24500 Closed treatment of humeral shaft fracture; without manipulation

Name of the Procedure:

Closed treatment of humeral shaft fracture; without manipulation
Common name(s): Nonsurgical treatment for broken arm, Conservative management of humeral shaft fracture

Summary

This procedure involves treating a fracture of the humeral shaft (the long bone in the upper arm) without surgical intervention or manually adjusting the broken bone pieces. The broken arm is usually immobilized using a cast, splint, or brace to allow natural healing.

Purpose

This procedure is designed to address a humeral shaft fracture, where the bone is broken along its length. The goal is to stabilize the bone, minimize pain, and promote proper healing without the need for invasive surgery.

Indications

• Fractures of the humeral shaft that are stable and do not require alignment.
• Patients who are not good candidates for surgery due to health conditions or personal preference.
• Mild to moderate displacement of the bone fragments that can heal naturally with immobilization.

Preparation

• A thorough physical examination and medical history review.
• X-rays or other imaging tests to assess the fracture.
• Patients may be advised to avoid certain medications that affect blood clotting.
• No fasting is usually required unless specified by the doctor.

Procedure Description

1. The healthcare provider will examine the arm and assess the fracture through imaging.
2. The arm will be immobilized using a cast, brace, or splint to keep the bone fragments in place.
3. Pain relief measures, such as medication, may be provided.
4. Follow-up appointments will be scheduled to monitor the healing process through periodic X-rays.

Duration

The immobilization process itself takes about 30 minutes. Ongoing monitoring and follow-up visits will occur over several weeks to months.

Setting

This procedure is typically performed in an outpatient clinic or a hospital emergency department.

Personnel

• Orthopedic surgeon or physician
• Nurse or medical assistant
• Radiology technician for imaging

Risks and Complications

• Potential for inadequate healing or bone misalignment.
• Skin irritation or pressure sores from the cast or brace.
• Rarely, complications such as nerve or blood vessel damage.

Benefits

• Allows the bone to heal naturally without surgical risks.
• Reduced pain and stabilization of the fracture.
• Generally good outcomes for suitable fractures.

Recovery

• Patients will need to wear the cast, brace, or splint for several weeks to months.
• Instructions include keeping the immobilizing device dry and clean.
• Physical activity may be restricted to avoid stressing the fracture.
• Follow-up appointments are necessary to check on healing progress.

Alternatives

• Surgical treatment with internal fixation using plates, screws, or rods.
  • Pros: Potentially quicker recovery and immediate bone alignment.
  • Cons: Surgical risks such as infection and anesthesia complications.
• Functional bracing or other nonsurgical methods.
  • Pros: Non-invasive and generally well-tolerated.
  • Cons: May not be suitable for all fracture types.

Patient Experience

• Some discomfort or pain can be expected, manageable with prescribed medication.
• The patient may experience inconvenience due to the immobilization device.
• Everyday activities may require adaptation or assistance.
• Gradual improvement and return to normal activities as healing progresses.