Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each
CPT4 code
Name of the Procedure:
Closed Treatment of Fracture, Phalanx or Phalanges, Other than Great Toe; Without Manipulation
Common Names: Non-surgical treatment of finger or toe fracture (excluding big toe), Conservative fracture care
Summary
This procedure involves treating a broken bone in the fingers or toes, excluding the big toe, without the need for surgical manipulation. The aim is to allow the bone to heal naturally by immobilizing the area.
Purpose
The procedure addresses fractures in the small bones of the fingers and toes (other than the big toe). The goal is to stabilize the bone, reduce pain, prevent further injury, and ensure proper healing to restore function.
Indications
- Pain, swelling, or deformity in the finger/toe after an injury
- Limited mobility or bruising in the affected digit
- Diagnosed fracture via X-ray or physical examination
Preparation
- No special pre-procedure fasting or medication adjustments are typically required.
- An X-ray or other imaging might be done to confirm the fracture and assess its position.
Procedure Description
- The healthcare provider evaluates the fracture via X-ray.
- A splint or cast is applied to immobilize the affected finger or toe.
- The patient may receive a protective boot (for toe fractures) or buddy taping (binding the injured finger/toe to an adjacent one).
- Pain management with over-the-counter pain relievers if necessary.
Duration
The procedure usually takes about 15-30 minutes.
Setting
Typically performed in a hospital’s emergency room, outpatient clinic, or an orthopedic office.
Personnel
- Orthopedic surgeon or a trained healthcare provider (like a primary care physician)
- Nurses or medical assistants for support
Risks and Complications
- Skin irritation or breakdown from immobilization devices
- Malunion (bone heals in an incorrect position)
- Stiffness or decreased range of motion
- Potential need for surgical intervention if the bone does not heal properly
Benefits
- Promotes natural healing of the fracture
- Minimally invasive with no surgical risks
- Typically, quicker recovery and return to normal activities
Recovery
- Follow-up appointments for X-rays to monitor healing progress
- Keeping the splint/cast dry and intact
- Avoidance of activities that stress the affected digit
- Full recovery and return to normal activity typically within 4-6 weeks
Alternatives
- Surgical intervention if the fracture is severe or misaligned
- Functional braces or specialized footwear for toe fractures
- Pros: Surgical options may be necessary for severe cases, ensuring correct alignment
- Cons: Surgery involves higher risks and longer recovery times
Patient Experience
- Mild discomfort during the application of the splint or cast
- Pain and swelling should decrease within a few days with proper care
- Pain management with prescribed or over-the-counter medications