Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf
HCPCS code
Name of the Procedure:
Common Name(s): Finger Orthosis, Finger Splint
Technical Term: Proximal Interphalangeal (PIP)/Distal Interphalangeal (DIP) Finger Orthosis, HCPCS code L3925
Summary
A finger orthosis is a medical device used to support, immobilize, or correct the alignment of the finger joints. This specific type addresses both the proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints and can be pre-made and fitted right off the shelf.
Purpose
Medical Conditions: Arthritis, ligament injuries, tendon repairs, joint deformities, or post-surgical recovery.
Goals: To stabilize the finger joints, reduce pain, correct alignment, and improve overall hand function.
Indications
Symptoms: Pain, swelling, deformity, or instability in the finger joints.
Conditions: Arthritis, tendon injuries, hypermobility, or post-surgical recovery.
Patient Criteria: Individuals experiencing finger joint issues who require stabilization or immobilization for healing or pain relief.
Preparation
Pre-Procedure Instructions: No specific preparation is generally required; however, patients should follow any specific guidance given by their healthcare provider.
Diagnostic Tests: Medical history, physical examination of the hand, and possibly X-rays or other imaging tests.
Procedure Description
- Assessment: The healthcare provider evaluates the finger's condition and selects the appropriate size and type of orthosis.
- Fitting: The prefabricated orthosis is adjusted to fit the patient’s finger comfortably. This may involve minor modifications.
- Adjustment: The orthosis is applied to the affected finger, ensuring that it correctly aligns the PIP and DIP joints without causing discomfort.
- Instruction: The patient is given instructions on how to wear, remove, and care for the orthosis.
Tools: Prefabricated finger orthosis, possibly padding or additional materials for comfort.
Anesthesia: Not required as the procedure is non-invasive.
Duration
Typically takes about 15-30 minutes, including fitting and patient education.
Setting
Performed in a healthcare provider's office, outpatient clinic, or rehabilitation center.
Personnel
Orthopedic specialists, occupational or physical therapists, or trained healthcare providers.
Risks and Complications
Common Risks: Skin irritation, discomfort, pressure sores.
Rare Risks: Allergic reactions to materials, improper fit leading to inadequate support or additional injury.
Management: Regular follow-up visits for fit adjustments, use of cushioning material, and monitoring for any skin issues.
Benefits
Expected Benefits: Improved finger joint stability, pain reduction, enhanced hand functionality.
Realization Time: Benefits can often be seen immediately after fitting, with gradual improvement over time as the underlying condition heals.
Recovery
Post-Procedure Care: Regular use of the orthosis as directed, keeping the orthosis clean and dry, and performing any prescribed hand exercises.
Recovery Time: Varies depending on the underlying condition; may range from a few weeks to several months.
Restrictions: Follow specific activity limitations as recommended by the healthcare provider.
Follow-Up: Regular check-ups to monitor progress and adjust orthosis fit.
Alternatives
Treatment Options: Custom-made orthoses, physical therapy, medication for pain and inflammation, surgical intervention in severe cases.
Pros and Cons: Prefabricated orthoses are quick to obtain and generally cost-effective but may not offer as precise a fit as custom-made alternatives.
Patient Experience
During Procedure: Minimal discomfort during fitting; should not be painful.
After Procedure: May experience slight initial discomfort as they adjust to wearing the orthosis. Pain management involves proper fit and regular monitoring. Comfort measures include adding soft interface material if needed.