Talk to the Hand-Video: Talk to the Hand

Video Transcription

Video Summary

The webinar titled "Talk to the Hand" featured Mike Trilla, an expert with 35 years of experience in trauma registries. Mike's presentation focused on the nuances of coding for hand injuries. The session began with a detailed overview of root operations essential for coding hand injuries, including excision, resection, extraction, and more. Mike emphasized the importance of understanding these operations through the example of various hand injury scenarios.<br /><br />The anatomy of the hand was reviewed, highlighting the bones, including the phalanges, metacarpals, and carpals. Mike detailed common fractures such as scaphoid, Bennett’s, and boxer's fractures, explaining their clinical features and treatment options like open reduction and internal fixation (ORIF).<br /><br />The presentation also covered the vascular supply and nerves of the hand, discussing significant arteries like the radial and ulnar arteries and main nerves including the median, ulnar, and radial nerves. Ligament and tendon structure and injuries were outlined.<br /><br />Additional severe injuries like degloving and amputation were discussed, including surgical challenges and treatment methods like the use of leeches for reattachment procedures. Mike shared real-life experiences and practical coding tips, reinforced by graphic imaging.<br /><br />In conclusion, Mike advised registrars to collaborate closely with surgeons, document precisely, and utilize comprehensive tip cards provided for accurate coding. The session concluded with a Q&A, addressing specifics of the discussion and offering additional coding insights.

Keywords

hand injuries

trauma registries

root operations

hand anatomy

fractures

vascular supply

nerves

amputation

coding tips