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Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf

HCPCS code

Name of the Procedure:

Shoulder Orthosis, Shoulder Joint Design Without Joints
Common Name: Shoulder Brace
Technical or Medical Term: L3678 Shoulder Orthosis

Summary

A shoulder orthosis is a specially designed brace that supports the shoulder joint. This particular type does not include any joints and may feature soft materials and adjustable straps. It is prefabricated and can be purchased off-the-shelf to fit most patients.

Purpose

This orthosis is used to immobilize and support the shoulder joint after an injury or surgery. It helps in stabilizing the shoulder, reducing pain, and promoting healing. The goal is to provide adequate support, minimize movement, and protect the shoulder from further injury.

Indications

  • Recent shoulder surgery
  • Shoulder dislocation or subluxation
  • Rotator cuff injuries
  • Shoulder instability
  • Chronic shoulder pain or arthritis

Preparation

  • No specific preparation is needed.
  • Follow any specific instructions given by your healthcare provider regarding existing medications or therapies.
  • Consult your doctor to ensure that the orthosis fits correctly and meets your specific needs.

Procedure Description

  1. Fitting the Orthosis: The healthcare provider will select the appropriate size and type of orthosis for the patient.
  2. Application: The orthosis is placed over the shoulder area and secured using adjustable straps. It may be worn over clothing or directly on the skin if a soft interface is included.
  3. Adjustment: Straps are tightened to ensure a snug and comfortable fit while providing adequate immobilization.

Duration

The fitting and application process typically takes about 15-30 minutes.

Setting

The procedure can be performed in various settings, including:

  • Outpatient clinic
  • Orthopedic office
  • Hospital
  • At home under medical supervision

Personnel

  • Orthopedic specialist or related healthcare provider
  • Nurse or medical assistant

Risks and Complications

  • Skin irritation or pressure sores
  • Discomfort from improper fit
  • Potential allergic reaction to materials used in the orthosis
  • Muscle atrophy if worn for an extended period

Benefits

  • Immediate support and stabilization of the shoulder joint
  • Reduction in pain and discomfort
  • Promotes healing by limiting shoulder movement
  • Non-invasive treatment option

Recovery

  • Follow the healthcare provider's instructions for duration and frequency of wear.
  • Engage in any recommended physical therapy exercises.
  • Attend follow-up appointments to monitor progress and adjust the orthosis if necessary.

Alternatives

  • Physical therapy
  • Surgical intervention (for severe cases)
  • Other types of shoulder bracing or orthotics with different designs
  • Pain management techniques, including medications and injections

Patient Experience

  • Patients may feel initial discomfort as they adjust to wearing the orthosis.
  • The orthosis should alleviate pain and provide a sense of stability.
  • Physical activities might be restricted while wearing the orthosis to prevent further injury.
  • Regular check-ins with a healthcare provider ensure optimal fit and effectiveness.

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