Name of the Procedure:

• Common Names: Short Arm Splint, Plaster Splint
• Medical Term: HCPCS Q4021 - Cast Supplies, Short Arm Splint, Adult (11 years +), Plaster

Summary

The short arm splint is a type of cast made of plaster used to immobilize and protect injured bones and soft tissues in the forearm or wrist of adults (11 years old and up). It helps to keep the injured area stable and aids in the healing process.

Purpose

The short arm splint is utilized to:

• Address fractures in the forearm or wrist.
• Stabilize dislocations and severe sprains in the wrist.
• Provide support post-surgery. The goal is to immobilize the affected area to ensure proper healing and to minimize pain and swelling.

Indications

• Fractures in the distal radius or ulna (forearm bones).
• Severe wrist sprains or strains.
• Wrist or forearm dislocations.
• Post-operative care following wrist or forearm surgery.

Preparation

• No special preparation such as fasting is required.
• Inform your healthcare provider of any medications you are taking.
• Diagnostic imaging such as an X-ray may be performed to assess the injury before the splint is applied.

Procedure Description

1. Positioning: The patient sits or lies comfortably, and the injured arm is positioned appropriately.
2. Padding: A layer of soft padding is applied to the arm for comfort and protection.
3. Plaster Application: Plaster strips are soaked in water and placed over the padding layer around the forearm and wrist.
4. Molding: The plaster is molded to the contours of the arm and allowed to harden, ensuring secure immobilization.
5. Drying: The plaster is left to dry and harden, which usually takes 10-15 minutes.

Tools/Equipment: Plaster strips, padding material, water bowl, bandage scissors.

Duration

The procedure typically takes around 30-45 minutes from start to finish, including drying time.

Setting

The procedure is usually performed in an outpatient clinic or hospital setting.

Personnel

• Orthopedic Surgeon or Physician
• Nurse or Medical Assistant

Risks and Complications

• Common Risks: Skin irritation, swelling, or discomfort.
• Rare Risks: Circulation problems, pressure sores, or compartment syndrome. Complications are managed by adjusting or replacing the splint as needed.

Benefits

• Provides effective immobilization to promote healing.
• Reduces pain and swelling in the injured area.
• Typically, benefits are realized within the first few days to weeks as the injury begins to heal.

Recovery

• Keep the splint dry and clean to avoid skin problems.
• Follow-up appointments for monitoring the healing process.
• Activity restrictions as advised by the healthcare provider.
• Recovery time varies, typically ranging from 4 to 6 weeks depending on the injury.

Alternatives

• Fiberglass Splint: Lighter and more durable but more expensive.
• Removable Brace: Allows for easier skin care but may not provide adequate immobilization for severe injuries.

Patient Experience

• Patients might feel some discomfort during the application, especially from the wet, cold plaster.
• Once the plaster hardens, the area may feel heavy but secure.
• Pain management includes over-the-counter pain relievers as recommended by the physician.
• Itching and minor discomfort are common, but severe pain should be reported to a healthcare provider.