Sample Type: Orthopedic

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Achilles Lengthening
Bilateral open Achilles lengthening with placement of short leg walking cast.

Achilles Ruptured Tendon
Right Achilles tendon rupture.

Ankle Pain - Consult
The patient was running and twisted her right ankle - right ankle sprain.

Ankle Sprain - H&P
History and Physical for right ankle sprain

Arthrodesis
Bilateral Crawford subtalar arthrodesis with open Achilles Z-lengthening and bilateral long-leg cast.

Arthroscopic Rotator Cuff Repair
Primary right shoulder arthroscopic rotator cuff repair with subacromial decompression.

Arthroscopy Shoulder/Knee
Right shoulder arthroscopy, subacromial decompression, distal clavicle excision, bursectomy, and coracoacromial ligament resection, carpal tunnel release, left knee arthroscopy, and partial medial and lateral meniscectomy.

Arthroscopy, Arthrotomy, Bankart lesion repair
Diagnostic arthroscopy exam under anesthesia, left shoulder. Debridement of chondral injury, left shoulder. Debridement, superior glenoid, left shoulder. Arthrotomy. Bankart lesion repair. Capsular shift, left shoulder (Mitek suture anchors; absorbable anchors with nonabsorbable sutures).

Arthrotomy & I&D
Hemarthrosis, left knee, status post total knee replacement, rule out infection. Arthrotomy, irrigation and debridement, and polyethylene exchange, left knee. No complications were encountered throughout the procedure.

Arthrotomy & Subscapularis Tendon Repair
Arthrotomy, removal humeral head implant, right shoulder. Repair of torn subscapularis tendon (rotator cuff tendon) acute tear. Debridement glenohumeral joint. Biopsy and culturing the right shoulder.

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Transcribed Medical Transcription Sample Reports and Examples