Closed treatment of ulnar styloid fracture
CPT4 code
Name of the Procedure:
Closed Treatment of Ulnar Styloid Fracture
Common name(s): Non-surgical treatment of ulnar styloid fracture, Conservative management of ulnar styloid fracture
Summary
In layman's terms, the closed treatment of an ulnar styloid fracture involves setting the bone without surgery. It typically includes immobilizing the wrist with a cast or splint to allow the bone to heal naturally.
Purpose
This procedure is performed to address fractures of the ulnar styloid, which is a bony prominence on the ulna near the wrist. The goal is to realign and stabilize the bone to facilitate proper healing and restore wrist function.
Indications
- Sudden wrist pain and swelling after trauma, such as a fall
- X-rays confirming a fracture of the ulnar styloid
- Patients with minimal displacement or instability of the fracture
Preparation
- Minimal preparation is required; patients should inform their doctor of any medications and allergies.
- Diagnostic imaging like X-rays or CT scans may be performed to assess the fracture.
Procedure Description
- The affected wrist is carefully examined.
- The bone may be manipulated to ensure proper alignment.
- A cast or splint is applied to immobilize the wrist and support the bone as it heals.
- Follow-up X-rays may be taken to ensure the bone remains properly aligned during the healing process.
Tools: Casting materials (e.g., plaster or fiberglass), splints
Anesthesia: Usually not required, though local pain relief can be administered if necessary.
Duration
The procedure typically takes about 30-60 minutes.
Setting
This procedure is usually performed in an outpatient clinic or emergency department.
Personnel
- Orthopedic surgeon or a trained healthcare provider
- Nurses or medical assistants
Risks and Complications
Common risks:
- Skin irritation or breakdown due to the cast or splint
- Stiffness and discomfort
Rare risks:
- Improper alignment leading to malunion
- Nerve or vascular injury during bone manipulation
Benefits
- Safe, non-invasive alternative to surgery
- Effective in promoting natural bone healing
- Typically leads to good functional recovery
Recovery
- Patients are advised to keep the cast or splint dry and clean.
- Follow recommended exercises to maintain wrist mobility.
- Regular follow-up visits to monitor healing.
- Recovery typically takes 4-6 weeks, but full function may take several months.
Alternatives
- Open reduction and internal fixation (surgical option) if the fracture is severely displaced or unstable.
- Pros: Surgery provides immediate and stable fixation.
- Cons: Surgery involves greater risks, including infection and longer recovery time.
Patient Experience
Patients may feel discomfort during the initial manipulation of the bone. Pain is generally managed well with over-the-counter pain relievers. Patients will need to adapt to wearing a cast or splint, which may limit wrist use temporarily. Regular follow-up is important to ensure proper healing and to make any necessary adjustments to the treatment.