Name of the Procedure:

• Common Name: Hand Finger Orthosis
• Technical Term: Hand Finger Orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf (HCPCS code: L3924)

Summary

A hand finger orthosis is a specialized device designed to support, align, and protect the finger and hand. It does not contain any joints and may come with soft interfaces and straps for enhanced comfort. This device is prefabricated and available off-the-shelf, meaning it does not require custom manufacturing.

Purpose

The hand finger orthosis is designed to address various medical conditions involving the hand and fingers. Its primary goals are to:

• Stabilize the finger or hand
• Prevent further injury
• Assist in the healing process
• Improve functionality and reduce pain

Indications

This procedure is appropriate for patients experiencing:

• Finger fractures or dislocations
• Soft tissue injuries or ligament damage
• Tendonitis or repetitive strain injuries
• Post-surgical recovery

Preparation

• No specific fasting or medication adjustments are generally required.
• The patient should report any pre-existing conditions or allergies to the healthcare provider.
• Diagnostic tests such as X-rays or MRIs may be conducted to determine the exact nature of the injury.

Procedure Description

1. Assessment: A healthcare provider assesses the injury or condition.
2. Selection: A suitable prefabricated orthosis is selected based on the patient’s needs.
3. Fitment: The orthosis is fitted to the patient’s hand and finger.

4. Adjustment: Soft interfaces and straps are adjusted to ensure comfort and stability.

   No anesthesia or sedation is required for this procedure.

Duration

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

Setting

The procedure is usually performed in an outpatient clinic or a physical therapy center.

Personnel

The fitting is usually conducted by:

• Orthotists
• Physical therapists
• Trained nurses or healthcare providers

Risks and Complications

• Skin irritation or pressure sores from prolonged use.
• Discomfort from an improper fit.
• Possible allergic reaction to materials used.

Benefits

• Immediate stabilization and support of the hand and fingers.
• Pain relief and enhanced mobility.
• Protection from further injury.
• Faster recovery of function.

Recovery

• Follow-up appointments may be necessary to adjust the orthosis.
• The patient should follow care instructions, including hygiene and exercising the hand as directed.
• Duration of use varies depending on the condition, typically ranging from a few weeks to several months.

Alternatives

• Custom-made orthoses, which might be more expensive.
• Physical therapy without an orthosis.

• Surgery in severe cases.

  Each alternative comes with its own pros and cons regarding cost, comfort, and effectiveness.

Patient Experience

Patients may feel immediate support and relief upon wearing the orthosis. Some discomfort or irritation can occur initially, but this usually subsides with adjustments. Pain management includes over-the-counter pain medication and measures to ensure the orthosis fits comfortably. Regular follow-up improves the overall experience and helps in achieving the best outcomes.