Published on Apr 25, 2017
Website Order Taken : 4/23/17 @ 6:27 PM Shipped: 4/24/17 @ 5:00 PM USPS International Priority Mail
PA: Anender S./San Diego, CA
RX: Protective Mask for Broken Nose - Hoosier Model - Click Here
DX: Fractures of Nasal Bones
ICD-10-CM Diagnosis Code: S02 2XXB
HX: Athlete has sustained nasal fracture during basketball.
Plan: Custom-fabricate Hoosier model (color: clear) using shatter proof DuPont Surlyn that will not re-injure recent fractures, will shape to face naturally and avoid eye injuries. Customize design for maximum nasal protection and minimum obstruction of peripheral and downward vision. Add gentle moleskin felt contact bumper pads internally for comfort.
Sport: basketball
User Comments: 5'8" male 115 lbs
Website: www.indianabrace.comhttp://indianabrace.com/basketballfacemask.aspx
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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