Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS code
Name of the Procedure:
Hand Finger Orthosis (L3921)
Summary
A custom-fabricated hand finger orthosis is a healthcare device designed to support, align, or improve the function of the fingers and hand. It includes components like joints, elastic bands, and straps, providing stability and support. The device is tailored to fit the patient's specific needs and is adjusted for proper fitting and function.
Purpose
The hand finger orthosis addresses issues related to finger and hand mobility, stability, and alignment, often due to injury, surgery, or chronic medical conditions. The goal is to improve hand function, provide pain relief, and prevent further deformity or injury.
Indications
- Post-surgical support for the fingers and hand
- Chronic conditions like arthritis or tendonitis
- Hand and finger fractures or dislocations
- Congenital hand deformities or anomalies
- Neuromuscular disorders affecting hand function
Preparation
- No specific fasting or medication adjustments are typically required
- A thorough evaluation by an orthopedic specialist or hand therapist
- Possible diagnostic imaging (e.g., X-rays) to assess bone and joint status
Procedure Description
- Initial Assessment: Examination of hand and fingers by a healthcare provider.
- Measurement: Accurate measurement of the hand and fingers to ensure a custom fit.
- Fabrication: Creating the orthosis using materials like plastic, metal, and elastic bands.
- Fitting: Initial fitting session to adjust the orthosis for comfort and effectiveness.
Adjustment: Further adjustments and fitting checks to ensure optimal support and alignment.
Tools and equipment include:
- Measuring tools
- Fabrication materials (plastic, metal, elastic)
- Adjustment tools for fitting and fine-tuning.
Anesthesia is generally not required for this procedure.
Duration
The entire process, from assessment to final fitting, typically takes several appointments over a few weeks.
Setting
The procedure is usually performed in an outpatient clinic or an orthopedic office specialized in hand therapy.
Personnel
The procedure involves:
- Orthopedic specialists or hand therapists
- Technicians skilled in orthotic fabrication
Risks and Complications
- Skin irritation or sores from the orthosis
- Discomfort or improper fit necessitating adjustment
- Potential for decreased range of motion if not fitted correctly
Benefits
- Improved hand and finger function
- Pain relief and increased comfort
- Prevention of further deformity or injury Benefits are often realized soon after the orthosis is properly fitted and adjusted.
Recovery
- Regular follow-up appointments to monitor fit and function
- Skin care to prevent irritation
- Gradual increase in hand and finger activities as directed by the healthcare provider Recovery time varies but often spans a few weeks to months, depending on the initial condition.
Alternatives
- Physical or occupational therapy exercises
- Over-the-counter or pre-fabricated orthotic devices
- Surgical intervention for severe cases
Comparatively, the custom-fabricated orthosis offers a tailored fit and more effective outcomes, while alternatives might offer less precision and support.
Patient Experience
Patients can expect mild discomfort during the initial fitting periods but should experience increased comfort and hand function over time. Pain is generally minimal, and any discomfort can be managed with adjustments to the orthosis and proper skin care.