Name of the Procedure:

Hand Finger Orthosis, HCPCS Code L3929

Summary

The Hand Finger Orthosis is a medical device designed to help support and align the fingers and hand. This orthosis includes components like one or more non-torsion joints, turnbuckles, elastic bands, springs, and may also come with soft materials and straps for added comfort. It is a prefabricated item that is trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient's hand.

Purpose

The Hand Finger Orthosis is used to:

• Stabilize and support weak or injured fingers and hand
• Correct or prevent deformities
• Aid in functional use and rehabilitation of the hand and fingers
• Reduce pain and improve hand functionality

Indications

• Conditions such as arthritis, stroke, or nerve injuries that affect hand and finger mobility
• Post-surgical stabilization
• Muscle weakness, joint instability, or deformities in the hand or fingers
• Tendon injuries or repetitive strain injuries

Preparation

• No specific fasting or medication adjustments typically required
• A thorough assessment by a healthcare provider to determine the exact customization needed for fit and functionality

Procedure Description

1. The healthcare provider assesses the patient's hand and fingers to determine the necessary customization.
2. The prefabricated orthosis is trimmed, bent, molded, or assembled to fit the specific anatomy of the patient's hand.
3. The orthosis may include adjustable non-torsion joints, turnbuckles, elastic bands, springs, and soft materials for comfort.
4. Straps are adjusted to secure the orthosis in place comfortably.
5. The healthcare provider educates the patient on how to wear and care for the orthosis.

Duration

The customization and fitting process typically takes about 30-60 minutes.

Setting

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

Personnel

• Orthotists
• Occupational or physical therapists
• Physicians specializing in hand or musculoskeletal conditions

Risks and Complications

• Skin irritation or pressure sores from improper fit
• Allergic reaction to materials
• Discomfort if not properly adjusted

Benefits

• Improved hand and finger alignment and stability
• Enhanced functional use of the hand
• Pain relief and support during healing
• Prevention of further deformities or injury

Recovery

• Wear the orthosis as recommended by your healthcare provider.
• Daily care and inspections of the skin under the orthosis are essential to prevent irritation.
• Follow-up appointments may be necessary for adjustments.
• Recovery time can vary based on the injury or condition.

Alternatives

• Physical therapy and muscle-strengthening exercises
• Custom-made orthoses that are specifically designed for the patient's individual needs
• Surgical intervention for severe cases

Patient Experience

• Patients may feel initial discomfort as they adjust to wearing the orthosis.
• Regular wear can lead to significant improvements in hand functionality and pain reduction.
• Pain management and comfort measures will be recommended and adjusted based on patient feedback.