Name of the Procedure:

• Common Name: Pediatric Short Arm Splint
• Technical/Medical Term: Pediatric Short Arm Splint, Fiberglass (0-10 years), HCPCS Procedure Code Q4024

Summary

A pediatric short arm splint procedure involves applying a fiberglass splint to a child's forearm to immobilize it. This technique is commonly used when a child (0-10 years old) sustains a minor fracture or injury that does not require a full cast.

Purpose

• Medical Conditions Addressed: Minor forearm fractures, sprains, or soft tissue injuries.
• Goals: To immobilize the injured area to allow proper healing, reduce pain, and prevent further injury.

Indications

• Symptoms/Conditions: Pain, swelling, or inability to use the affected arm due to a minor fracture or soft tissue injury.
• Patient Criteria: Suitable for pediatric patients aged 0-10 years with injuries not requiring a full cast.

Preparation

• Pre-Procedure Instructions: Minimal preparation; no fasting required.
• Diagnostic Tests: X-ray or physical examination to confirm the type and location of the injury.

Procedure Description

1. Initial Assessment: The healthcare provider reviews the X-ray and examines the injury.
2. Positioning: The child's arm is positioned comfortably.
3. Application of Padding: Soft padding is applied to the injured area.
4. Fiberglass Application: Fiberglass material is wet and molded around the arm to form the splint.
5. Setting: The splint is allowed to harden and set.
6. Final Adjustment: The splint is checked for proper fit and comfort.

• Tools/Equipment: Fiberglass splint material, padding, gloves, water, scissors.
• Anesthesia/Sedation: Usually not required.

Duration

The procedure typically takes 15-30 minutes.

Setting

Performed in a hospital, outpatient clinic, or emergency department.

Personnel

• Healthcare Professionals: Orthopedic technician, physician, nurse.

Risks and Complications

• Common Risks: Skin irritation or discomfort.
• Rare Risks: Compartment syndrome, pressure sores, or allergic reaction to the materials used.

Benefits

• Benefits: Reduction of pain and stabilization of the injury, promoting proper healing. Benefits are typically realized immediately after the splint is applied.

  Recovery

• Post-Procedure Care: Keep the splint dry and clean. Monitor for signs of complications, such as increased pain or swelling.
• Recovery Time: Varies depending on the injury but usually ranges from a few weeks to a couple of months.
• Restrictions/Follow-Up: Limiting the use of the splinted arm. Follow-up appointments are necessary to monitor healing and decide when to remove the splint.

Alternatives

• Treatment Options: Full cast, removable brace.
• Pros and Cons:
  • Full Cast: Provides more comprehensive immobilization but is less comfortable and harder to maintain.
  • Removable Brace: Offers flexibility and ease of maintenance but may not provide sufficient immobilization for certain fractures.

Patient Experience

• During Procedure: The child may feel some discomfort during the application of the splint but should experience pain relief once it is in place.
• After Procedure: The child may need pain management for the first few days. It is important to keep the splint dry and follow care instructions to ensure comfort and effective healing.