Name of the Procedure:

Shoulder Orthosis, Figure of Eight Design Abduction Restrainer, Prefabricated, Off-the-Shelf (L3650)

Common Names:

• Shoulder brace
• Figure-of-eight brace
• Shoulder abduction restrainer

Technical Terms:

• Shoulder orthosis
• Abduction restraining orthosis

Summary

In simple terms, this is a type of brace designed to support and immobilize the shoulder. The figure-of-eight design helps to maintain proper shoulder alignment and limits movement, promoting healing after injuries or surgery.

Purpose

This shoulder orthosis is used to treat and manage shoulder injuries or conditions by:

• Reducing pain
• Stabilizing the shoulder joint
• Preventing further injury

It is typically used in situations like rotator cuff injuries, dislocations, or post-surgery recovery.

Indications

This brace is indicated for:

• Shoulder dislocation
• Rotator cuff injuries
• Post-surgical immobilization
• Clavicle fractures

Patient criteria include those needing shoulder stabilization but who can tolerate a prefabricated, off-the-shelf device.

Preparation

• No specific fasting or medication adjustments are necessary.
• The healthcare provider may perform an assessment to ensure proper fit and suitability.

Procedure Description

1. Fitting the Orthosis: The healthcare provider will help fit the prefabricated brace around the patient's shoulders.
2. Adjustment: Straps will be adjusted to ensure the brace immobilizes the shoulder properly in the figure-of-eight position.
3. Instruction: The patient will be instructed on how to wear, remove, and care for the brace.

Tools Used:

• Prefabricated shoulder orthosis

No anesthesia or sedation is required.

Duration

The fitting process typically takes around 15-30 minutes.

Setting

• Outpatient clinic
• Orthopedic office
• Physical therapy center

Personnel

• Orthopedic specialist
• Physical therapist
• Nurse or medical assistant

Risks and Complications

• Skin irritation or pressure sores
• Discomfort from immobilization
• Possibility of improper fit affecting efficacy

Most complications can be managed by adjusting the fit or using padding.

Benefits

• Provides immediate support and pain relief
• Helps in faster recovery by stabilizing the shoulder
• Non-invasive compared to surgical options

Recovery

• Wear the brace as advised, usually for several weeks.
• Follow any additional instructions on shoulder exercises or activities to avoid.
• Regular follow-up appointments may be scheduled to monitor progress.

Alternatives

• Custom-fit orthopedic braces
• Physical therapy
• Surgical intervention in severe cases

Pros of Alternatives:

• Custom braces may offer a better fit.
• Physical therapy can improve long-term mobility.
• Surgery may be necessary for severe injuries.

Cons of Alternatives:

• Custom braces are usually more expensive.
• Physical therapy may take longer to see results.
• Surgery involves risks and longer recovery.

Patient Experience

Patients might initially feel discomfort due to the immobilization. Pain management can include over-the-counter pain medications. Proper adjustment and periodic checks can maximize comfort.