow for a synovectomy. A synovectomy is the surgical removal of the synovial membrane, which is the lining of the joint that produces synovial fluid. This fluid is essential for lubricating the joint and facilitating smooth movement. However, in certain conditions such as rheumatoid arthritis or synovial proliferative disorders, the synovial tissue can become inflamed, leading to an overproduction of synovial fluid and resulting in joint effusion, which is an accumulation of fluid in the joint space. The sternoclavicular joint is the connection point between the sternum (breastbone) and the clavicle (collarbone), and it plays a crucial role in shoulder movement and stability. During the procedure, an incision is made over the sternoclavicular joint to access the joint capsule. The surgeon carefully dissects the surrounding soft tissues to expose the joint, allowing for exploration and assessment of any damage or disease present. If necessary, samples of the synovial tissue may be taken for laboratory analysis to further evaluate the condition of the joint. The synovial tissue is then resected to alleviate symptoms and improve joint function. After the procedure, the incisions are closed, and a dressing is applied to promote healing.