28630 Closed treatment of metatarsophalangeal joint dislocation; without anesthesia

Name of the Procedure:

Closed Treatment of Metatarsophalangeal Joint Dislocation; Without Anesthesia

Summary

This procedure involves manually realigning a dislocated metatarsophalangeal (MTP) joint in the foot without the use of anesthesia.

Purpose

The purpose of this procedure is to address the dislocation of the metatarsophalangeal joint, which causes pain, swelling, and difficulty in moving the affected toe. The goal is to restore the normal alignment of the joint to relieve symptoms and restore function.

Indications

• Acute pain and swelling in the toe area.
• Visible misalignment or deformity of the MTP joint.
• Inability to move the affected toe.

Preparation

• No specific fasting or medication adjustments are usually required.
• An X-ray or other imaging tests may be performed to confirm the dislocation.

Procedure Description

1. The healthcare provider will examine the affected foot and identify the dislocation.
2. They will then manipulate the toe gently but firmly to reposition the joint into its proper place.
3. No tools or anesthesia are used in this procedure, making it a "closed" treatment.

Duration

The procedure typically takes a few minutes.

Setting

This procedure is usually performed in an outpatient clinic or emergency department.

Personnel

• A physician or podiatrist will perform the procedure.
• A nurse may assist with preparation and patient comfort.

Risks and Complications

• Pain or discomfort during the manipulation.
• Recurrence of the dislocation.
• Possible damage to surrounding tissues if not performed correctly.

Benefits

• Immediate relief from pain and improved toe function.
• Non-invasive with no need for anesthesia, reducing recovery time.

Recovery

• Patients may need to rest and avoid putting weight on the affected foot for a short period.
• Over-the-counter pain medications can be taken if discomfort persists.
• Follow-up appointments may be recommended to monitor healing.

Alternatives

• Open surgical treatment, which involves making an incision to realign the joint, but this is more invasive and requires anesthesia.
• Immobilization with a splint or cast.

Patient Experience

• The patient may experience discomfort during the manipulation.
• Pain should subside quickly after the joint is realigned.
• Measures such as ice packs and pain relievers can help manage any residual pain.