Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS code
Name of the Procedure:
Hand Finger Orthosis, Prefabricated (L3923)
Common names include: Hand Finger Brace. The medical term is: Hand Finger Orthosis, without joints, with possible soft interface and straps, prefabricated, customized to fit.
Summary
This procedure involves fitting a custom-fitted hand finger brace that does not include any movable joints. The brace can have soft padding and adjustable straps for added comfort and support. It is a prefabricated item that has been adapted specifically for the patient’s hand and fingers by a trained professional.
Purpose
The hand finger orthosis is primarily used to immobilize, support, and protect the hand and finger(s) following an injury, surgery, or in the management of chronic conditions. The goal is to facilitate healing, reduce pain, improve functionality, and prevent further injury.
Indications
- Post-surgical immobilization
- Fractures or dislocations of the hand or fingers
- Tendonitis or tenosynovitis
- Severe arthritis affecting the hand and fingers
- Post-traumatic conditions
- Chronic conditions requiring immobilization and support
Preparation
- The patient may need to undergo diagnostic imaging (e.g., X-rays) to assess the extent of injury or condition.
- The patient should wear easily removable clothing to allow for fitting.
- Maintain good hygiene of the hand and fingers.
Procedure Description
- Assessment: The healthcare professional will evaluate the condition of the hand and fingers, measure the affected area, and review the patient's medical history.
- Fitting: The prefabricated orthosis will be trimmed, bent, molded, and assembled as needed to ensure a snug but comfortable fit that meets the specific support needs.
- Customization: Final adjustments will be made, including adding soft interfaces and secure straps to enhance comfort and ensure proper immobilization.
- Instruction: The patient will be educated on how to wear the orthosis, make minor adjustments, and perform routine checks for any discomfort or skin irritation.
Tools and Equipment:
- Prefabricated orthosis
- Cutting and molding tools
- Soft padding materials
- Adjustable straps
No anesthesia or sedation is required as this is a non-invasive procedure.
Duration
The fitting procedure typically takes about 30-60 minutes, depending on the level of customization required.
Setting
The procedure is usually performed in an outpatient clinic, orthotic center, or a specialized rehabilitation facility.
Personnel
The fitting is conducted by a certified orthotist or a healthcare professional with expertise in orthotic devices.
Risks and Complications
- Skin irritation or pressure sores
- Improper fit leading to inadequate immobilization
- Discomfort or pain
- Allergic reaction to materials used
Management of complications involves adjusting the orthosis, using hypoallergenic materials, or consulting with the healthcare provider.
Benefits
- Immobilization of hand and fingers facilitates proper healing
- Reduction in pain and discomfort
- Improved hand function and mobility post-recovery
- Prevention of further injury
Benefits are typically realized shortly after fitting, with improvements in pain and functionality evident within a few weeks.
Recovery
- The orthosis should be worn as directed by the healthcare provider.
- Regular skin checks to prevent sores and irritation.
- Follow-up appointments to adjust the orthosis as needed.
- Expected recovery time varies based on the underlying condition, but generally ranges from a few weeks to several months.
Alternatives
- Custom-made orthosis (more personalized fit but higher cost and longer wait time)
- Casts or splints (less adjustable and potentially more cumbersome)
- Physical therapy (used in conjunction or as a standalone depending on the condition)
Each alternative has its own benefits and drawbacks, and the choice depends on the specific needs and circumstances of the patient.
Patient Experience
During fitting, patients may experience slight pressure but generally no pain. After the procedure, they might feel some initial discomfort as they adjust to wearing the orthosis. Pain management typically involves over-the-counter pain relievers if needed. Comfort measures include regular adjustments and ensuring proper hygiene of the orthosis and skin.