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Cast supplies, long arm splint, adult (11 years +), plaster
HCPCS code
Name of the Procedure:
Cast Supplies, Long Arm Splint, Adult (11 years +), Plaster
Commonly known as: Long Arm Splint
Medical term: Long Arm Splint Applying using Plaster Cast
Summary
A long arm splint made of plaster is a type of cast used to immobilize the arm from above the elbow to the hand. This procedure helps in stabilizing fractures or severe sprains to facilitate healing.
Purpose
- Medical conditions: Fractures, severe sprains, tendon injuries, and post-surgical stabilization.
- Goals: To immobilize and support the injured arm, reduce pain, prevent further injury, and promote proper healing.
Indications
- Fractured bones in the upper arm, elbow, or forearm.
- Severe ligament or tendon injuries in the arm.
- Post-operative care for arm surgeries.
- Conditions requiring immobilization of the upper limb.
Preparation
- Pre-procedure instructions: Generally, no fasting is required. Patients might be advised to wear loose clothing and avoid applying lotions to the arm.
- Diagnostic tests: X-rays or other imaging tests to assess the injury or surgical site.
Procedure Description
- Positioning: The patient’s arm is positioned comfortably with the elbow bent at a 90-degree angle.
- Padding: Soft padding is applied to protect the skin and provide comfort.
- Plaster application: Wet plaster bandages are wrapped around the arm, from the hand to above the elbow, and carefully molded to the arm's shape.
- Setting: The plaster sets and hardens within a few minutes, forming a solid cast to immobilize the arm.
- Additional adjustments: The splint is checked for tightness, alignment, and comfort.
Duration
The procedure typically takes 20-30 minutes to complete.
Setting
This procedure is performed in various settings such as:
- Hospital emergency departments
- Outpatient clinics
- Orthopedic offices
Personnel
- Orthopedic surgeons or trained medical personnel
- Nurses or medical assistants
Risks and Complications
- Common risks: Skin irritation, itching, or minor swelling.
- Rare risks: Circulation issues, pressure sores, or allergic reactions to plaster.
- Management of complications: Adjustments to the cast or additional medical interventions as needed.
Benefits
- Immobilization of the arm to promote healing.
- Pain relief and prevention of further injury.
- Most patients can resume limited use of their arm within a few weeks.
Recovery
- Post-procedure care: Keep the cast dry, elevate the arm to reduce swelling, and follow doctor’s instructions.
- Recovery time: Typically, the arm may need immobilization for 4-6 weeks.
- Restrictions: Avoid putting weight on the arm and follow activity restrictions.
Alternatives
- Fiberglass splint: Lighter and more durable but usually more expensive.
- Removable splints or braces: Allow for more flexibility but may not be suitable for all injury types.
- Pros and cons should be discussed with a healthcare provider based on the specific injury and patient needs.
Patient Experience
- During the procedure: Some warmth as the plaster sets but minimal pain.
- After the procedure: Adjusting to the weight and bulk of the plaster cast. Pain managed with prescribed medications. Comfort measures include elevating the arm and using cold packs.
This information intends to provide a comprehensive overview of the long arm splint procedure using plaster and may vary based on individual patient circumstances and clinical practices. Always consult with healthcare professionals for personalized medical advice.