© Copyright 2026 American Medical Association. All rights reserved.
Closed treatment of a humeral shaft fracture involves a non-surgical approach to manage a break in the long bone of the upper arm, known as the humerus. This procedure is specifically indicated for fractures that may be minimally displaced, meaning the bone fragments have not moved significantly out of their normal alignment. The treatment begins with obtaining radiographs, which are X-ray images that help confirm the presence and extent of the fracture. A thorough neurovascular examination is conducted to assess the integrity of the nerves and blood vessels surrounding the injury site, ensuring that there are no complications that could affect healing or function. In cases where the fracture is not displaced, as described in CPT® Code 24500, the treatment may involve immobilization techniques such as splints or casts without the need for manipulation of the bone fragments. However, for minimally displaced fractures, as outlined in CPT® Code 24505, manipulation is performed to realign the bone fragments to their proper anatomical position. This manipulation may be accompanied by skeletal traction in more severe cases, where weights are used to maintain alignment during the healing process. The arm is then immobilized using various devices to stabilize the fracture and promote healing.
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