Name of the Procedure:

Shoulder Orthosis, Abduction Positioning (Airplane Design)

Common Names:

• Shoulder orthotic brace
• Airplane splint

Technical/Medical Terms:

• Shoulder orthosis, abduction positioning
• Thoracic component and support bar
• Custom fabricated shoulder brace
• HCPCS Code: L3674

Summary

A shoulder orthosis in an abduction positioning (airplane design) is a medical device used to immobilize and support the shoulder joint, keeping the arm in an abducted position. This specialized brace helps with the healing process after shoulder surgeries or injuries. The device might include a thoracic component, support bar, soft interface, and straps, and can be custom-fitted to the patient.

Purpose

The procedure addresses conditions requiring immobilization and support of the shoulder joint to facilitate healing, prevent movement that could exacerbate the injury, and promote correct anatomical positioning.

Medical Conditions:

• Post-operative care following shoulder surgery
• Shoulder dislocations or subluxations
• Rotator cuff repairs
• Fractures involving the shoulder complex

Goals:

• Stabilize the shoulder joint
• Promote proper healing
• Prevent re-injury
• Maintain correct anatomical alignment

Indications

Specific Symptoms or Conditions:

• Post-surgical shoulder care
• Severe shoulder instability
• Acute or chronic shoulder dislocations
• Recovery from rotator cuff or other shoulder ligament surgeries

Patient Criteria:

• Patients needing immobilization to prevent shoulder movement
• Individuals recovering from specific shoulder surgeries
• Patients with shoulder fractures requiring stabilization

Preparation

Pre-procedure Instructions:

• No specific fasting or medication adjustments typically required
• Wear comfortable, loose clothing

Diagnostics Tests:

• X-rays or MRI of the shoulder
• Physical examination by a healthcare professional

Procedure Description

Step-by-Step Explanation:

1. The patient is assessed and fitted for the shoulder orthosis.
2. The custom-fabricated brace is adjusted for a precise fit.
3. The thoracic component and support bar are positioned to maintain the shoulder in an abducted alignment.
4. Straps and soft interfaces are secured to ensure comfort and stabilize the joint.
5. Fitting and adjustment are completed by a trained healthcare professional.

Tools/Equipment:

• Custom-fabricated shoulder brace
• Straps and soft padding
• Support bar and thoracic component

Anesthesia/Sedation:

• Generally, none required

Duration

The fitting and adjustment procedure typically takes around 30 to 60 minutes.

Setting

• Outpatient clinic
• Orthopedic office

Personnel

• Orthopedic specialist
• Trained healthcare professionals or orthotists

Risks and Complications

Common Risks:

• Minor discomfort or skin irritation

Rare Risks:

• Pressure sores or ulcers if not properly fitted
• Allergic reaction to materials

Management:

• Regular follow-up to adjust the fit
• Address any discomfort immediately

Benefits

• Enhanced recovery and healing process
• Effective stabilization of the shoulder joint
• Reduction in pain and discomfort due to movement
• Prevention of re-injury

Recovery

Post-procedure Care:

• Wear the orthosis as directed by your healthcare provider
• Regularly inspect the skin for irritation
• Follow up appointments for re-adjustment if necessary

Expected Recovery Time:

• Varies depending on the underlying condition, generally a few weeks to several months

Restrictions:

• Avoid shoulder movement outside of the brace parameters
• Follow tailored physical therapy protocols if provided

Alternatives

Other Treatment Options:

• Non-custom shoulder slings or braces
• Physical therapy alone
• Surgical intervention for severe cases

Pros and Cons:

• Custom brace offers better support and fit compared to generic slings
• Non-custom options might be less expensive but not as effective

Patient Experience

During Procedure:

• Minimal discomfort anticipated during fitting

After Procedure:

• May experience initial mild discomfort which usually resolves
• Pain management options are generally not required, but over-the-counter analgesics may be used if necessary

Comfort Measures:

• Soft padding within the orthosis
• Regular adjustments to ensure proper fit and comfort

This shoulder orthosis provides essential support and stabilization to aid in the healing and recovery process, while being tailored to fit the patient's unique anatomy and condition.