CPT® Code 23665

The CPT® Code 23665 refers to the closed treatment of a shoulder dislocation that is accompanied by a fracture of the greater humeral tuberosity, utilizing manipulation techniques. This procedure involves the closed reduction of a shoulder dislocation, which is a condition where the humeral head is displaced from its normal position in the glenohumeral joint. In this specific case, the dislocation is complicated by a fracture of the greater humeral tuberosity, a bony prominence on the humerus where the rotator cuff muscles attach. The injury typically results in the displacement of the greater tuberosity and the retraction of the rotator cuff musculature, while the humeral head and lesser tuberosity are dislocated. The manipulation technique employed during the procedure is tailored to the specific direction of the dislocation and the physician's preference, often involving a combination of traction, countertraction, and rotational movements to restore the humeral head to its proper anatomical position. After the dislocation is reduced, imaging studies such as radiographs are performed to confirm the correct alignment of the shoulder joint and the positioning of the fractured fragments. If necessary, further manipulation of the fracture fragments is conducted to ensure proper alignment. Once the anatomical alignment is achieved, the shoulder is immobilized, typically in a cast, to facilitate healing and prevent further injury.