26770 Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia

Name of the Procedure:

Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia. Common Names: Finger Joint Reduction, Non-Surgical Finger Realignment.

Summary

This procedure involves manually realigning a dislocated joint in a finger without the use of anesthesia. It is typically done quickly to restore normal finger alignment and function.

Purpose

This treatment addresses dislocations of the finger joints, specifically the interphalangeal joints. The goals are to promptly restore joint alignment, alleviate pain, and prevent long-term joint damage or dysfunction.

Indications

• Visible deformity of the finger
• Inability to move or use the finger
• Pain and swelling at the joint site
• Recent trauma or injury to the finger

Preparation

• Patient should inform the doctor of any previous finger injuries or surgeries.
• No specific fasting or medication adjustments are usually required.
• Pre-procedure diagnostic tests may include X-rays to confirm the dislocation and check for fractures.

Procedure Description

1. The healthcare provider assesses the dislocated joint and confirms the position using visual inspection and palpation.
2. The patient is instructed to remain still, and the provider securely holds the dislocated finger.
3. With a careful, controlled motion, the provider manipulates the finger to guide the dislocated joint back into its normal position.

4. Post-reduction, the stability of the joint is checked, and another X-ray may be performed to ensure proper alignment.

   No anesthesia or sedation is used during this procedure.

Duration

The procedure typically takes about 5-10 minutes.

Setting

This procedure is usually performed in an outpatient clinic, urgent care center, or emergency room.

Personnel

• A physician or trained healthcare provider (e.g., orthopedic specialist)
• An assistant or nurse may be present to aid in the procedure

Risks and Complications

• Pain during manipulation
• Incomplete reduction requiring additional attempts
• Ligament or tendon injury
• Risk of recurrent dislocation or joint instability
• Rarely, neurovascular damage

Benefits

• Immediate relief from pain and deformity
• Restoration of normal finger function and motion
• Prevents long-term damage or dysfunction

Recovery

• The patient may need to wear a splint or buddy tape the finger to an adjacent finger for support.
• Instructions on gentle finger exercises to maintain range of motion.
• Follow-up appointments may be scheduled to monitor healing and ensure proper joint function.
• Avoid strenuous activities or heavy lifting with the affected hand for a few weeks.

Alternatives

• Closed reduction with anesthesia or sedation if the patient cannot tolerate the procedure without pain management.
• Surgical intervention if closed treatment is unsuccessful or if there are associated fractures.
• Pros and cons: Non-surgical methods are less invasive, quicker to perform, and have less recovery time, while surgical options may be necessary for complicated dislocations.

Patient Experience

• The patient will likely experience acute pain during the manipulation, but this is typically short-lived.
• Post-procedure discomfort can be managed with over-the-counter pain relievers.
• Patients should avoid using the affected hand for heavy tasks and follow their physician’s advice on rehabilitation to ensure a smooth recovery.