29105 Application of long arm splint (shoulder to hand)

Name of the Procedure:

Long Arm Splint Application (Shoulder to Hand)

Summary

A long arm splint is a type of plaster or fiberglass cast that immobilizes the arm from the shoulder to the hand. It is used to stabilize fractures, severe sprains, or soft tissue injuries and to promote healing.

Purpose

The procedure aims to immobilize and protect the arm to ensure proper healing of the bones or soft tissues. It helps reduce pain and prevent further injury by restricting movement.

Indications

• Fractures in the upper arm, elbow, or forearm
• Severe sprains or ligament injuries
• Post-operative immobilization following surgery
• Soft tissue injuries requiring immobilization

Preparation

• No fasting is required, but patients may need to stop certain medications as advised by their doctor.
• Diagnostic imaging such as X-rays or MRI may be performed to assess the injury.

Procedure Description

1. The patient is positioned comfortably, usually sitting or lying down.
2. The injured arm is cleaned and prepared.
3. Padding is applied to the arm to protect the skin.
4. Wet plaster or fiberglass material is rolled or wrapped around the arm from the shoulder to the hand, molding it to the shape of the arm.
5. The splint is held in place while it hardens (plaster) or sets (fiberglass).
6. Once hardened or set, the splint is checked for proper fit and comfort.

7. The patient's arm is placed in a sling to support the splint.

   Tools and equipment include plaster or fiberglass casting material, padding, scissors, and tools for molding. Local anesthesia is rarely needed but may be used if the initial injury causes severe pain.

Duration

The procedure typically takes about 30-45 minutes.

Setting

This procedure is usually performed in an outpatient clinic, emergency department, or orthopedic office.

Personnel

• Orthopedic surgeon or physician
• Nurse or medical assistant

Risks and Complications

• Skin irritation or pressure sores
• Circulation issues if the splint is too tight
• Joint stiffness
• Delayed healing if the splint is not properly maintained
• Compartment syndrome (rare but serious complication requiring immediate medical attention)

Benefits

• Immobilization promotes proper healing of bones and tissues.
• Reduces pain by preventing movement.
• Protects the injured area from further damage.
• Healing begins almost immediately after application.

Recovery

• Patients should keep the splint dry and clean.
• Avoid strenuous activities and follow the doctor's instructions on arm usage.
• Follow-up appointments are necessary to monitor healing and possibly adjust the splint.
• Recovery time varies depending on the injury but typically ranges from a few weeks to a couple of months.

Alternatives

• Short arm splint for injuries limited to below the elbow
• Functional bracing
• Surgical fixation with plates or screws (for certain fractures)
• Pros: Other treatments might allow for more movement. Cons: Alternatives may not provide the same level of immobilization and protection.

Patient Experience

• The patient might feel some pressure while the splint is being applied.
• Expect some discomfort initially as the splint sets and molds.
• Pain management includes using over-the-counter pain relievers and following care instructions.
• Most patients adapt to the splint within a few days and can use the supported arm for limited activities within comfort levels.

This markdown provides an overview of the application of a long arm splint, possibly serving as a user-friendly guide for patients or as part of educational materials.