CPT® Code 24582

Percutaneous skeletal fixation of a medial or lateral condylar fracture of the humerus is a surgical procedure aimed at stabilizing fractures located at the distal end of the humerus, specifically at the condyles. The humerus, which is the long bone of the upper arm, has two prominent projections known as the medial and lateral epicondyles. A condylar fracture refers to a break that occurs at these projections, which can lead to the separation of the medial metaphysis and epicondyle from the main body of the humerus. These types of fractures can also extend into the trochlea, affecting the articular surface of the joint. This procedure is indicated when a fracture is present in either the medial or lateral condyle, but not both simultaneously. Prior to the fixation, imaging studies, such as radiographs, are performed to confirm the presence and extent of the fracture. A thorough neurovascular examination is conducted to assess the integrity of the nerves and blood vessels surrounding the injury site. The procedure involves manually manipulating the fracture fragments back into their correct anatomical positions, followed by the insertion of percutaneous pins or K-wires to stabilize the fragments. The use of imaging is critical throughout the procedure to ensure proper alignment and fixation of the fracture, ultimately leading to the application of a long arm cast to support the healing process.