Name of the Procedure:

Shoulder Orthosis, Vest Type Abduction Restrainer
Common Name: Shoulder immobilizer
Technical/Medical Term: L3675

Summary:

A shoulder orthosis, also known as a shoulder immobilizer or abduction restrainer, is a medical device designed to stabilize and immobilize the shoulder joint. This particular type is made from canvas webbing or an equivalent material and is prefabricated and readily available off-the-shelf. It's used primarily to limit movement and support the shoulder following an injury or surgery.

Purpose:

The shoulder orthosis is used to:

• Provide support and stabilization to the shoulder joint.
• Prevent unwanted movement that could hinder the healing process.
• Alleviate pain by ensuring the shoulder remains in a secure and stable position.

Indications:

• Shoulder dislocations
• Post-operative recovery from shoulder surgery
• Rotator cuff injuries
• Shoulder fractures
• Overuse injuries such as tendonitis or bursitis

Preparation:

• No specific fasting or medication adjustments are typically required.
• An initial assessment by a healthcare provider to determine the appropriate size and fit of the orthosis.
• Some diagnostic imaging (e.g., X-rays, MRI) may be done to understand the extent of the injury or condition.

Procedure Description:

1. The healthcare provider selects the appropriately sized shoulder orthosis.
2. The device is positioned by placing the patient's arm into the sling.
3. The vest part of the orthosis is secured around the patient's torso, ensuring a snug but comfortable fit.
4. Straps or fasteners are adjusted to immobilize the shoulder in the desired position, often slightly away from the body (abduction).
5. The patient is given instructions on how to wear and remove the device safely.

Tools and Equipment:

• Prefabricated canvas webbing shoulder orthosis (L3675)

Anesthesia or Sedation:

• Not required.

Duration:

• Fitting the shoulder orthosis typically takes about 10–20 minutes.

Setting:

• The procedure is generally performed in an outpatient clinic, physician’s office, or hospital.

Personnel:

• Orthopedic surgeon, primary care physician, or trained healthcare provider (e.g., physical therapist).

Risks and Complications:

• Skin irritation or pressure sores at contact points.
• Limited mobility or stiffness due to immobilization.
• Improper fit, requiring adjustment.

Benefits:

• Stabilization and support of the shoulder joint.
• Pain reduction due to limited movement.
• Enhanced healing through appropriate immobilization.
• Immediate benefits in terms of shoulder stability and pain relief can be realized within a few days.

Recovery:

• Post-procedure care includes instructions on how to wear and adjust the orthosis correctly.
• Hygiene tips to prevent skin irritation.
• The recovery time varies depending on the underlying condition but could range from a few weeks to a few months.
• Follow-up appointments for adjustment and monitoring progress.

Alternatives:

• Custom-made shoulder braces.
• Physical therapy alone or in combination with less restrictive supports.
• Surgical intervention for severe cases.

Pros of Alternatives:

• Precisely tailored solutions (custom braces).
• Increased mobility when using less restrictive supports.

Cons of Alternatives:

• Higher cost for custom-fit devices.
• Potentially longer recovery time for untreated conditions.

Patient Experience:

• The patient may feel restricted in shoulder and arm movement.
• Some discomfort may occur initially due to immobilization.
• Pain management will involve controlling any initial discomfort or muscle soreness, typically with over-the-counter pain relievers.
• Comfort measures will be discussed, including adjustments to ensure a better fit and minimize irritation.