CPT® Code 25685

A trans-scaphoperilunar type fracture dislocation, commonly known as a Mayfield fracture dislocation, is a specific and rare injury that occurs in the wrist. This type of injury typically results from a high-energy impact, which can lead to significant trauma. The injury is characterized by a fracture of the scaphoid bone, which is one of the small bones in the wrist, along with a dislocation of the lunate bone, another critical component of wrist anatomy. The complexity of this injury necessitates careful evaluation and treatment to restore proper function and alignment of the wrist. To confirm the presence of the fracture and dislocation, separate radiographs (X-rays) are obtained. These imaging studies are essential for diagnosing the injury accurately and determining the appropriate course of treatment. In cases where closed treatment is insufficient, as described in CPT® Code 25680, an open treatment approach, as indicated by CPT® Code 25685, is employed. This involves making an incision on the volar aspect of the wrist to access the fracture site directly, allowing for thorough cleaning and stabilization of the fracture and dislocation.