5th Met Ossicle Insert / X5 GoBlade for Basketball Player

Published on Mar 22, 2017
Order Taken: Verbal Order 3/21/17 / Hand Delivered 3/22/17
PA: Butler University Sports Medicine/ Indianapolis, IN
RX: Clyde's X5 GoBlade for 5th Met Discomfort - Left Foot
DX: 5th met ossicle formed by abnormal ossification of previous fracture
ICD-10-CM Billing Code : S92.353A
Plan:
Fabricate X5 GoBlade men's size 13 with StifFlex midfoot for
unrestricted ankle motion during basketball activity. Stiffen lateral
forefoot with .003" unidirectional composite tape on the bottom
surface of X5 Blade covering 5th and 4th metatarsals ending just distal
to the base of 5th metatarsal. Add 1/8" plastizote unloading material
to the lateral top surface along the length of the 5th and 4th
metatarsals ending distal to the base of the 5th metatarsal to unload
base of 5th met. Maintain rocker shape forefoot for natural toe off.
Place under insert provided in basketball shoe for comfort. Specs:
thickness and weight of X5 GoBlade - 1/25" (.04") - 1.235 oz.
Sport: D1 Basketball
Comments: Player presents with limp on left.
Website: www.indianabrace.com
Contact: Call: 800-253-6217 Text: 317-445-1475 Email: clyde.peach@gmail.com
Practitioner: Clyde Peach, CO - ABC Certified Orthotist #1321
American Board for Certification in Orthotics & Prosthetics