Name of the Procedure:

Wrist-Hand Orthosis (L3916)

• Common Names: Wrist brace, Wrist-hand support
• Technical Term: Wrist-hand orthosis with one or more non-torsion joints, including elastic bands and turnbuckles, prefabricated, off-the-shelf

Summary

A wrist-hand orthosis is a supportive brace designed to stabilize the wrist and hand, often including joints, elastic bands, and turnbuckles. Prefabricated and available off-the-shelf, it is used to aid in the treatment of a variety of musculoskeletal and neurological conditions.

Purpose

• Medical Conditions: Carpal Tunnel Syndrome, wrist fractures, tendonitis, arthritis, post-surgical recovery, or after an injury.
• Goals: To stabilize the wrist and hand, alleviate pain, support healing, improve functionality, and prevent further injury.

Indications

• Symptoms: Pain, swelling, loss of function or mobility in the wrist and hand, post-operative recovery.
• Criteria: Patients experiencing the above symptoms due to injuries or conditions like fractures, sprains, arthritis, or following surgical intervention.

Preparation

• Instructions: No specific preparation needed, but follow any guidance given by the healthcare provider.
• Assessments: Physical examination, possibly imaging tests like X-rays or MRI to assess the extent of injury or condition.

Procedure Description

1. Selection: Selection of the appropriate prefabricated orthosis based on size and specific patient needs.
2. Fitting: The orthosis is fitted to the patient’s wrist and hand, ensuring it aligns properly and provides adequate support.
3. Adjustments: Elastic bands, straps, and turnbuckles are adjusted to ensure a snug but comfortable fit.
4. Instructions: The patient is instructed on how to wear, adjust, and remove the orthosis, and advised on daily wear, care, and maintenance.

Duration

The fitting and adjustment typically take about 15-30 minutes.

Setting

• Performed in: Outpatient clinic, doctor’s office, or orthopedic supply store.

Personnel

• Involved: Orthopedic specialist, occupational or physical therapist, or trained medical technician.

Risks and Complications

• Common Risks: Skin irritation, discomfort due to improper fitting.
• Rare Risks: Circulatory issues, persistent pain or swelling.
• Management: Adjustments to the orthosis, skin care guidance, or medical assessment if serious issues arise.

Benefits

• Expected Benefits: Pain relief, stabilization of the wrist and hand, improved function, and support for healing.
• Timeline: Benefits can usually be noticed within days to weeks, depending on the condition and adherence to usage guidelines.

Recovery

• Post-Procedure Care: Regular assessment of the fit and condition of the orthosis, skin checks for irritation.
• Recovery Time: Depends on the underlying condition but generally involves regular use as instructed for weeks to months.
• Restrictions: Avoid activities that might exacerbate the condition. Follow-up appointments to monitor progress.

Alternatives

• Other Options: Custom-made orthoses, physical therapy, surgical intervention.
• Pros and Cons: Custom orthoses provide personalized support but are more expensive. Physical therapy can improve function without a brace. Surgery carries higher risks but may be necessary for severe cases.

Patient Experience

• Feelings: Initial adjustment period with potential minor discomfort, which usually subsides as the patient adjusts to the orthosis.
• Pain Management: Pain relief typically improves with use. Any significant discomfort should be reported to a healthcare provider for adjustment.