Application of short arm splint (forearm to hand); static
CPT4 code
Name of the Procedure:
Application of Short Arm Splint (Forearm to Hand); Static
Common name(s): Short arm splint, forearm splint. Technical term: Static short arm splint.
Summary
A short arm splint is a device used to immobilize and protect the forearm and hand to allow for healing of injuries or conditions affecting these areas. It is termed “static” because it does not permit movement.
Purpose
A short arm splint is used to stabilize fractures, sprains, or other injuries involving the wrist, hand, or forearm. The primary goal is to immobilize the affected area to promote proper healing and prevent further injury.
Indications
- Wrist fractures
- Forearm fractures
- Severe sprains or strains
- Post-operative immobilization
- Conditions such as Carpal Tunnel Syndrome or tendonitis
- Specific patient criteria: Acute injury, non-complicated fractures, conditions requiring immobilization without surgical intervention.
Preparation
- The patient may be advised to avoid eating or drinking for a few hours if sedation is used, though generally, no special fasting is required.
- Diagnostic tests like X-rays may be performed to assess the injury prior to splint application.
Procedure Description
- The healthcare provider will assess the injury and prepare equipment, including padding, casting tape, and splint materials.
- The affected limb is positioned appropriately.
- Soft padding is applied to protect the skin and bony prominences.
- A splint material (often fiberglass or plaster) is wetted and molded around the affected area over the padding.
- The material is allowed to harden and set into a rigid splint.
- The splint is secured with an elastic bandage and adjusted for comfort.
Tools/Equipment: Padding, casting tape (fiberglass or plaster), splinting material, elastic bandages. Anesthesia: Typically none, though local anesthesia or sedation might be used if the application is expected to cause significant discomfort.
Duration
The procedure generally takes about 15 to 30 minutes.
Setting
Performed in various settings including outpatient clinics, emergency rooms, or orthopedic offices.
Personnel
- Physician (Orthopedist or Emergency Medicine Doctor)
- Nurse or Medical Assistant
Risks and Complications
- Skin irritation or pressure sores
- Nerve compression or injury
- Swelling and restricted blood flow
- Improper fit leading to inadequate immobilization
- Rare complications: Infection under the splint
Benefits
- Proper immobilization promotes healing of bones and soft tissues.
- Pain reduction by limiting movement.
- Prevention of further injury.
Recovery
- The patient may need to keep the splint dry and clean.
- Regular follow-up appointments for reassessment and potential adjustments.
- Expected recovery time can vary from weeks to months depending on the injury.
Alternatives
- Long arm splint or cast (provides more extensive immobilization).
- Surgical fixation (for more severe fractures).
- Pros: May provide more targeted immobilization and less invasive.
- Cons: May not be sufficient for complex or severe injuries compared to surgical options.
Patient Experience
- The patient might feel discomfort and slight pressure during application.
- Pain management may include over-the-counter pain relievers.
- Overall, the procedure is well-tolerated and provides immediate support and immobilization.