26740 Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; without manipulation, each

Name of the Procedure:

Closed Treatment of Articular Fracture, Metacarpophalangeal or Interphalangeal Joint (without manipulation)

Summary

This procedure involves the treatment of a broken joint in the fingers (either the knuckles or the joints between the finger bones) without the need to physically adjust or manipulate the bone. It is a non-invasive method aimed at allowing the fracture to heal naturally.

Purpose

• Medical Condition: Treatment of fractures in the joints of the fingers (metacarpophalangeal or interphalangeal joints).
• Goals: To stabilize the bone, minimize pain, and allow the fracture to heal properly without the need for surgical intervention.

Indications

• Pain, swelling, or deformity in the finger joints following an injury.
• X-ray or clinical diagnosis confirming a non-displaced fracture.
• Patients who do not require manipulation to realign the bone fragments.

Preparation

• Pre-procedure Instructions: No specific fasting or significant medication adjustments typically required.
• Diagnostic Tests: X-rays to confirm the fracture and assess alignment.

Procedure Description

1. The affected hand is supported and the finger is immobilized.
2. A splint or cast may be applied to keep the finger in a stable position.
3. Instructions are provided on how to take care of the splint/cast and manage swelling and pain at home.

• Tools/Equipment: Splints or casts, bandages.
• Anesthesia: Typically not required as no bone manipulation is involved.

Duration

The procedure usually takes about 15-30 minutes.

Setting

The procedure is typically performed in an outpatient clinic or emergency department.

Personnel

• Physician or orthopedic specialist.
• Nurse or medical assistant for application of splint/cast and patient instructions.

Risks and Complications

• Common Risks: Minor discomfort from the splint or cast.
• Rare Risks: Improper healing if the splint shifts or the patient does not follow care instructions, potential for stiffness in the finger joint.

Benefits

• Promotes natural healing of the fracture without surgery.
• Pain relief and stabilization of the fractured finger.
• Reduced risk of complications associated with surgical interventions.

Recovery

• Post-procedure Care: Keep the splint/cast dry and clean. Follow specific instructions on hand movements and exercises to maintain flexibility.
• Recovery Time: Generally, about 4-6 weeks, depending on the severity of the fracture.
• Restrictions: Limited use of the affected hand, avoid heavy lifting, follow-up appointments for progress assessment.

Alternatives

• Other Treatment Options: Open Reduction and Internal Fixation (ORIF) if the fracture is displaced; manipulation followed by casting if realignment is necessary.
• Pros and Cons: Surgery offers more precise alignment but comes with higher risks and longer recovery.

Patient Experience

• During Procedure: Minimal discomfort as manipulation is not required.
• After Procedure: Mild discomfort or inconvenience due to the splint or cast. Pain management typically involves over-the-counter pain relief. Regular follow-up visits to monitor healing.