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The procedure described by CPT® Code 24342 involves the surgical reinsertion of a ruptured tendon from either the biceps or triceps muscle at their distal ends. The biceps brachii, commonly known as the biceps, is a muscle located in the upper arm that plays a crucial role in elbow flexion and forearm supination. Its distal tendon inserts at the radial tuberosity near the elbow. Conversely, the triceps brachii, referred to as the triceps, is responsible for elbow extension, with its distal tendon inserting at the olecranon of the ulna. This surgical intervention is necessary when these tendons rupture, which can occur due to trauma or excessive strain. The procedure can be performed using either a one-incision or two-incision technique, allowing the surgeon to access the ruptured tendon effectively. The one-incision technique involves making a single cut near the biceps or triceps, while the two-incision technique requires separate incisions to access both the tendon and the insertion site. The goal of the surgery is to restore the normal function of the arm by securely reattaching the tendon to its original insertion point, thereby facilitating proper healing and rehabilitation.
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