26742 Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each

Name of the Procedure:

Closed Treatment of Articular Fracture with Manipulation, Metacarpophalangeal or Interphalangeal Joint

• Common Name: Finger Joint Fracture Reduction
• Medical Term: Closed Reduction of Articular Fracture

Summary

This procedure involves the non-surgical treatment of a fracture affecting the joints in the fingers. The bones are manipulated back into place without making any incisions.

Purpose

• Medical Condition: Fractures of the metacarpophalangeal (knuckle) or interphalangeal (finger) joints.
• Goals: To realign the fractured bones, restore joint function, and minimize pain and swelling.

Indications

• Visible deformity in the finger
• Persistent pain and swelling in the joint
• Limited range of motion
• Difficulty in performing daily activities due to joint instability

Preparation

• Pre-Procedure Instructions: Avoid eating or drinking if sedation or anesthesia is to be used.
• Diagnostic Tests: X-rays of the affected joint to assess the fracture.

Procedure Description

1. Patient is positioned comfortably, and the affected hand is prepared.
2. Local anesthesia or sedation may be administered to minimize discomfort.
3. The healthcare provider manually manipulates the bones to align them correctly.
4. Post-manipulation, the joint may be immobilized using a splint or cast.
5. A follow-up X-ray ensures proper alignment.

Duration

Approximately 30 minutes to 1 hour.

Setting

Typically performed in a hospital, emergency room, or outpatient clinic.

Personnel

• Orthopedic Surgeon or Trained Physician
• Nurses
• Anesthesiologist or Nurse Anesthetist (if sedation is used)

Risks and Complications

• Common Risks: Swelling, bruising, and temporary pain.
• Rare Risks: Nerve or blood vessel damage, infection, improper healing (malunion).

Benefits

• Restored alignment and function of the finger joint.
• Relief from pain and prevention of long-term damage.
• Improved ability to perform daily activities.

Recovery

• Post-Procedure Care: Keep the splint or cast dry and follow hand exercises as prescribed.
• Expected Recovery Time: 4-6 weeks, depending on the severity of the fracture.
• Restrictions: Avoid heavy lifting or strenuous activities using the affected hand.
• Follow-Up: Regular check-ups to monitor healing progress.

Alternatives

• Open Reduction and Internal Fixation (for complex fractures)
  • Pros: Greater control over bone alignment
  • Cons: Involves surgical risks
• Non-Manipulative Treatment (splinting without manipulation)
  • Pros: Less invasive
  • Cons: May not adequately address bone misalignment

Patient Experience

• During: Mild to moderate discomfort; sedation or local anesthesia will reduce pain.
• After: Soreness and swelling, managed with pain relief medications.
• Pain Management: Over-the-counter pain relievers and ice packs to reduce swelling.

This markdown formatted text provides a comprehensive yet straightforward guide to the closed treatment of an articular fracture involving metacarpophalangeal or interphalangeal joints with manipulation, suitable for patient education and reference.