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The procedure described by CPT® Code 26130 refers to a synovectomy of the carpometacarpal (CMC) joint, which is a surgical intervention aimed at removing inflamed synovial tissue from this specific joint. The carpometacarpal joints are located at the base of the thumb and are crucial for hand function, allowing for a range of movements including opposition, which is essential for grasping and pinching. In this procedure, a surgical incision is made over the affected CMC joint, allowing the surgeon to access the joint capsule. Careful dissection of the surrounding soft tissues is performed to protect important nerves and blood vessels that are in proximity to the joint. Once the joint capsule is exposed, it is incised, and the interior of the joint is visually inspected. The primary goal of the synovectomy is to excise the inflamed synovial tissue, which can be a source of pain and dysfunction in the joint. This procedure is particularly indicated in cases of inflammatory conditions such as rheumatoid arthritis or other synovial disorders that lead to chronic inflammation and pain in the CMC joint. By removing the inflamed tissue, the procedure aims to alleviate symptoms and improve the overall function of the hand.
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