CPT® Code 24685

Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed

Open treatment of an ulnar fracture at the proximal end involves a surgical procedure aimed at correcting a fracture in the ulna, which is one of the two long bones in the forearm, located on the side opposite the thumb. This procedure specifically addresses fractures that occur at the proximal end of the ulna, which includes the olecranon and coronoid processes. The olecranon is the prominent bony structure at the back of the elbow, while the coronoid process is a smaller projection located at the front of the elbow joint. These structures are critical for the stability and function of the elbow joint, as they articulate with the humerus, the upper arm bone. During the procedure, an incision is made over the elbow to access the fracture site. The surgeon carefully clears any debris from the fracture area to ensure a clean working environment. The fractured bone fragments are then realigned, or reduced, into their proper anatomical position. To maintain this alignment, the fragments are secured using various internal fixation methods, which may include the use of wires, pins, screws, or plates. After fixation, the elbow is immobilized with a sling or splint to promote healing and prevent movement that could disrupt the repair. This comprehensive approach ensures that the fracture is treated effectively, allowing for optimal recovery and restoration of function in the elbow joint.