Name of the Procedure:

Wrist Hand Orthosis: Commonly known as a wrist extension control cock-up splint, non-molded, prefabricated, off-the-shelf device.

Summary

A Wrist Hand Orthosis (L3908) is a medical device designed to support and immobilize the wrist in an extended position. This particular orthosis is non-molded, prefabricated, and available off-the-shelf, meaning it does not need custom fitting.

Purpose

This orthosis is used to support and immobilize the wrist to help manage various medical conditions. It aims to alleviate pain, promote healing, and prevent further injury by maintaining the wrist in an optimal extended position.

Indications

• Wrist pain due to sprains, strains, or fractures.
• Post-surgical immobilization.
• Management of chronic conditions like carpal tunnel syndrome, arthritis, and tendonitis.
• Weakness or instability of the wrist.

Preparation

• No specific fasting or medication adjustments are typically required.
• The patient may need a wrist evaluation by a healthcare provider.
• Sometimes X-rays or other imaging tests are performed to assess the condition of the wrist.

Procedure Description

1. Selection: A prefabricated wrist extension control cock-up splint is chosen based on the patient’s wrist size.
2. Fitting: The orthosis is carefully placed on the patient’s wrist.
3. Adjustment: Straps and fasteners are adjusted to fit snugly but comfortably, ensuring proper alignment and support.
4. Instructions: The patient is instructed on how to wear and remove the device, as well as how to care for it.

Tools used:

• Prefabricated wrist orthosis device.
• Straps and fastening mechanisms.

Duration

The fitting process usually takes about 10-15 minutes.

Setting

The procedure can be performed in various settings, including:

• Outpatient clinics.
• Physical therapy centers.
• Hospitals.

Personnel

• Certified orthotists.
• Physical therapists.
• Occupational therapists.
• Some trained medical or nursing staff.

Risks and Complications

Common Risks:

• Skin irritation or pressure sores.
• Discomfort from improper fit.

Rare Risks:

• Circulatory issues if the orthosis is too tight.
• Allergic reaction to the material.

Benefits

• Reduced pain and discomfort.
• Enhanced healing by immobilizing the wrist.
• Prevention of further injury.
• Improved wrist stability and function.

Expected benefits might be realized within a few days to a few weeks, depending on the condition being treated.

Recovery

• Patients generally adjust well to wearing the orthosis.
• Instructions for wear times (e.g., continuously, overnight, or during activities) are given.
• Follow-up appointments may be scheduled to assess progress and fit.
• Any restrictions on activities will be outlined by the healthcare provider.

Alternatives

• Custom-molded wrist splints.
• Medication for pain and inflammation.
• Physical therapy exercises.
• Surgical interventions in severe cases.

Pros of Alternatives: Custom-molded devices provide a tailored fit; medications and physical therapy can address underlying conditions.

Cons of Alternatives: Custom devices can be more expensive; medications may have side effects; physical therapy requires consistent effort and time.

Patient Experience

Patients may feel initial stiffness or slight discomfort as they adjust to the orthosis. Over time, it usually becomes more comfortable as it supports proper alignment and reduces pain. Pain management and comfort measures, such as padding and regular adjustments, can enhance the experience.