CPT® Code 24565

Closed treatment of a medial or lateral epicondylar fracture of the humerus involves a non-surgical approach to manage fractures located at the bony projections known as the medial and lateral epicondyles, which are situated at the distal end of the humerus. These types of fractures are classified as extra-articular, meaning they occur outside of the joint space and involve the medial or lateral columns of the humerus. The procedure is typically indicated when there is a minimally displaced fracture, where the bone fragments have not moved significantly out of alignment. Prior to treatment, a thorough evaluation is conducted, including obtaining radiographs to confirm the presence and extent of the fracture. Additionally, a neurovascular examination is performed to assess the integrity of the nerves and blood vessels surrounding the injury site, ensuring that there are no complications that could affect the patient's recovery. In cases where manipulation is necessary, the displaced fragments are carefully repositioned to restore proper anatomical alignment, followed by immobilization of the arm using appropriate splinting techniques or casting to facilitate healing.