Closed treatment of clavicular fracture; with manipulation
CPT4 code
Name of the Procedure:
Closed Treatment of Clavicular Fracture; with Manipulation
Common Name(s): Non-surgical realignment of collarbone fracture
Summary
This procedure involves manually realigning a broken collarbone without the need for surgery. A healthcare professional uses specific maneuvers to set the bone in the correct position to heal properly.
Purpose
The procedure aims to treat a broken collarbone (clavicular fracture) by realigning the bone to facilitate proper healing. The expected outcome is to restore the normal function and alignment of the clavicle, alleviate pain, and prevent future complications.
Indications
- Acute pain and swelling following an injury to the collarbone
- Visible deformity or abnormal positioning of the collarbone
- Limited ability to move the shoulder or arm
- X-ray or imaging confirmation of a clavicular fracture
- Absence of conditions requiring surgical intervention
Preparation
- No fasting typically required
- Patients may need to adjust medications, especially blood thinners
- X-rays or other imaging studies to confirm the fracture and plan the manipulation
Procedure Description
- The patient is positioned comfortably, usually reclining or sitting.
- Local anesthesia or mild sedation may be administered to minimize discomfort.
- The healthcare provider uses hands and gentle pressure to manipulate and realign the fractured clavicle.
- Once aligned, a splint or sling is applied to maintain the position and support the clavicle during healing.
- Follow-up imaging may be done to confirm successful realignment.
Duration
The procedure typically takes about 30 to 45 minutes.
Setting
The procedure is usually performed in an outpatient clinic or hospital emergency department.
Personnel
- Orthopedic surgeon or emergency physician
- Nurses or medical assistants
- Radiologic technologist, if imaging is required
Risks and Complications
- Pain or discomfort during manipulation
- Potential for incomplete alignment
- Risk of refracture or displacement
- Nerve or blood vessel injury (rare)
Benefits
- Non-surgical option for realigning the clavicle
- Immediate reduction in pain and discomfort
- Promotes faster and more effective healing
- Shorter recovery time compared to surgical options
Recovery
- Wear the sling or splint as directed, usually for several weeks
- Follow-up appointments for monitoring healing progress
- Gradual return to normal activities, with possible physical therapy
- Expected recovery time ranges from 6 to 8 weeks
Alternatives
- Surgical treatment (Open Reduction and Internal Fixation) for more complicated fractures
- Conservative management with immobilization and no manipulation, if minor displacement
Patient Experience
During the procedure, patients may feel pressure and some discomfort. Local anesthesia helps minimize pain. After the procedure, there may be mild to moderate soreness, which can be managed with pain medications and proper rest. Patients should follow care instructions closely to ensure optimal recovery and avoid complications.