Drainage of palmar bursa; single, bursa
CPT4 code
Name of the Procedure:
Drainage of Palmar Bursa; Single, Bursa
Summary
This procedure involves draining fluid from a single palmar bursa, which is a small fluid-filled sac within the hand. The process helps alleviate pain and swelling caused by excess fluid accumulation.
Purpose
The procedure addresses inflammation or infection of the palmar bursa, often caused by injury, overuse, or conditions such as bursitis. The goal is to reduce pain, swelling, and restore normal hand function.
Indications
- Persistent pain and swelling in the palm or hand
- Signs of infection (redness, warmth, fever)
- Decreased hand mobility
- Bursitis unresponsive to conservative treatment (rest, ice, medications)
Preparation
- Fasting for a few hours prior if sedation is used
- Discontinuing certain medications like blood thinners, as advised by the doctor
- Diagnostic imaging (e.g., ultrasound, MRI) to confirm the condition of the bursa
Procedure Description
- The patient is positioned comfortably, usually with the hand extended.
- Local anesthesia is administered to numb the area.
- A sterile needle is inserted into the bursa to withdraw (aspirate) the excess fluid.
- The fluid may be sent for laboratory analysis if an infection is suspected.
- The injection of anti-inflammatory medication may follow if necessary.
- The needle is removed, and a small bandage is applied to the site.
Duration
The procedure typically takes about 20 to 30 minutes.
Setting
The procedure is usually performed in an outpatient clinic or a doctor's office.
Personnel
- A hand surgeon or an orthopedic specialist
- A nurse or medical assistant for support and preparation
Risks and Complications
- Infection at the injection site
- Bleeding or bruising
- Allergic reaction to anesthesia
- Temporary increase in symptoms
- Damage to surrounding structures
Benefits
- Immediate reduction in pain and swelling
- Quick restoration of hand function
- Minimal downtime and quick return to normal activities
Recovery
- Keep the hand elevated for the first 24 hours
- Apply ice packs as recommended
- Follow prescribed medication regimen, if any
- Avoid strenuous activities with the hand for a few days
- Follow-up visit to monitor healing and assess the need for further treatment
Alternatives
- Conservative treatments: Rest, ice, anti-inflammatory medications
- Physical therapy
- Corticosteroid injections
- Surgical removal of the bursa in severe or recurrent cases
Patient Experience
Patients may feel a slight pinch during the local anesthesia injection and pressure as the fluid is aspirated. Post-procedure discomfort is minimal and can be managed with over-the-counter pain relievers and ice packs. Most patients notice a rapid improvement in symptoms within a few days.