Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each
CPT4 code
Name of the Procedure:
Closed Treatment of Phalangeal Shaft Fracture, Proximal or Middle Phalanx, Finger or Thumb; Without Manipulation
Summary
This procedure involves the treatment of a broken bone (fracture) in the finger or thumb, specifically in the middle or proximal sections (closer to the hand). It is referred to as "closed treatment" because it is done without surgically opening the skin, and it does not involve manually adjusting the bone's position (manipulation).
Purpose
The procedure addresses fractures in the shaft of the proximal or middle phalanges of the fingers or thumbs. The goal is to allow the bone to heal naturally and correctly without the need for surgical intervention or realignment.
Indications
- Acute fractures of the proximal or middle phalanx in the finger or thumb.
- Patients whose bones have not shifted significantly out of place.
- Individuals who wish to avoid surgical procedures if possible.
Preparation
- No specific fasting or medication adjustments typically required.
- Basic diagnostic imaging, such as X-rays, to confirm the type and location of the fracture.
Procedure Description
- The patient's affected finger or thumb is assessed to ensure there is no need for manipulation.
- A splint or cast is applied to immobilize and protect the fractured bone.
- In some cases, the use of over-the-counter pain relief medication may be recommended. The procedure does not require anesthesia as it is non-invasive.
Duration
The application of a splint or cast usually takes about 15 to 30 minutes.
Setting
Typically performed in an outpatient clinic or emergency room setting.
Personnel
- A healthcare provider such as a physician, orthopedic specialist, or nurse practitioner.
Risks and Complications
- Minimal risks since no surgery or manipulation is involved.
- Potential complications include improper healing or residual stiffness.
Benefits
- Allows the bone to heal in its natural position without the need for surgery.
- Reduced risk compared to surgical treatment.
- Often a quicker and more comfortable procedure.
Recovery
- Patients should follow care instructions for the splint or cast, such as keeping it dry and clean.
- Healing time can vary but typically ranges from 4 to 6 weeks.
- Follow-up appointments are necessary to monitor healing progress.
Alternatives
- Surgical intervention if the fracture is severe or if non-invasive treatment is ineffective.
- Manipulative realignment followed by immobilization.
- Both alternatives may offer quicker or more precise healing but involve higher risks.
Patient Experience
- Minimal discomfort during the procedure.
- Possible mild pain managed by over-the-counter medications.
- Some inconvenience due to the immobilization of the finger or thumb during recovery.