Published on Apr 17, 2017
Website Order Taken : 4/14/17 @ 12:51 PM Shipped: 4/17/17 @ 5:00 PM UPS 2nd Day AirPA: James R. (son) /Brandon, MS
RX: Madrid Model Protective Mask for Broken Nose
DX: Fractures of Nasal Bones
ICD-10-CM Diagnosis Code: S02 2XXB
HX: Athlete has sustained nasal fracture during a recent soccer match.
Plan: Custom-fabricate Madrid model (color: black) using shatter proof LDP 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. Low profile design to allow for headers both side and front. Add gentle moleskin felt contact bumper pads internally for impact comfort.
Sport: soccer
User Comments: Male / 5'7" / 140 lbs. /
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
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| James's Actual Madrid Mask |
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