Closed treatment of radial shaft fracture; without manipulation
CPT4 code
Name of the Procedure:
Closed Treatment of Radial Shaft Fracture; Without Manipulation
Common names: Non-Surgical Treatment for Radial Shaft Fracture, Conservative Management of Radial Shaft Fracture
Summary
This procedure involves treating a fracture of the radial shaft (a bone in the forearm) without surgically manipulating the bone back into place. Instead, the bone is allowed to heal naturally with the support of a cast or splint.
Purpose
The procedure addresses a broken radial shaft that does not require surgical realignment. The goal is to stabilize the bone, allow natural healing, and maintain the proper alignment to restore full function of the forearm.
Indications
- Non-displaced or minimally displaced fractures of the radial shaft
- Patients with good bone health and healing capability
- Situations where surgical risks outweigh the benefits
Preparation
- The patient may need an X-ray to assess the fracture.
- The healthcare provider will give instructions on whether any medications need to be adjusted.
Procedure Description
- The patient is usually seated or lying down.
- The affected arm is carefully positioned.
- A splint or cast is applied to immobilize the forearm, ensuring the bone fragments stay in place.
- The splint or cast supports the radius while it heals naturally.
Duration
The application of the cast or splint typically takes about 15-30 minutes.
Setting
The procedure is usually done in an outpatient clinic or emergency room.
Personnel
- Orthopedic surgeon or healthcare provider trained in fracture management
- Nurse or medical assistant
Risks and Complications
- Risk of improper healing or bone misalignment
- Possible pressure sores or skin irritation from the cast or splint
- Compartment syndrome (rare and requires immediate attention)
Benefits
- Non-invasive with no surgical risks
- Allows the bone to heal naturally
- Typically, patients can expect to see healing progress within a few weeks.
Recovery
- Regular follow-up visits to monitor healing, often with repeat X-rays.
- Avoid heavy lifting or strenuous activities.
- The cast or splint typically remains in place for 4-8 weeks.
- Physical therapy may be needed post-cast removal for strength and mobility.
Alternatives
- Surgical intervention if the fracture is unstable or displaced Pros: More precise alignment and potentially faster recovery. Cons: Surgical risks, potential for infection, longer initial recovery time.
- Functional bracing which offers more mobility but less rigid support.
Patient Experience
- The patient might experience mild discomfort during the application of the cast.
- Post-procedure pain usually manageable with over-the-counter pain medication.
- Some itching and stiffness under the cast can occur, but should reduce as healing progresses.