Shoulder Orthosis, Figure of Eight Design Abduction Restrainer, Canvas and Webbing, Prefabricated, Off-the-Shelf (HCPCS Code L3660)

Name of the Procedure:

• Common Name: Shoulder Brace, Figure of Eight Shoulder Orthosis
• Technical/Medical Terms: Figure-of-eight design shoulder orthosis, abduction restrainer

Summary

The shoulder orthosis, commonly referred to as a figure-of-eight shoulder brace, is a medical device used to immobilize and support the shoulder area. Made from canvas and webbing, this off-the-shelf solution is prefabricated and used to restrict movement, providing stabilization to aid in healing and recovery.

Purpose

This shoulder orthosis is designed to:

• Immobilize the shoulder joint.
• Provide abduction restraint.
• Promote proper alignment and healing of the shoulder.
• Reduce pain and discomfort from shoulder injuries or surgeries.

Indications

The shoulder orthosis is indicated for:

• Shoulder dislocations or subluxations.
• Post-operative care following shoulder surgery.
• Fractures or injuries to the clavicle or scapula.
• Chronic shoulder instability.
• Rehabilitation after shoulder injuries.

Preparation

• Patients generally do not require special preparation.
• Initial fitting and adjustments are typically done by a healthcare professional to ensure proper fit.
• No diagnostic tests are required specifically for the brace, though prior imaging (e.g., X-ray, MRI) may be necessary to diagnose the condition.

Procedure Description

1. Fitting: The healthcare provider measures the patient's chest and shoulder dimensions to select the appropriate size.
2. Application: The brace is positioned over the shoulders in a figure-of-eight configuration.
3. Adjustment: Straps made of canvas and webbing are adjusted and secured to provide optimal support and immobilization.
4. Instruction: The patient is instructed on how to wear, remove, and adjust the brace.

Duration

The fitting and application process typically takes about 20-30 minutes.

Setting

This procedure is usually performed in an outpatient clinic or a healthcare provider's office.

Personnel

• Primary Care Physician
• Orthopedic Specialist
• Physical Therapist or Rehabilitation Specialist

Risks and Complications

Common risks include:

• Discomfort or skin irritation.
• Improper fit leading to inadequate support. Rare risks:
• Circulatory issues if the brace is too tight.
• Skin sores from prolonged use.

Benefits

• Stabilization and immobilization of the shoulder joint.
• Pain relief and facilitated healing.
• Improved alignment and reduction of further injury risks.
• Most patients feel relief within a few days of consistent use.

Recovery

• Follow-up appointments to monitor progress and make brace adjustments.
• Regular skin checks to prevent irritation or sores.
• Typically, the brace is used for several weeks to a few months, depending on the severity of the injury and rate of recovery.
• Patients may need to avoid heavy lifting or strenuous activities until fully healed.

Alternatives

• Rigid shoulder braces or slings.
• Physical therapy.
• Surgical intervention for severe cases.
• Each alternative has its own effectiveness and potential risks, which should be discussed with a healthcare provider.

Patient Experience

• Initial discomfort as the body adjusts to the brace.
• Possible skin irritation or sweating under the brace.
• Minimal to no pain during the fitting process.
• Regular adjustments and proper hygiene can enhance comfort and effectiveness.
• Pain can be managed through prescribed medications if necessary.