Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia
CPT4 code
Name of the Procedure:
Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia
Common name: Finger joint relocation without anesthesia
Summary
This procedure involves manually realigning a dislocated metacarpophalangeal (MCP) joint, which is where the hand connects to the finger, without the use of anesthesia.
Purpose
The procedure aims to correct a dislocated MCP joint, restoring proper alignment and function to the affected finger. This helps in alleviating pain, improving finger movement, and preventing further complications.
Indications
- Visible deformity of the affected finger
- Severe pain and swelling at the MCP joint
- Limited or no movement at the dislocated joint
- Injury or trauma to the hand leading to joint misalignment
Preparation
- Typically, minimal preparation is required.
- The healthcare provider may assess the injury with an X-ray to confirm the dislocation and rule out fractures.
Procedure Description
- The patient is seated or lying down comfortably.
- The doctor explains the procedure and may offer reassurance.
- The healthcare professional holds the dislocated finger and gently manipulates it back into its normal position.
- Once the joint is realigned, the finger may be splinted or taped to adjacent fingers for support and healing.
Duration
The procedure usually takes a few minutes.
Setting
The procedure is generally performed in an outpatient clinic or emergency room.
Personnel
- A qualified healthcare professional, such as an orthopedic specialist or an emergency room physician.
- A nurse or medical assistant may assist.
Risks and Complications
- Pain during the manipulation
- Swelling or bruising post-procedure
- Potential for recurrent dislocation or instability
- Rarely, damage to surrounding ligaments, tendons, or nerves
Benefits
- Immediate relief from pain and deformity
- Restoration of finger alignment and function
- Prevents long-term joint issues
Recovery
- The patient may need to wear a splint or buddy tape the finger for a few weeks.
- Avoid heavy lifting or strenuous activities with the hand for a recommended period.
- Follow-up appointments may be scheduled to ensure proper healing.
Alternatives
- Surgical intervention, if non-invasive methods fail
- Use of local anesthesia if pain is intolerable during the procedure
- Physical therapy post-reduction to strengthen and stabilize the joint
Patient Experience
- The patient might feel discomfort or brief pain during the manipulation.
- Post-procedure, mild pain, and swelling are common but can be managed with ice packs and over-the-counter pain relievers.
- Gloves, padding, or wraps may be used for added comfort during recovery.