Name of the Procedure:

Manipulation, Finger Joint, Under Anesthesia, Each Joint

Summary

This procedure involves manually realigning and increasing the range of motion in a finger joint while the patient is under anesthesia to avoid pain and discomfort.

Purpose

This procedure addresses stiffness, limited mobility, and deformities in finger joints due to conditions like arthritis, injury, or post-surgical complications. The goal is to restore normal movement and function to the affected finger joint.

Indications

• Severe stiffness or loss of range of motion in a finger joint
• Joint deformity
• Adhesion formation affecting the finger joint
• Inadequate response to conservative treatments (e.g., physical therapy, medications)

Preparation

• Fasting for 6-8 hours before the procedure
• Adjusting or stopping certain medications as instructed by the doctor
• Pre-procedure diagnostics such as X-rays or MRI scans to assess the joint

Procedure Description

1. The patient is given general or regional anesthesia.
2. The healthcare professional applies controlled manual force to the affected finger joint to break up adhesions and improve movement.

3. No incisions are made, but specialized splints or tools may assist in the manipulation.

   Duration

   The procedure typically takes about 30 to 60 minutes.

Setting

The procedure is commonly performed in a hospital operating room or an outpatient surgical center.

Personnel

• Orthopedic surgeon or hand specialist
• Anesthesiologist
• Surgical nurse

Risks and Complications

• Swelling and bruising
• Pain post-procedure
• Risk of joint dislocation or fracture
• Nerve damage
• Infection

Benefits

• Increased range of motion in the finger joint
• Reduced pain and stiffness
• Improved functionality of the hand
• Benefits are often noticed within a few weeks of the procedure

Recovery

• Application of a splint or cast to protect the joint
• Pain management with prescribed medications
• Physical therapy to maintain joint mobility and strength
• Recovery time varies but generally spans a few weeks to a couple of months
• Follow-up appointments to monitor progress

Alternatives

• Continuous physical therapy and stretching exercises
• Anti-inflammatory medications or corticosteroid injections
• Surgical intervention (e.g., arthroscopy)
• Pros of alternatives vary but may include non-invasiveness and lower immediate risks; cons often include longer recovery times and potentially less effective results

Patient Experience

• The patient will be under anesthesia, so there is no pain during the procedure.
• Post-procedure discomfort can be managed with medications.
• Physical therapy may involve some pain as the joint is rehabilitated.
• Overall improvement in joint function and a reduction in stiffness and pain usually follows as recovery progresses.