Name of the Procedure:

Closed Treatment of Distal Phalangeal Fracture, Finger or Thumb; Without Manipulation

Summary

This procedure involves treating a fracture in the distal (furthest) part of the finger or thumb without moving the bone fragments. A cast or splint is typically used to immobilize the affected area to allow natural healing.

Purpose

The primary goal is to stabilize and protect the fractured bone to allow it to heal properly. This procedure is used when the bone fragments are already in the correct position and do not require realignment.

Indications

• A diagnosed fracture to the distal phalanx (tip of the finger or thumb) confirmed by an X-ray.
• The bone is not displaced and is in appropriate alignment for healing.
• Patients experiencing pain, swelling, or decreased mobility in the affected finger or thumb.

Preparation

• Typically, no fasting is required.
• The patient may be asked to cease certain medications that affect bleeding.
• An X-ray will be taken to confirm the diagnosis and check the alignment of the fracture.

Procedure Description

1. The affected finger or thumb is examined and cleaned.
2. An X-ray is reviewed to confirm the fracture alignment.
3. A splint or cast is applied to immobilize the finger or thumb.
4. The splint or cast is secured in place to ensure the finger or thumb remains stable during the healing process.

Duration

The application of the splint or cast typically takes about 15-30 minutes.

Setting

This procedure is usually performed in an outpatient clinic, emergency room, or doctor's office.

Personnel

• An orthopedic surgeon or a trained medical professional applies and secures the cast or splint.
• A nurse or medical assistant may assist with the procedure and provide patient education.

Risks and Complications

• Skin irritation or pressure sores under the cast.
• Joint stiffness or decreased range of motion.
• Improper healing if the cast is not worn as prescribed.
• Swelling or changes in circulation requiring readjustment of the cast.

Benefits

• Stabilizes the fracture for natural healing.
• Reduces pain and prevents further injury.
• Typically allows for a good recovery and return to normal function.

Recovery

• The patient should keep the cast or splint dry and intact.
• Follow-up appointments will be scheduled to monitor healing progress.
• Avoid heavy lifting or strenuous use of the affected finger or thumb.
• Full recovery may take several weeks to a few months, depending on the severity of the fracture.

Alternatives

• Open treatment involving surgery if the bone fragments are displaced.
• Buddy taping the injured finger to an adjacent finger for support.
• Potential pros and cons include the risk of surgery versus the potentially longer healing time with less invasive options.

Patient Experience

• The patient may feel some discomfort during the application of the cast or splint.
• Pain can usually be managed with over-the-counter pain medication.
• It's important for the patient to keep the immobilized area elevated and follow care instructions to reduce swelling and prevent further injury.