Name of the Procedure:

• Common Name(s): Cast for arm fracture, Arm brace
• Technical Term: Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment (L3982)

Summary

This procedure involves fitting a prefabricated orthosis (brace) to the arm to stabilize fractures of the radius or ulna. The orthosis helps in maintaining proper alignment of the bone during healing and ensures limited mobility to facilitate recovery.

Purpose

• Medical Conditions: Fractures of the radius or ulna.
• Goals: To stabilize the broken bone, promote proper alignment, reduce pain, and enhance normal healing.

Indications

• Symptoms/Conditions: Broken arm, pain, swelling, inability to move the arm.
• Patient Criteria: Suitable for patients with non-complicated fractures of the radius or ulna requiring stabilization.

Preparation

• Pre-procedure Instructions: No specific fasting or medication adjustments are typically required.
• Diagnostic Tests: X-rays or other imaging tests to confirm the fracture and its location.

Procedure Description

1. Examination: A healthcare provider will examine the injured arm and review imaging tests.
2. Sizing: Measure the arm to select the appropriately sized prefabricated orthosis.
3. Fitting: Position the orthosis on the arm to ensure proper alignment and stability.
4. Adjustment: Adjust straps and padding to ensure a snug fit without compromising circulation.
5. Instructions: Provide instructions on use, care, and follow-up appointments.

• Tools/Equipment: Prefabricated orthosis, padding, straps.
• Anesthesia/Sedation: Not typically required as this is a non-invasive procedure.

Duration

The fitting and adjustment typically take about 30 to 60 minutes.

Setting

This procedure is usually performed in an outpatient clinic or a doctor's office.

Personnel

• Orthopedic technician or physician
• Nurse (for assistance and patient education)

Risks and Complications

• Common Risks: Skin irritation or pressure sores from the brace.
• Rare Risks: Improper alignment leading to poor bone healing, restricted blood flow or nerve damage.
• Management: Regular follow-up to monitor healing and adjust the brace if necessary.

Benefits

• Stabilizes fracture to promote proper healing.
• Reduces pain.
• Allows mobility within safe limits.

Recovery

• Post-procedure Care: Regular follow-up visits, keeping the arm elevated to reduce swelling, and gentle exercises as recommended.
• Expected Recovery Time: Varies depending on the severity of the fracture but generally ranges from 6 to 8 weeks.
• Restrictions: Avoid heavy lifting or strenuous activity affecting the arm.

Alternatives

• Other Options: Plaster or fiberglass cast, surgical intervention with plates and screws.
• Pros and Cons:
  • Cast: More rigid, immobilizes completely but can be heavier and less comfortable.
  • Surgery: Offers internal fixation, suitable for complex fractures but involves higher risks and longer recovery.

Patient Experience

• During Procedure: You might feel slight discomfort during the fitting but it should be tolerable.
• After Procedure: You may experience some initial discomfort or itching. Pain management may include over-the-counter pain relievers. Elevation and gentle movement of fingers are encouraged to reduce swelling and maintain circulation.