CPT® Code 24620

Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), with manipulation

Closed treatment of a Monteggia type fracture dislocation at the elbow involves a specific procedure characterized by the presence of a fracture at the proximal end of the ulna accompanied by a dislocation of the radial head. This type of injury typically occurs due to trauma and requires careful manipulation to restore proper alignment. The procedure begins with obtaining radiographs, which are essential for confirming the diagnosis of the fracture and dislocation. A thorough neurovascular examination is conducted to assess the integrity of the nerves and blood vessels surrounding the injury site, ensuring that there are no additional complications. The dislocated radial head is then manually reduced, meaning it is carefully repositioned back into its correct anatomical location. If the fracture of the ulna is found to be displaced, it is also manipulated to achieve proper alignment. Following these manipulative steps, additional radiographs are taken to verify that the reduction has been successful and that the fracture dislocation is properly aligned. Finally, to stabilize the arm and promote healing, the affected limb is immobilized in a long arm cast, which helps to maintain the correct position during the recovery process.