Thursday, March 23, 2017
Orbital Fracture Mask / Raptor Basketball Model to Megan in Cleveland, OH
Website Order Taken : 3/21/17 @ 11:45AM Shipped: 3/22/17 @ 5:00 PM UPS Ground
PA: Megan B.'s (son) /Cleveland, OH
RX: Protective Mask for Facial Fracture
DX: Left Orbital Fracture
ICD-10-CM Diagnosis Code: S02.30
HX: Athlete has sustained left orbital fracture during a basketball game.
Plan: Custom-fabricate Raptor basketball model (color: clear) using shatter proof DuPont Surlyn that will not re-injure recent fracture, will shape to face naturally and avoid eye injuries. Customize design for maximum left orbital protection and minimum obstruction of peripheral and downward vision. Add gentle moleskin contact bumper pads internally for comfort.
Sport: basketball
Comments: Clyde - I will text you a picture of the injury. It is a minor orbital fracture, no surgery required, just looking to protect area from elbows and basketballs. Megan / Cleveland, OH 3/21/2017
Website: www.indianabrace.com
Practitioner: Clyde Peach, CO - ABC Certified Orthotist #1321 - 1979
Contact: Call: 800.253.6217 Text: 317.445.1475 Email: clyde.peach@gmail.com
American Board for Certification in Orthotics & Prosthetics
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