Capsulodesis, metacarpophalangeal joint; single digit
CPT4 code
Sure, here is the markdown description for the procedure Capsulodesis, metacarpophalangeal joint; single digit:
Name of the Procedure:
Capsulodesis, Metacarpophalangeal (MCP) Joint; Single Digit
Summary
Capsulodesis of the metacarpophalangeal (MCP) joint is a surgical procedure performed to stabilize a single finger joint, usually to address joint instability or deformity. This involves tightening or reinforcing the joint capsule.
Purpose
The procedure addresses joint instability or deformity in the MCP joint of a single finger. The goals are to reduce pain, improve joint stability, and enhance finger function.
Indications
- Chronic joint instability or deformity of the MCP joint
- Persistent pain or dysfunction not relieved by non-surgical treatment
- Patients with specific conditions such as ligament injuries or rheumatoid arthritis affecting the MCP joint
Preparation
- Patients may be instructed to fast before the procedure, if under general anesthesia.
- Preoperative assessments may include X-rays or MRI scans to evaluate the joint.
- Adjustments to medications, particularly blood thinners, may be required.
Procedure Description
- Anesthesia: Local or general anesthesia is administered.
- Incision: A small incision is made over the MCP joint of the affected finger.
- Joint Exposure: The joint capsule is carefully exposed.
- Capsule Adjustment: The joint capsule is tightened or reinforced to stabilize the joint.
- Closure: The incision is closed with sutures.
- Dressing: A sterile dressing is applied to the surgical site.
Tools typically used include scalpels, sutures, and specialized instruments for joint exposure and manipulation.
Duration
The procedure typically takes about 1 to 2 hours.
Setting
The procedure is usually performed in a hospital or an outpatient surgical center.
Personnel
- Orthopedic or hand surgeon
- Anesthesiologist or nurse anesthetist
- Surgical nurses and operating room technicians
Risks and Complications
- Infection at the surgical site
- Nerve or blood vessel damage
- Joint stiffness
- Incomplete pain relief or recurrence of symptoms
- Anesthesia-related risks
Benefits
- Improved stability and function of the finger joint
- Reduction in pain
- Enhanced ability to perform daily activities involving the hand
Benefits may be realized several weeks to months post-procedure as healing progresses.
Recovery
- Post-procedure: The finger is typically immobilized with a splint or bandage.
- Follow-up: Regular follow-up appointments to monitor healing.
- Activity: Gradual return to normal activities, with potential physical therapy.
- Pain Management: Pain relief with medications as prescribed.
Recovery time varies but typically ranges from several weeks to months, depending on the individual's healing process.
Alternatives
- Non-surgical treatments such as physical therapy, braces, or splints.
- Corticosteroid injections to reduce inflammation.
Other surgical procedures like ligament reconstruction or joint replacement.
Non-surgical alternatives may provide temporary relief but may not be as effective for long-term stability.
Patient Experience
During the procedure, if under local anesthesia, patients may feel pressure but no pain. Post-procedure, some pain and swelling are expected. Pain can be managed with prescribed medications, and discomfort usually decreases significantly after the first week.