Name of the Procedure:

• Common Name: Shoulder Elbow Orthosis
• Technical/Medical Terms: Mobile Arm Support, Monosuspension Arm and Hand Support, Overhead Elbow Forearm Hand Sling Support, Yoke Type Suspension Support, Prefabricated, Includes Fitting and Adjustment (L3969)

Summary

A shoulder elbow orthosis is a device designed to support and stabilize the shoulder, elbow, forearm, and hand. It helps in easing movement for individuals with limited arm mobility due to various medical conditions. The device is prefabricated, meaning it comes ready-made and only requires fitting and adjustments to suit individual needs.

Purpose

This orthosis is used to assist people who have difficulty moving their upper limbs due to muscle weakness, nerve damage, or other conditions affecting arm mobility. The primary goals are to enhance arm function, increase range of motion, and improve the quality of life.

Indications

• Muscle weakness or atrophy
• Neurological conditions (e.g., stroke, spinal cord injury)
• Post-operative rehabilitation
• Severe arthritis
• Certain congenital conditions affecting arm movement

Preparation

• No specific fasting or medication adjustments are typically required.
• Patients may undergo a physical assessment to evaluate their range of motion and strength in the affected limb.
• Diagnostic imaging (like X-rays) may be used to better understand the condition.

Procedure Description

1. Fitting: The orthosis is fitted to the affected arm and shoulder.
2. Adjustment: Straps, hinges, and other elements of the device are adjusted for comfort and functionality.
3. Instruction: The patient is taught how to wear and use the device properly.
4. Evaluation: The healthcare provider checks for optimal support and mobility.

Tools and Equipment:

• Prefabricated orthosis (shoulder, elbow, forearm, and hand components)
• Adjustment tools (screwdrivers, wrenches)
• Padding materials for comfort

Anesthesia or Sedation: Typically not required for fitting and adjustment.

Duration

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

Setting

The procedure is generally performed in an outpatient clinic or a specialized rehabilitation center.

Personnel

• Orthotist or prosthetist
• Physical or occupational therapist
• Primary care physician or specialist overseeing the treatment

Risks and Complications

• Common Risks: Skin irritation, discomfort due to improper fit.
• Rare Risks: Allergic reactions to materials, pressure sores.

Most complications can be managed by re-adjusting the orthosis or using different materials.

Benefits

• Improved arm function
• Increased range of motion
• Enhanced quality of life and independence

Benefits can often be realized immediately after fitting but may improve further with continued use and adjustments.

Recovery

• Regular use of the orthosis as instructed.
• Follow-up appointments for re-evaluation and adjustments.
• Patients may need physical or occupational therapy sessions to optimize the use of the orthosis.

Alternatives

• Custom-made orthoses
• Physical therapy alone
• Surgical interventions for certain conditions

Pros of Alternatives:

• Custom-made orthoses may provide a better fit.
• Physical therapy can improve strength and coordination.

Cons of Alternatives:

• Custom-made devices are often more expensive.
• Surgery involves higher risks and longer recovery time.

Patient Experience

• During the fitting, patients might feel slight discomfort or pressure.
• Most patients adapt quickly and experience relief and improved functionality.
• Pain management is generally not required, but over-the-counter pain relievers can be used if needed.
• Comfort measures include ensuring proper padding and regular readjustments for the best fit.