Name of the Procedure:

Common name: Shoulder Orthosis, Airplane Splint
Medical term: Shoulder Elbow Wrist Hand Orthosis, abduction positioning, airplane design, prefabricated (HCPCS Code L3960)

Summary

The procedure involves fitting a prefabricated orthosis designed to hold the arm in an abducted (away from the body) and stabilized position, often referred to as an "airplane splint." The orthosis includes adjustments to ensure a proper fit and may be recommended for various conditions affecting the shoulder, elbow, wrist, or hand.

Purpose

The orthosis aims to immobilize, support, and stabilize the shoulder, elbow, wrist, and hand, particularly in situations where movement needs to be restricted for healing or recovery. It helps maintain the correct anatomical position and prevent further injury, while also potentially alleviating pain and improving function.

Indications

• Shoulder dislocations or fractures.
• Post-operative care following shoulder surgery.
• Conditions like brachial plexus injuries.
• Severe shoulder arthritis or rotator cuff injuries.
• Stroke rehabilitation to maintain proper limb positioning.

Preparation

• No special preparation is typically required.
• Ensure that the affected area is clean and dry.
• Patients may need to wear loose-fitting clothing to accommodate the orthosis.
• Pre-fit assessment by a healthcare professional to determine the appropriate size and type of orthosis.

Procedure Description

1. Initial Assessment: A healthcare professional evaluates the patient's condition to determine the suitability of the airplane splint.
2. Fitting the Orthosis: The prefabricated orthosis is adjusted to fit the patient's limb properly. Straps and supports are customized to ensure proper alignment and positioning.
3. Instruction: The patient and caregivers are instructed on how to wear, adjust, and care for the orthosis.
4. Adjustment: The fitting process includes checking and adjusting the straps and padding to prevent discomfort and ensure stability.

Duration

The fitting and adjustment process typically takes about 30 minutes to an hour.

Setting

• Outpatient clinic
• Orthopedic office
• Rehabilitation center

Personnel

• Orthopedic surgeon
• Physical therapist
• Certified orthotist or prosthetist
• Nurse or medical assistant

Risks and Complications

• Skin irritation or pressure sores from prolonged use.
• Discomfort due to improper fitting.
• Limited range of motion if used for extended periods.
• Allergic reaction to materials used in the orthosis (rare).

Benefits

• Stabilizes and supports the shoulder, elbow, wrist, and hand.
• Reduces pain and facilitates proper healing.
• Improves functional outcomes post-surgery or injury.
• Prevents further injury by limiting unwanted movement.

Recovery

• Follow-up appointments for adjustment and monitoring.
• Patients are typically advised to gradually increase mobility based on healthcare provider recommendations.
• Regular skin checks around the orthosis to prevent sores.
• Pain management strategies include prescribed medications or over-the-counter pain relievers.

Alternatives

• Custom-fitted orthotic devices.
• Surgical interventions, depending on the severity of the condition.
• Physical therapy and rehabilitation programs.
• Simple slings or supportive wraps in less severe cases.

Patient Experience

• Patients might feel some initial discomfort as they adapt to the orthosis.
• Periodic adjustments may be necessary for comfort and effectiveness.
• Pain and discomfort should decrease as healing progresses.
• It is essential to follow all care instructions to ensure the best possible outcome and avoid complications.