Name of the Procedure:

Shoulder Elbow Wrist Hand Orthosis, Abduction Positioning, Erb's Palsy Design, Prefabricated, Includes Fitting and Adjustment (L3962)

Summary

The procedure involves fitting a specially designed orthosis for the shoulder, elbow, wrist, and hand to help manage Erb's Palsy. This prefabricated device helps position the arm in abduction to aid in recovery and function. The procedure includes the fitting and necessary adjustments to ensure proper use and comfort.

Purpose

The orthosis is used to manage Erb's Palsy, a condition caused by nerve damage during birth that affects arm movement and sensation. The goal is to improve limb positioning, enhance function, reduce pain, and support nerve healing.

Indications

• Diagnosis of Erb's Palsy
• Weakness or paralysis in the arm due to nerve injury
• Difficulty in moving the shoulder, elbow, wrist, or hand

Preparation

• Patients may need to wear comfortable clothing for easy access to the affected arm.
• A thorough physical assessment by a healthcare provider to determine the appropriate orthosis size and type.

Procedure Description

1. The healthcare provider assesses the patient's arm to select the appropriate orthosis size.
2. The prefabricated orthosis is fitted to the patient's arm, covering the shoulder, elbow, wrist, and hand.
3. Adjustments are made to ensure the arm is in the correct abduction position.
4. Instructions on how to wear and manage the orthosis are given to the patient.

Duration

The fitting and adjustment procedure typically takes about 30-60 minutes.

Setting

The procedure is usually performed in an outpatient clinic or rehabilitation center.

Personnel

• Orthotist or trained healthcare provider
• Rehabilitation specialist or physical therapist

Risks and Complications

• Minor discomfort or skin irritation where the orthosis contacts the skin
• Possible pressure sores if not fitted correctly
• Allergic reactions to the materials used in the orthosis

Benefits

• Improved arm positioning and function
• Potential reduction in pain and discomfort
• Enhanced nerve healing and recovery
• Better quality of life due to increased arm usability

Recovery

• Patients should follow the wear schedule provided by their healthcare provider.
• Regular follow-up appointments for adjustments and monitoring progress.
• Rehabilitation exercises may be recommended to accompany orthosis use.

Alternatives

• Customized orthotics requiring detailed fitting sessions
• Physical therapy programs without orthosis use
• Surgical interventions for severe cases

Pros:

• Prefabricated orthoses are quicker to fit.
• Immediate use compared to custom-made options.

Cons:

• May not fit as precisely as customized solutions.
• May require periodic adjustments for optimal fitting.

Patient Experience

• Initially, there may be a period of adjustment to wearing the orthosis.
• Mild discomfort can be managed with padding and minor adjustments.
• Pain relief measures like over-the-counter medications might be recommended.
• Regular progress checks ensure comfort and effectiveness of the orthosis.