Name of the Procedure:

Shoulder Orthosis, Acromio/Clavicular (Canvas and Webbing Type), Prefabricated, Off-the-Shelf
Common Name(s): Shoulder Brace, Acromio/Clavicular Brace
Technical Terms: L3670 Orthosis

Summary

A shoulder orthosis, also known as a shoulder brace, is a pre-made, off-the-shelf device that provides support and stability to the shoulder, specifically targeting the acromioclavicular (AC) joint. Made from canvas and webbing material, this brace helps to immobilize the shoulder, facilitating healing and reducing pain.

Purpose

A shoulder orthosis is primarily used to manage injuries and conditions affecting the shoulder's AC joint.
Goals:

• Provide stability and support to the shoulder
• Reduce pain and discomfort
• Promote healing of the AC joint
• Prevent further injury

Indications

Symptoms or Conditions:

• AC joint injuries (e.g., sprains, separations)
• Fractures involving the clavicle or shoulder blade
• Shoulder dislocations
• Post-operative support following shoulder surgery Patient Criteria:
• Patients with mild to moderate AC joint injuries
• Individuals requiring immobilization of the shoulder for recovery

Preparation

The use of a shoulder orthosis typically does not require extensive preparation. However:
Instructions:

• Ensure proper fitting by a healthcare professional
• Wear appropriate clothing to allow easy application of the brace Assessments:
• Physical evaluation of the shoulder by a healthcare provider

Procedure Description

1. Assessment: A healthcare professional evaluates the shoulder and determines the appropriate size of the orthosis.
2. Fitting: The shoulder orthosis is then fitted to the patient. Straps are adjusted to ensure a snug, comfortable fit.
3. Instruction: The patient is shown how to wear and adjust the brace, as well as any specific movement limitations. Technology Used:
   • Prefabricated canvas and webbing brace
   • Adjustable straps and buckles
     No anesthesia or sedation is required for fitting the orthosis.

Duration

Fitting and instructional sessions typically take around 15-30 minutes.

Setting

The fitting is usually done in an outpatient setting, such as a clinic or a healthcare provider's office.

Personnel

• Orthopedic specialist
• Physical therapist
• Trained medical assistants

Risks and Complications

Common Risks:

• Skin irritation or discomfort from the brace
• Pressure sores if not properly fitted Rare Risks:
• Restriction of circulation
• Muscle atrophy due to prolonged immobilization

Benefits

Expected Benefits:

• Reduced pain and discomfort
• Enhanced stability and support for the shoulder
• Prevention of further injury Realization of Benefits: Typically noticeable within a few days to weeks, depending on the injury severity.

Recovery

Post-Procedure Care:

• Periodic adjustments of the brace
• Regular follow-ups to monitor healing Recovery Time:
• Varies widely; from weeks to several months, depending on the injury Restrictions:
• Limited shoulder movement
• Avoiding activities that may strain the shoulder

Alternatives

Other Options:

• Physical therapy alone
• Custom-made orthotic devices
• Surgical interventions for severe cases
  Pros and Cons:
• Physical therapy may offer gradual improvement but lacks immediate immobilization.
• Custom-made devices provide a tailored fit but are often more expensive.
• Surgery offers definitive treatment but comes with higher risks and longer recovery time.

Patient Experience

During Fitting:

• The patient may feel slight discomfort as the brace is adjusted. After Fitting:
• Initial stiffness or awkwardness while wearing the brace
• Pain management can be achieved through over-the-counter pain relievers and ice packs.
• Regular comfort measures and adjustments can improve brace tolerance.