29075 Application, cast; elbow to finger (short arm)

Name of the Procedure:

Application, Cast; Elbow to Finger (Short Arm)

• Common Names: Short Arm Cast, Short Arm Plaster, Lower Arm Cast
• Medical Term: Short Arm Cast Application

Summary

A short arm cast is applied to immobilize the wrist, hand, and forearm while allowing elbow movement. It provides support and protection during the healing process for fractures, sprains, or after surgeries.

Purpose

The procedure stabilizes bones and soft tissues following injuries or surgery. It helps the healing process by restricting movement and protecting the affected area.

Indications

• Fractures of the wrist, hand, or distal forearm
• Severe sprains or ligament injuries
• Post-surgical immobilization
• Chronic conditions like severe tendonitis

Preparation

• Ensure the limb is properly cleaned and dried.
• Remove jewelry or tight clothing from the affected area.
• Diagnostic X-rays or imaging to assess the injury.
• Discuss with the doctor any medications you are taking.

Procedure Description

1. Assessment: The healthcare professional assesses the injury and ensures proper positioning.
2. Padding: Soft padding is applied around the affected area to protect the skin.
3. Casting Material: Plaster or fiberglass material is then soaked in water and wrapped around the arm from the elbow to the fingers.
4. Molding: The material is molded and shaped to ensure a snug fit and proper immobilization.
5. Setting: The cast is left to harden, which takes about 15-30 minutes.

Duration

Typically takes 30-45 minutes from preparation to completion.

Setting

Performed in a hospital, orthopedic clinic, or outpatient setting.

Personnel

• Orthopedic Surgeon or Physician
• Nurse or Medical Assistant
• Radiology Technician (for any necessary imaging)

Risks and Complications

• Skin irritation or sores due to pressure
• Allergic reaction to the casting material
• Reduced circulation if the cast is too tight
• Risk of compartment syndrome
• Joint stiffness or muscle atrophy due to prolonged immobilization

Benefits

• Stabilizes and protects the injury, facilitating proper healing
• Reduces pain and swelling
• Prevents further injury
• Typically, benefits are realized immediately with pain relief and over weeks as the injury heals.

Recovery

• Keep the cast dry and clean.
• Avoid inserting objects inside the cast to scratch.
• Elevate the limb to reduce swelling.
• Follow-up appointments to monitor healing.
• Cast removal usually occurs after 4-6 weeks, depending on the injury.

Alternatives

• Splinting: Allows some movement; used for less severe injuries.
• Brace: Provides support but allows for movement and adjustments.
• Surgery: May be required for more severe fractures or if casting is insufficient.
• Pros and Cons: Casts offer better immobilization but less flexibility than splints or braces.

Patient Experience

• Initial setting of the cast might cause some discomfort.
• Patients might experience itching and some weight from the cast.
• Pain management can include over-the-counter medications.
• Instruction on how to adapt daily activities to accommodate the cast.