Name of the Procedure:

Common Name(s): Long arm splint, Fiberglass cast
Technical/Medical Term: HCPCS Q4018 - Cast supplies, long arm splint, adult (11 years +), fiberglass

Summary

A long arm splint involves immobilizing a part of your arm using a sturdy fiberglass cast. This procedure is typically done to aid the healing process of injuries such as fractures.

Purpose

Medical Conditions/Problems Addressed:

• Fractures or breaks in the bones of the forearm, elbow, or upper arm.
• Severe sprains or muscle injuries that need immobilization.
• Post-surgical support.

Goals/Expected Outcomes:

• To stabilize the affected area while it heals.
• To reduce pain and prevent further injury.

Indications

Symptoms or Conditions Warranting the Procedure:

• Obvious deformity or pain in the arm following a trauma.
• X-ray confirmation of a fracture.
• Severe swelling or bruising indicating a potential break.

Patient Criteria:

• Patients aged 11 years and older.
• Those with injuries that require immobilization for proper healing.

Preparation

Pre-Procedure Instructions:

• No specific fasting required.
• Adjustments to medications may be required as advised by your healthcare provider.

Diagnostic Tests/Assessments:

• X-ray or other imaging tests to identify the location and severity of the injury.

Procedure Description

Step-by-Step Explanation:

1. Assessment: The healthcare provider assesses the injury and reviews imaging results.
2. Positioning: The arm is positioned correctly to ensure proper healing.
3. Padding: Soft padding is applied to protect the skin and provide comfort.
4. Fiberglass Application: The fiberglass material is moistened, then applied over the padding to form the splint.
5. Molding: The fiberglass is molded to fit the shape of the arm.
6. Hardening: The material hardens within minutes, forming a sturdy cast.

Tools, Equipment, and Technology Used:

• Padding material
• Fiberglass casting material
• Water
• Scissors

Anesthesia or Sedation:

• Usually, no anesthesia or sedation is needed unless the patient is in severe pain.

Duration

Typical Duration:

• The procedure generally takes about 30 minutes to complete.

Setting

Where the Procedure is Performed:

• Outpatient clinic
• Hospital emergency room

Personnel

Healthcare Professionals Involved:

• Orthopedic technician or nurse
• Physician or orthopedic specialist

Risks and Complications

Common Risks:

• Pressure sores or skin irritation under the cast
• Reduced circulation if the cast is too tight

Rare Risks:

• Compartment syndrome (increased pressure in an enclosed muscle space)
• Delayed healing if the cast is not properly applied

Possible Complications and Management:

• If any severe pain, numbness, or discoloration occurs, patients should immediately contact their healthcare provider.

Benefits

Expected Benefits:

• Protection and stabilization of the injured arm
• Facilitation of proper bone healing

How Soon Benefits Realized:

• Pain relief and stability are usually immediate; full benefits are realized as the bone heals over time.

Recovery

Post-Procedure Care:

• Keep the cast dry and clean.
• Avoid inserting objects into the cast.
• Follow up with healthcare provider as instructed.

Expected Recovery Time:

• Recovery time varies but typically ranges from 6 to 8 weeks depending on injury severity.

Restrictions and Follow-Up:

• Limited use of the arm.
• Scheduled follow-up appointments for progress assessment.

Alternatives

Other Treatment Options:

• Short arm cast for less severe injuries.
• Removable splints or braces.

Pros and Cons of Alternatives:

• Short arm cast: less restrictive but may not provide adequate support for more severe fractures.
• Removable splints: more convenience but less immobilization, requiring patient compliance.

Patient Experience

During the Procedure:

• You may feel some pressure while the cast is applied but it should not be painful.

After the Procedure:

• Some minor discomfort or itching inside the cast.
• Managing pain with prescribed or over-the-counter pain relievers.

Pain Management and Comfort Measures:

• Elevate the arm to decrease swelling.
• Use ice packs around the cast if needed to reduce discomfort, ensuring the cast remains dry.