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To the Editor:—
Often one has to immobilize a patient's shoulder joint in adduction after reduction of dislocation, in certain fractures near the head of the humerus, after certain operations on or near the shoulder joint, and occasionally for a few days after radical mastectomy.Conventional methods of immobilization have drawbacks. Bandages and swathes do not stay in place well. In order to apply circular bandages or tapes on an anesthetized patient, one has to pull half his trunk off the table and support his chest. This is difficult for everyone, especially if the patient vomits. Adhesive may irritate the skin, and its removal hurts.Of late I have fastened the humerus to the chest by a nonelastic rib belt, as shown in the Figure. This rib belt is readily available. It fixes the arm well. If one puts it under the patient's chest before operation or reduction, one can
Lamm H. A Rib Belt for Shoulder Immobilization. JAMA. 1965;191(13):1087. doi:10.1001/jama.1965.03080130047024