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Post Op Right clavicle and right wrist s/p ORIF right clavicle and right distal ulna Plan Referral to OT located in for ROM exercises flexion, extension, pronation, supination, and aggressive strengthening and stretching Discontinue wearing wrist brace and use hand as tolerated No weight restrictions for right clavicle and wrist Return to clinic in 6 wks for exam xrays icd10_description
60
post op left knee S/P L PMM and chondroplasty icd10_description
83
5 weeks post op LT ankle scope, ligament reconstruction > Scope/Brostrom/Peroneus tenolysis/medial malleolar exostosis icd10_description
24
Right Shoulder pain injured boating out of town scapula fracture with early union icd10_description
60
Right Hip pain New Patient Right Hip Pain x 10 Years Xrays Done At ROC In Echos Mild arthritis on xray, significant signs of impingement, get MRI arthrogram icd10_description
16
Left Forearm pain, Right Foot pain Scooter injury Plan -we discussed findings and I recommend nonoperative managament for all of his fractures. -okay for WBAT in boot -can transition out of boot when comfortable -fu 5 weeks for 3V foot icd10_description
88
fu po 5 mos right tka Doing well 5 months out right total knee arthroplasty. Gluteal tendonitis and trochanteric bursitis have improved with physical therapy. She will continue with these home activities. She is having an interesting symptom now where she has knee pain walking in flat shoes but not in heels. I have recommended an evaluation with , physical therapy, for this. She will follow up ' time, 3 views of right knee. icd10_description
99
Tibia 6 mos post op Rt tibia Doing well. Plan -Progress activity as tolerated without restrictions -Continue PT and progress strengthening -fu 6 months for 2V tibia/fibula and 3V ankle, also standing AP pelvis (with shoes off) and standing AP/lateral of lumbar spine (with shoes off) icd10_description
82
Knee pain right knee pain Right knee 31-year-old with questionable posterior horn lateral meniscus tear. An MRI shows a type II tear on the undersurface of the posterior horn of the lateral meniscus. She reports that currently it is not limiting her significantly. She will progress with activity as tolerated. We did discuss a possible trial of a steroid injection. She will ask the pediatrician about breastfeeding with this. If she develops mechanical symptoms or this changes, the plan will be to proceed with a right knee arthroscopy. 3 views of right knee show preserved joint space, normal alignment, and no acute or chronic abnormalities. icd10_description
83
Post Op Bilateral cubital tunnel syndrome, s/p right carpal tunnel release Bilateral carpal tunnel syndrome, s/p right carpal tunnel release Bilateral middle finger trigger fingers s/p right middle finger A-1 pulley release Plan Begin scar massage for right arm Left endoscopic carpal and cubital tunnel releases RTC 2 weeks post op icd10_description
31
Right Knee pain Follow Up/Xrays Right Total Knee Right shoulder severe glenohumeral arthritis with collapse of the humeral head, injection - she wants to avoid surgery 10 months out right total knee arthroplasty without patellar resurfacing due to thin patella. Overall doing well. f/u prn icd10_description
17
Right Shoulder pain Follow Up Right Shoulder Pain Injury Has Flared Up From Playing Baseball At College Right shoulder likely glenoid lesion or SLAP tear with scapular asymmetry. The plan is for MRI arthrogram to be performed as soon as possible and take advantage of his being home here for the summer if surgery needs to take place. icd10_description
37
Hip pain bilateral hip pain Bilateral hip trochanteric bursitis, gluteal tendonitis. Both were injected . She will work with physical therapy and follow up ' time if needed. If not improved, discussion would be for an intraarticular hip injection and MRI evaluation if she develops groin pain. , 2 views bilateral hips and AP pelvis are normal appearance. Small area of sclerosis along the femoral head-neck junction on both hips but overall preserved joint space. No significant CAM lesions and no increased center edge angle. icd10_description
38
17 weeks post op LT ankle Peroneus Brevis tendon repair > LT Scope/ATF&CF Brostrom/Peroneus Brevis repair icd10_description
32
8 weeks post RT ankle scope, procedure, Peroneal tendon repair Right ankle- Chronic instability/Loose bodies/Large spurs /Indeterminate degree of osteoarthritis > Scope+Brostrom w/ InternalBrace+Removal Loose bodies icd10_description
25
Left Shoulder pain Occult scaphoid fracture, healing Left wrist pain Left shoulder subacromial impingement Neck pain Plan Continue PT for shoulder for rotator cuff strengthening and stretching Begin 15 mg Meloxicam daily RTC in 6 wks for repeat exam icd10_description
72
Right Wrist pain, Post Op 2 wks post-op Plan --NWB RUE in brace --start daily wrist ROM --Rx for OT to help with ROM --fu 4 weeks for 2V wrist icd10_description
65
Right Shoulder pain no xrays long head of biceps tear, possible RCT icd10_description
37
Post Op Right distal radius fracture Plan Continue using wrist as tolerated No restrictions RTC in 6-8 wks for exam icd10_description
65
Post Op, Right Knee pain post op Rt knee sx 12 weeks out from right total knee arthroplasty, overall doing well. He has a slight flexion contracture. He does feel better than preoperatively. icd10_description
17
Post Op Left scapholunate ligament tear, s/p repair Probable right scapholunate ligament tear Plan Continue meloxicam as needed Plan Continue meloxicam as needed 10 lbs weight restriction for the left wrist Continue with OT with aggressive stretching and strengthening with other modalities as indicated Return to clinic for exam and discussion of the right wrist icd10_description
73
Right Hip pain Doing well post-op. Progressing as expected. Adductor strain right hip icd10_description
79
Right Arm pain injured while on vacation 4yoF fractured her right distal radius and ulna when she was on vacation with her family in , . Stable fracture alignment on repeat xrays in splint. Overwrapped with fiberglass . Plan -okay for activity as tolerated in cast, sling for comfort -fu 3 weeks for cast removal and 2V wrist icd10_description
65
Right Hip pain 8 months post right hip surgery Plan -progress activity as tolerated -continue posterior hip precautions -continue strengthening -fu 6 for repeat exam -filled out PPR, anticipate MMI at approx 1 year postop icd10_description
78
Post Op 6 weeks post left foot 28yoM with left foot 2-5th metatarsal fxs s/p ORPP 6 weeks postop. Wounds healed without signs of infection. Pin sites clean. Stable xrays with healing. Pins pulled . Plan -WBAT and okay to progress activity as tolerated -walking boot for comfort -fu 6 weeks for 3V foot icd10_description
88
follow up left knee L knee patellar chondral lesion, LPCS icd10_description
22
Right Knee pain Osteoarthritis of the Right knee. Especially PTF icd10_description
17
Finger pain left thumb pain Left thumb trigger finger Plan Left thumb A-1 pulley injection RTC in 6 wks for exam icd10_description
31
Deformity Eval Follow Up Left Clubfoot Refer to icd10_description
33
Post Op PO 6 WKS RIGHT KNEE Right knee full thickness cartilage lesion from an auto accident. quads improved after work with physical therapy. He works in construction. He is ready for return to work . We did a biopsy for ACI and do a cartilage transplant in the future as indicated. he require patella femoral arthroplasty in the future - he will follow up as needed icd10_description
22
Left Wrist pain 9 weeks Plan -discontinue casting -Rx for thumb spica brace -start daily wrist ROM out of brace -fu 6 weeks for cast removal and xrays icd10_description
65
Post Op po day 1 right shoulder right shoulder anterior and posterior bankart with slap - 8 anchor - doing well - f/u 2 week s icd10_description
61
Right Shoulder pain Follow Up RIght Shoulder Scope Return to PT. STil with some mild weakness, recommend return to PT, continue activity as tolerated icd10_description
37
EP- New injury, fell on right knee, having RT foot pain/ 's knee Xrays pulled up Right knee osteoarthritis Peripheral neuropathy icd10_description
17
Left Ankle pain 6 months post left ankle surgery Plan -Okay for activity as tolerated -fu PRN Plan -Okay for activity as tolerated -fu PRN icd10_description
82
Followup Defect of articular cartilage po 7 wks left knee 6 weeks s/p , knee arthroscopy. Overall doing well. progress with activity - I recommended low ipmact and not runing - f/u prn icd10_description
24
Deformity Eval F/U Bilateral hip Activity as tolerated. X-ray 4 months icd10_description
49
Finger pain Left small finger Left small mallet finger, routine healing Plan Continue 15 mg Meloxicam daily RTC PRN icd10_description
72
Left Hip pain The prosthetic components are well positioned with no sign of loosening. icd10_description
99
Post Op Left capitellum fracture, s/p surgery removed Continue wearing brace at all times RTC 2 wk with xrays icd10_description
60
Post Op, Left Ankle pain Doing well post-op. Progressing as expected. icd10_description
84
Pre Op PREOP RIGHT KNEE 5 months out first staged procedure bone grafting of 2 prior failed ACL reconstructions with posterior wall blowout. The plan is to proceed with revision ACL reconstruction next month . with allgraft .Right knee icd10_description
23
Post Op Left radial neck fracture Close reduction vs mini open, s/p closed reduction Plan Waterproof cast re-applied Refrain from any compromising activities RTC in 2 wks with xrays out of cast icd10_description
65
Left Heel pain LEFT HEEL XRAYS AT FELL OFF LADDER 57yoM with left displaced intraartcular calcaneus fx. Plan -We reviewed his imaging and discussed treatment options. He does have some joint depression and comminuted at the subtalar joint. We discussed that surgery could improve this but not improve his overall outcome. He is at risk for posttraumatic arthritis, subtalar stiffness and continued pain regardless. We discussed both surgical and nonoperative options. He prefers surgery to try to minimize his chances of posttraumatic arthritis. I feel this is reasonable as he does have 3 to 6mm of depression at his posterior facet. We discussed risks of surgery including infection, wound healing issues, continued pain and stiffness, neurovascular/tendon injury and general risks of anesthesia. -He expressed understanding and wishes to proceed with surgery. -Will schedule ORIF left calcaneus fx for next week after swelling has resolved some more. icd10_description
88
Deformity Eval Right Clubfoot Casting #3 Harness Adjustment cast changed, wear harness as instructed icd10_description
49
Post Op, Left Foot pain Minimally displaced left 5th MT base fx. The fracture is healing well in good alignment. icd10_description
88
Pre Op, Left Wrist pain, Left Elbow pain pre op Left CT release, Left elbow Bilateral carpal tunnel syndrome Left cubital tunnel syndrome Plan Left endoscopic carpal tunnel release and Left cubital tunnel release RTC 2 wks post op icd10_description
3
Right Foot pain Possible lisfranc ligament injury of right foot Plan Send to Pac med for walking boot Obtain MRI of right foot Non WB right foot Continue icing and elevating Begin Tramadol as prescribed Begin 15 mg Meloxicam daily RTC with MRI results icd10_description
90
Left Knee pain cd down loaded mri 38yoM with DM and left ankle Maisonneuve injury s/p ORIF and repair of deltoid ligament 5 months postop. Small residual lateral eschar at incision without signs of infection. Fractures and syndesmosis healing in stable alignment. Left knee MRI shows tibial contusion and mild ACL sprain. Plan -- in boot, can transition out of boot --Continue PT --local wound care --Rx for norco to use before PT only, advised cessation of narcotics otherwise, last Rx, checked PMP --fu 2 months for 3V ankle and wound check, sooner PRN icd10_description
89
Right Hip pain 6.5 mos post-op 73yoM now 6 months postop right THA for displaced femoral neck fx. Had likely occult femoral neck fx but could not get MRI due to pacemaker and CT was normal. Had another fall vs. displacement of his fx and was admitted to with displaced femoral neck fx. Has multiple cardiac issues. Hip doing well, stable xrays . /achilles strain at musculotendinous junction resolved. Limb length inequality right greater that left by approx 2cm. Back pain pending further evaluation. Plan -WBAT RLE -posterior hip precautions -discussed option for formal PT for generalized conditioning and secondary fall prevention. He will consider this but would like to discuss options for back with first. Can provide Rx for PT if he wants -fu 6 months for AP pelvis and 2V right hip icd10_description
78
Finger pain 3 months post left thumb surgery Laceration to left thumb Left thumb digital nerve injury Collateral ligament injury Open fracture distal phalanx of thumb Plan Steroid injection to thumb Continue neoprene thumb spica splint Begin naproxen day and night No use left hand RTC in 6 wks for exam icd10_description
72
Post Op 2 week post left elbow surgery Plan --okay for activity as tolerated --continue gout management --fu PRN icd10_description
12
Left Elbow pain 8 months post left elbow surgery Plan -discussed treatment options at this point again with interpreting spanish. I feel that he would benefit now from removal of implants including the broken screw. We discussed that if he has no gross motion after implant removal then we be able to leave his radial head as is. If there is motion present at the fracture during surgery then I recommend a radial head resection to prevent. I do not feel that he would need a radial head arthroplasty at this point as his other associated injuries are well healed. I will also perform excision of his exostosis in an effort to improve his ROM. -We discussed risks of further surgery including neurovascular injury, worsening stiffness, continued pain and risks of general anesthesia. -will schedule surgery and obtain worker's comp authorization -filled out PPR icd10_description
65
Right Wrist pain Left wrist tendonitis with ligament attenuation, resolving Plan Splint PRN with heavy lifting Continue 15 mg Meloxicam daily for one more month then PRN Return PRN icd10_description
39
Followup Osteoarthritis of knee euflexxa #1 right knee Left shoulder with small rotator cuff tear with decent range of motion, some discomfort, and some mild weakness. We will start with physical therapy. If not improved over the next 6 weeks, we will discuss injection, possible surgical repair. icd10_description
37
Right Wrist pain Right wrist sprain Right wrist tendinitis Possible occult scaphoid fracture v.s wrist ligament injury Plan Continue wearing wrist splint at all times except for hygiene purposes Obtain MRI of right wrist Continue taking 15 mg Meloxicam daily RTC with MRI results icd10_description
77
Deformity Eval New Patient 3 Day Old Female With Possible Hip Dysplasia And Clubfoot Get start casting Monday icd10_description
50
follow up left shoulderr S/ repair with persistent sensory block icd10_description
61
9 weeks post op LT ankle scope, ligament reconstruction/ still has pain > Lt Ankle scope with debridement and Brostrom icd10_description
32
Bilateral Forearm pain Bilateral radial tunnel syndrome Plan Continue attending Hand Therapy for ultrasound and iontophoresis modalities Continue bilateral wrist splints at night and increased activity during the day Continue 15 mg Meloxicam daily Begin taking topical anti inflammatory 2-3 times a day RTC in 6 wks for exam icd10_description
3
Left Shoulder pain Followup Rotator cuff impingement syndrome Left Rotator Cuff Tear. Doing well post-op. Progressing as expected. icd10_description
14
Finger pain Right index finger Healed fracture of volar aspect of distal phalanx base of right index finger Fracture on ulnar aspect as well Plan Referral to for Index finger stretching and ROM RTC in 8 wks for repeat exam icd10_description
72
Left Knee pain Left Knee Pain HA series Lt knee. Protective activity rt wrist icd10_description
17
Left Knee pain dislocated ...pain for 4 wks prior 62yoF with left knee pain and posterior pop . Clinically consistent with rupture 's cyst. Otherwise benign xrays and exam . Plan -okay to progress WBAT and transition off of crutches -start knee ROM -discussed treatment options including NSAIDs, hinged knee brace, ice, activity modification, cortisone injection -fu 4 weeks for repeat exam, if still hurting consider cortisone injection and knee brace icd10_description
25
Followup Osteoarthritis of knee bilateral knee pain ants injections Bilateral quadriceps tendinosis and patellofemoral chondromalacia. Steroid injections of both knees .f/u prn icd10_description
22
Finger pain, Right Elbow pain Left thumb Left thumb distal phalanx fracture Right lateral epicondylitis Plan Begin PT for stretching, no concentric strengthening, and ultrasound Continue right wrist splint Continue activities as tolerated Begin topical anti inflammatory RTC 6 weeks for repeat evaluation icd10_description
72
Right Wrist pain Assessment Left FCR tendinitis, improving Left Extensor digitorum communis tendinitis Left Radiocarpal arthritis Right FCR tendinitis Plan Continue wrist splints as needed Continue wrist stretching exercises Continue with for stretching exercises No NSAIDs PO per your primary physicians instruction Return to clinic in 6-8 wks for repeat evaluation icd10_description
19
Right Elbow pain follow-up Lateral epicondylitis right elbow, improving Right knee pain Plan Continue with 15 mg Meloxicam Continue wrist splint at night and with strenuous activities Continue with PT stretching and strengthening exercises including ultrasound, no concentric strengthening RTC in 6 wks for exam and xray of right knee if knee pain has not improved icd10_description
25
Post Op PO 11 WKS TKA 12 weeks out left total knee arthroplasty, doing very good. He feels that his motion has improved since prior surgery. Follow-up time 3 views left knee. Allow progressive activity as tolerated icd10_description
17
Right Foot pain rolled it off porch step 67yoF with DM and nondisplaced zone 2 fx of 5th metatarsal. Plan -We discussed these findings in detail. We discussed recommended treatment options being nonoperative with NWB in boot for at least 6 weeks. An alternative options is percutaneous screw fixation, which would allow for immediate weightbearing and improve her chances of healing her fracture. She prefers surgery given these options. -We discussed risks of surgery including infection, neurovascular injury, nonunion, risks of anesthesia and possibility of implant irritation requiring removal. She expressed understanding and wishes to proceed when possible -will schedule -continue boot with crutches for now, NWB if possible icd10_description
88
Post Op, Left Hip pain 11 days post op LT hip 52yoM with multiple medical problems including cirrhosis with recent hx of encephalopathy, poorly controlled DM, recent hx of GI bleed. Had infected left THA with osteomyelitis and associated soft tissue. Cultures growing MSSA. Now 11 days postop explantation of left THA and placement of prostalac spacer. Getting IV abx via PICC line. Plan --Given the extent of the soft tissue abscess at the last surgical setting and continued drainage from that area, I feel that he would benefit from repeat debridement and possible repeat exchange of his antibiotic spacer. Given his comorbidities, he not be a good candidate for replantation but I feel that another debridement would be the best way to help eradicate his infection. He is in agreement. We discussed again the potential risks, benefits and alternatives to surgery. We discussed that some drainage is expected, especially with the antibiotic beads in place but I still feel that he would benefit from another debridement to improved the chances of fully treating his infection. --continue --PT/OT for mobilization --Will schedule surgery for later this week, he will need to be readmitted to the hospitalist service postop and ultimately transition back to SNF icd10_description
94
Left Hand pain Rt thumb UCL sprain left thumb now much improved icd10_description
73
Right Wrist pain old scaphoid fx, non-union Right SNAC wrist Plan Will call when ready to obtain right wrist MRI; closer to when ready to proceed with surgery RTC with MRI results and when ready to proceed with surgery icd10_description
72
Bilateral Shoulder pain Full thickness left rotator cuff tear, moderate osteoarthritis of glenohumeral joint with labral tear Biceps tendonitis bilaterally with left biceps subluxation Right subacromial impingement and Inferior labral tear Plan Obtain intra-articular injections of bilateral shoulders Begin PT of bilateral shoulder for rotator cuff strengthening Return to clinic in 6 wks for exam icd10_description
61
Finger pain Right ring finger, nail bed check Plan -continue finger ROM -progress activity as tolerated -fu 6 weeks to check nail plate -discussed possibility of developing dystrophic finger nail to right finger that require surgical nail plate ablation -filled out PPR icd10_description
71
Left Ankle pain Follow Up Left Ankle Pain Wear boot, ice, nsaids, elevation icd10_description
89
Left Shoulder pain Cubital tunnel syndrome right side Ganglion cyst right wrist Left shoulder subacromial impingement Plan Continue PT Begin Medrol Dosepak to help with inflammation Begin 15 mg Meloxicam daily after Medrol Dosepak return to work without restrictions as tolerated RTC in 6 wks for exam icd10_description
37
Finger pain Bilateral thumbs Bilateral trigger of the thumbs, worse on the right Plan Right steroid injection to the A-1 pulley of the thumb Continue 15 mg Meloxicam daily every day for a month RTC in 6 wks for exam icd10_description
31
W/C RIGHT LEG 6 WEEK FOLLOW UP 36yoM with right displaced tibial pilon and fibula shaft fx s/p ORIF 6 weeks postop. Wounds healed without signs of infection. Fxs healing in stable alignment. Ankle stiffness. Plan -okay to progress to WBAT RLE in boot given degree of radiographic healing and fx pattern -updated Rx for PT to help with ankle ROM, found worker's comp authorization and provided phone number for patient to schedule PT -fu 6 weeks for 3V ankle -filled out PPR icd10_description
82
Bilateral Shoulder pain Left Rotator Cuff Tendonitis vs less likely SLAP, significantly improved with some persistent pain. Right Rotator Cuff Tendonitis now resolved. icd10_description
63
Pre Op Right dorsal wrist ganglion cyst Plan Right dorsal wrist ganglion cyst excision Return to clinic 2 wks post op icd10_description
33
Left Knee pain no xrays Probable L MMT icd10_description
83
Left Wrist pain Left wrist buckle fracture to distal radius Plan Resume activities as tolerated RTC PRN icd10_description
65
follow right foot Plan -okay to progress activity as tolerated -discussed expectation for routine fracture healing and natural history -fu 6 weeks for 3V foot icd10_description
88
Right Hip pain New Patient Right Hip Pain x 3 Months Right Hip Fracture With Repair Hip pain most likely due to DJD, patient does not wish hip revision, leg pain should respond to icing and NSAIDS icd10_description
78
Left Shoulder pain New Patient Left Upper Arm Pain X 1 Year No Known Injury Xrays At RDC Start PT. Call if doesn't resolve. icd10_description
63
Post Op, Left Foot pain Dr pt..went to ER for redness and swelling. They did give her abx. Plan -continue NWB LLE in boot with crutches -finish course of abx as previously prescribed by IHS clinic -continue elevation -fu with Dr. as scheduled icd10_description
39
Right Shoulder pain results rt shldr Right scapular trigger point, possible C6 radiculopathy icd10_description
43
Leg pain Right Calf pain..injured ..worse 7.10.17 Plan -continue monitoring and activity modification -continue compression -fu 4 weeks for repeat clinical evaluation -consider MRI at some point if continued clinical concern for underlying soft tissue mass causing spontaneous hematoma icd10_description
92
7 weeks post op RT distal ulna ORIF Right distal ulna nonunion icd10_description
65
Finger pain Left thumb Assessment Left thumb metacarpal base malunion, with post traumatic osteoarthritis Left thumb CMC arthritis Plan Left CMC injection Return to clinic for repeat exam. icd10_description
18
Left Ankle pain MVA 17yoM with left foot fractures of 4th and 5th MT bases and 5th MT neck. Some concern for midfoot instability but anatomic alignment on CT from Has open lateral foot wound, full thickness and contused/nonviable adjacent skin edges with extensive partial thickness abrasions. Plan -I feel that his wound would benefit from debridement of nonviable skin given the appearance . I do not feel that this is emergent and waiting a few days actually be beneficial to allow the zone of injury to declare itself. We discussed risks, benefits and alternatives to surgery and they wish to proceed -Given the CT, I feel that we be able to treat his fractures nonoperatively with NWB x 8 weeks but will order MRI to evaluate Lisfranc ligament integrity. He is a high school athlete and has potential for college scholarships playing football and benefit from surgery to expedite his recovery depending on what the MRI shows. -Rx for bactrim for prophylaxis -Will request outpatient wound vac and wound care to get setup after surgery icd10_description
87
Right Hand pain Assessment bilateral carpal tunnel syndrome, s/p right endoscopic carpal tunnel release; Pillar pain bilateral lateral epicondylitis Plan Continue in scar massage Continue home exercise program Refill 15 mg Meloxicam daily Continue work without restrictions RTC in 4 wks for exam icd10_description
39
Post Op Left cubital tunnel syndrome, s/p release Right C-6/7 radiculopathy Plan Continued scar massage RTC in 8 wks for repeat evaluation icd10_description
3
Shoulder pain 6 wks po shoulder 6weeks out left shoulder stabilization. doing well discontinue sling and f/u 6 weeks icd10_description
61
Shoulder pain fu 7 mo left shoulder Doing well 7 months out anterior and posterior left shoulder labral repair. Full release cleared for all activity will follow up time icd10_description
61
Deformity Eval Follow Up Bilateral Club Foot Aggressive Achilles stretching icd10_description
50
3 weeks post op LT 1st MTP fusion, 2-5 MT head resection > Left Rheumatoid forefoot reconstruction icd10_description
20
Work Comp, Left Foot pain foot stuck in Car Wash roller Plan -We discussed treatment options and I feel that he would benefit most from nonoperative management given the minimal displacement at that 5th TMT joint. We reviewed the xrays and CT together. -NWB LLE in boot with crutches -okay for ankle ROM -fu 5 weeks for 3V foot icd10_description
88
Deformity Eval Harness Adjustment Right Clubfoot Casting #5 Scheduled For cast changed, wear harness as instructed icd10_description
49