DE202008006871U1 - Shoulder bandage to immobilize the shoulder after shoulder and upper arm injuries - Google Patents

Abstract

Shoulder bandage for immobilization of the shoulder after shoulder and upper arm injuries consisting of a band bandage, with
- A bandage section (1) which surrounds the upper arm (4) above the elbow (5) in a half-loop and in which one leg (2) of the half-loop diagonally before and the other leg (3) of the half-loop diagonally behind the angled Forearm (9) extends into a region of the lower edge of the hand (16), in which the two legs (2, 3) in a tether (7) converge, over the back (11) and between the body and the zu stabilizing upper arm (4) is performed, wraps around the upper arm (4) and after wrapping is fixed on itself,
- A loop (10) which surrounds the lower arm (9) in the adjacent region of the elbow (5) and is connected at its ends to the legs (2 or 3) of the bandage portion (1),
- A shoulder strap (6), starting from the vertex of the ...

Description

The The invention relates to a shoulder bandage for immobilizing the shoulder after shoulder and upper arm injuries in the medical and orthopedic area for post-traumatic or postoperative Immobilization, as u. a. shoulder injuries, scapular fractures, Fractures in the shoulder and upper arm area is applied.

On Reason for the indication field of shoulder bandages, a fixing, leading and / or supporting function of Extremities of the human body safely too These bandages must meet the anatomical conditions be designed and adapted accordingly, on the one hand as possible to achieve high therapeutic safety and on the other hand, too painless donning and carrying as well as possible Disability-free and comfortable to wear.

From the EP 0 0988 006 B1 For example, a the upper arm-fixing bandage is known, which consists of a half-shell-shaped upper part with a cap-shaped expression for embedding the shoulder joint and a half-shell-shaped lower part with a skirt of the elbow joint, the upper part, which rests on the diseased shoulder, and the lower part connected to each other via a belt over which the injured shoulder is guided to the uninjured shoulder and then over the chest to the wrist area as a carrying strap. However, such a trained bandage is disadvantageous because on the one hand pressure is exerted from above on the injured shoulder, which has a negative effect on the healing process and can also cause pain in the patient and on the other hand arise in an applied bandage as a result of the cup-shaped upper and lower part poorly ventilated contact surfaces, which can lead to increased perspiration, which significantly affect the comfort.

From the EP 0 911 005 A2 a bandage is known, which consists of a U-shaped upper arm part, which rests on the injured shoulder and an associated forearm part, which is in an angled lower arm of about 90 ° in the ulnar forearm area, which also adjoins the upper arm part of the strap starting from the injured shoulder to the uninjured shoulder. Again, it is disadvantageous that the upper arm part rests on the injured shoulder and the strap runs over a portion of the injured shoulder and consequently also exerts a pressure from above on the injured shoulder. In addition, the position of the forearm part in the ulnar forearm area can not rule out increased perspiration.

From the DE 10 2006 028 385 B3 is known a shoulder bandage consisting essentially of two at an angle of 90 ° crossing bands whose ends are connected in the form of a figure eight, wherein the one loop forms a support on the injured shoulder, which is followed by the strap, the back is passed over the uninjured shoulder and over the chest and the angled forearm in a loop and the other loop forms an elbow insert, which is followed by a band for connecting a hand fixation, which is connected to the tether. Even with this bandage is exerted by the circulation of the loop on the injured shoulder pressure from above the injured shoulder, which adversely affects the healing and can also cause pain in the patient.

From the AT 396 649 B is a bandage system for fixing joint-near upper arm fractures and injuries of the shoulder is known, which consists of a wide chest strap on which a humerus and forearm belt and a hand fixation and additionally a shoulder strap are fixed. This bandage system significantly compromises comfort because the chest strap has to be applied to the body with sufficient tension to stably guide and fix the upper arm and forearm. This tension leads on the one hand to incisions and on the other hand to a pressure acting on the upper body pressure, which is perceived by the patient with the wearing time as extremely unpleasant. Rather, by the fixation of the forearm exclusively on the hand fixation of the chest belt is heavily loaded on one side, which in addition to the wearing time, the positional stability of the chest but also the comfort of wear negatively affected. In addition, increased perspiration under the wide chest strap is unavoidable, which can lead to skin inflammation even after prolonged wear.

From the DE 40 29 662 C1 For example, a fixation bandage and its use is known which consists of a one-piece band of a length which allows one end to be looped around the angled forearm and the other over the intact shoulder obliquely across the back and once at the waist level around the upper body to the upper arm of the injured shoulder and around it and to fix it down on a section of the upper body. The disadvantage is that the forearm is not clearly fixed, whereby the post-traumatic or postoperative immobilization of shoulder injuries or diseases and thus the therapy safety is not sufficiently guaranteed.

From the DE 35 14 305 A1 a Fixierverband for upper arm fractures and Schulterluxationen is known, which consists of a lower and upper arm receiving hose part, which is followed by a shoulder strap at the shoulder end, which is connected via the uninjured shoulder and the chest to the angled forearm to a loop and on which the hand-side end is followed by a second holding strap, which is guided around the upper body on the back and the upper arm of the injured shoulder and is fixed in a receding manner on a section of the retaining strap running on the back side of the upper body.

in this connection also runs at least the strap over the injured shoulder, leaving a pressure on the injured from above Shoulder is unavoidable. In addition, the coating of the Hose part be very painful and leads the hose part To a sweat that causes skin irritation and thus for the patient to an unpleasant itching can lead.

From the US Pat. No. 2,460,589 For example, a bandage of band material is known in which a band with one end encloses the wrist of the angled forearm of the injured shoulder in a loop and the other end extends diagonally across the back to and over the injured shoulder and continues to the angled forearm where it circulates in the elbow area the forearm of the injured shoulder in a sling and is set in reverse on the diagonally above the back extending band portion lying below the injured shoulder, the upper arm being stabilized by an additional loop with the ends of the band portions fixed is, which extend on both sides of the shoulder to the bent forearm. Even with this bandage pressure is exerted from above on the injured shoulder and the forearm is not sufficiently fixed by the independent fixations of the forearm in the elbow area and in the wrist area, which may additionally impair the healing process.

An afflicted with equal disadvantages arm sling is from the US Pat. No. 1,490,381 known, which consists essentially of a band which loops around the neck and run the two sections on the chest side to the angled forearm, where they loop around the forearm in the wrist area or elbow area.

From the DE 10 2004 028 604 A1 a shoulder and upper arm bandage is known, which has a length-adjustable forearm receptacle for releasable attachment to the forearm, which is followed in the region of the elbow of the shoulder strap, which is guided from the dorsal over the unbroken shoulder to the ventral and at which the angled forearm of treating shoulder is fixed and adjoins in the hand area, the tether, which, as is well known, passes over the back, wraps around the upper arm of the injured shoulder and is fixed in reverse on a portion of the tether. The disadvantage is that the forearm to ensure the length adjustment of the forearm receptacle almost completely and the lower portion of the upper arm must be at least partially enclosed by the detachable and length-adjustable forearm receptacle, whereby an increased sweat formation and an associated skin irritation is inevitable. In addition, this bandage is not inexpensive to produce from strip material.

task The present invention therefore a bandage of the aforementioned To provide a kind that overcomes all the mentioned disadvantages and to achieve a high therapeutic safety a safe post-traumatic and postoperative immobilization of shoulder injuries and diseases guaranteed and economically and for the Patients can be produced inexpensively.

• – einem Bandagenabschnitt, der den Oberarm oberhalb des Ellenbogens in einer Halbschlaufe umläuft und bei dem sich der eine Schenkel der Halbschlaufe diagonal vor und der andere Schenkel der Halbschlaufe diagonal hinter dem angewinkelten Unterarm bis in einen Bereich der unteren Kante der Hand erstreckt, in dem die beiden Schenkel in einem Halteband zusammenlaufen, das über den Rücken und zwischen dem Körper und dem zu stabilisierenden Oberarm durchgeführt ist, den Oberarm umschlingt und nach dem Umschlingen auf sich selbst festgelegt ist, – einer Schlaufe, die den Unterarm im angrenzenden Bereich des Ellenbogens umläuft und mit ihren Enden an den Schenkeln des Bandagenabschnitts verbunden ist, – einem Schulterband, das ausgehend vom Scheitelpunkt der am Oberarm anliegenden Halbschlaufe hinter dem Oberarm über den Rücken zur unverletzten Schulter verläuft und über die unverletzte Schulter und über die Brust geführt ist und den angewinkelten Unterarm schlaufenförmig umläuft und dann auf sich selbst festgelegt ist, – einer Handfixierung, die im Bereich der zusammenlaufenden Schenkel befestigt ist.

The object is achieved with a shoulder bandage, which consists of a band bandage

• - A bandage portion which revolves the upper arm above the elbow in a half-loop and in which one leg of the half-loop diagonally before and the other leg of the half-loop diagonally behind the angled forearm into a region of the lower edge of the hand extends, in which two legs converge in a tether, which is performed over the back and between the body and the upper arm to be stabilized, wraps around the upper arm and is set after self-wrapping, - a loop that runs around the forearm in the adjacent area of the elbow and connected with its ends to the thighs of the bandage portion, - a shoulder band extending from the apex of the upper loop adjacent to the upper arm behind the upper arm over the back to the uninjured shoulder and is guided over the unharmed shoulder and over the chest and the angled forearm looped u and then fixed on itself, - a hand fixation, which is attached in the region of the converging legs.

With the inventively designed shoulder bandage all disadvantages are overcome, the disadvantages in the bandages mentioned above individually or multiply. Thus, the bandage made entirely of band material as a whole ensures good ventilation in all areas which are in contact with the patient's body, so that sweat formation in these areas and associated inflammation of the skin and itching occur even during a long period Wearing time and at high temperatures can be excluded.

By the bandage section, above the elbow the upper arm the injured shoulder rotates in a half-loop, where the two thighs diagonally before and behind the forearm to extend lower edge of the hand and converge at the hand fixation, On the one hand the ulna of the forearm is free and on the other hand it is the angled forearm is unique in length to the bandage portion fixed.

With the connection of the shoulder strap at the apex of the half-loop of the upper arm and the course of the shoulder strap over the Back to the uninjured shoulder and over the uninjured shoulder on the chest side to the bent forearm, where it loops around the forearm and then is committed to itself is also ensured that no pressure was exerted on the injured shoulder from above becomes. Rather, by the provided on the bandage portion loop, which circles around the forearm, the upper arm can over the shoulder strap is clearly positioned in height to the injured shoulder and supported. Consequently, by the unique Positioning of the upper arm to the injured shoulder and with the Avoid pressure from the top of the injured shoulder Therapy safety significantly improved and a possible Pain perception of the patient may occur while wearing the shoulder bandage be largely excluded.

About that In addition, the inventively designed shoulder bandage painless to apply and guaranteed by the absolute open construction and as a result of the band guide the advantageous pressure and force distribution emanating from the bandage on the body of the patient a very high wearing comfort.

Much more, by the pure band design, wherein preferably all band sections have the same width, is the inventive Shoulder bandage without or only with a very narrow material waste very economical to produce and can be inexpensive Tobe offered.

To a preferred embodiment of the invention the bandage portion of the forearm of two band sections, the have an angle at the ends to be joined, when connecting the band sections an anatomical adaptation of the bandage section in the region of the entwined upper arm and guaranteed in the hand. By this embodiment Adjusts the bandage section without pressure and independently when applying the shoulder bandage clearly to the anatomical conditions, which further enhances the fit and comfort of the shoulder bandage is improved.

Advantageous It may be if the upper arm in addition of a stabilizing band with two releasable connecting means provided at the ends is stabilized, with one end in the area of the upper arm or on the shoulder strap and the other end over the chest runs and on or over the chest Section of the shoulder strap is releasably fixed.

On This way, the shoulder bandage on the body of the patient additionally stabilized, which is especially true for active Patients, such as children, is beneficial.

Prefers This shoulder bandage is made of skin friendly and velcro textile material and the connections of the free ends of the shoulder band, the tether, the hand fixation and the stabilization band are Velcro connections. These materials and the compounds additionally favor the comfort and the application of the shoulder bandage.

Further Details of the invention will become apparent from the following description and the accompanying drawings.

The Drawings show:

1 : an applied shoulder bandage according to the invention,

2 : an applied bandage portion from the side of the upper arm of the injured shoulder with a partial course of the shoulder band,

3 : an applied bandage portion from the side of the upper arm of the injured shoulder with a partial course of the shoulder band and the tether,

4 : an applied shoulder bandage with stabilization band.

1 shows an applied inventive shoulder bandage, which consists essentially of a bandage section 1 , a shoulder strap 6 , a tether 7 , a hand fixation 8th as well as a loop 10 consists.

The bandage section 1 is a half-loop the upper arm 4 above the elbow 5 circumferential band, the thigh 2 diagonally in front of the bent forearm 9 and the thigh 3 diagonally into an area of the lower edge of the hand 16 guided and the ends of the thighs 2 . 3 merged and connected in this area. Preferably and not shown further consists of the bandage section 1 from two bands, equal to the thighs 2 . 3 form and subsequently continue as thighs 2 . 3 be designated. The ends of the thighs 2 . 3 are preferably provided with an angle over which the converging ends are connected together. Here are the ends of the legs 2 . 3 above the elbow 5 the upper arm 4 circulate in a half-loop, preferably formed with an angle of 45 °, so that after the connection of the ends, a half-loop on the bandage portion 1 forms, with its partially encircling part of the anatomical conditions of the upper arm 4 Adjusts and ends in the area of the lower edge of the hand 16 converge, are preferred with a to the end of the legs 2 . 3 provided opening angle, with the two ends on the adjacent tether 7 are sewn on or the adjacent tether 7 sewn into the open angle.

At the bandage section 1 is a loop 10 provided, which consists of a band that with one end on the leg 2 and the other end on the thigh 3 of the bandage section 1 in the adjacent area of the elbow 5 is fixed and the starting from the bandage section 1 to support the forearm 9 the forearm 9 partially revolves. Preferably, the two ends of the loop 10 formed at an angle corresponding to the diagonal course of the legs 2 . 3 adjusted so that in conjunction with the upper arm 4 circumferential half loop of the bandage section 1 a sufficient free elbow passage is formed and the forearm 9 from the circumferential section of the loop 10 stable in the bandage section 1 is supported.

At the apex of the half loop of the bandage section 1 closes the shoulder strap 6 with the free end, starting from the connection point with the half loop on the upper arm 4 over the back 11 to the uninjured shoulder 13 runs, over the uninjured shoulder 13 and the breast 12 to the bent forearm 9 between forearm 9 and body is passed through and over the wrist area in a loop and then declining on the shoulder strap 6 is determined.

To the merged ends of the legs 2 . 3 of the bandage section 1 closes the tether 7 on, preferably on the converging in an opening angle ends of the legs 2 . 3 are fixed or the tether 7 is in the opening angle of the merged ends of the legs 2 . 3 used and connected to the angled ends.

The tether 7 is made with the free end starting from the connection area with the thighs 2 . 3 of the bandage section 1 over the back 11 and between the upper arm 4 and through the body and over the upper arm 4 guided and set back on the tether.

In the area where the two angled ends of the legs 2 . 3 at the bottom edge of the hand 16 is the hand fixation 8th set, with one end between thumbs 14 and index finger 14a and the other end over the hand 16 runs, leaving the forearm 9 over the bandage section 1 is clearly stabilized in the approximately horizontal position.

In order to increase the positional stability of the shoulder bandage in addition, which may be particularly advantageous when the patient is very uncontrolled movement active, such as. Children, is a separate stabilizing band 15 provided, which consists of a band which is provided at the ends with releasable connections. This stabilization band 15 is then with one end in the area of the upper arm 4 on the or on the shoulder strap 6 set and over the chest 12 guided and on or over the chest 12 extending section of the shoulder strap 6 established.

The Shoulder bandage consists exclusively of a band material, the one skin-friendly and washable as well as velcro textile Material is and can vary depending on the selected material type double-barreled band with or without padding but also to be a simple band.

The connections between the ends of the thighs 2 . 3 , the bandage section 1 and the loop 10 , the bandage section 1 and the shoulder strap 6 and the tether 7 and the bandage section 1 and the hand fixation 8th are preferably stitched connections, wherein the releasable connections of the ends of the shoulder strap 6 and the tether 7 as well as the hand fixation 8th and the stabilizing band 15 preferred are Velcro connections.

1

bandages section

2

leg

3

leg

4

upper arm

5

elbow

6

shoulder belt

7

tether

8th

hand fixation

9

forearm

10

loop

11

move

12

chest

13

uninjured shoulder

14

thumb

14a

index finger

15

stabilization belt

16

hand

QUOTES INCLUDE IN THE DESCRIPTION

This list The documents listed by the applicant have been automated generated and is solely for better information recorded by the reader. The list is not part of the German Patent or utility model application. The DPMA takes over no liability for any errors or omissions.

Cited patent literature

• EP 00988006 B1 [0003]
• EP 0911005 A2 [0004]
• DE 102006028385 B3 [0005]
• AT 396649 B [0006]
• - DE 4029662 C1 [0007]
• - DE 3514305 A1 [0008]
• - US 2460589 [0010]
• US 1490381 [0011]
• - DE 102004028604 A1 [0012]

Claims (4)

Shoulder bandage for immobilizing the shoulder after shoulder and upper arm injuries consisting of a band bandage, with - a bandage portion ( 1 ), the upper arm ( 4 ) above the elbow ( 5 ) in a half loop and in which the one leg ( 2 ) of the half-loop diagonally in front and the other leg ( 3 ) of the half-loop diagonally behind the angled forearm ( 9 ) into an area of the lower edge of the hand ( 16 ), in which the two legs ( 2 . 3 ) in a tether ( 7 ) converging over the back ( 11 ) and between the body and the upper arm to be stabilized ( 4 ) Performed, the upper arm ( 4 ) and after self-wrapping is fixed on itself, - a loop ( 10 ), which is the forearm ( 9 ) in the adjacent area of the elbow ( 5 ) and with its ends on the thighs ( 2 respectively. 3 ) of the bandage section ( 1 ), - a shoulder strap ( 6 ), starting from the vertex of the upper arm ( 4 ) adjacent half loop behind the upper arm ( 4 ) over the back ( 11 ) to the injured shoulder ( 13 ) and over the uninjured shoulder ( 13 ) and over the chest ( 12 ) and the angled forearm ( 9 ) is looped and then fixed on itself, - a hand fixation ( 8th ) in the region of the converging legs ( 2 . 3 ) is attached. Shoulder bandage according to claim 1, characterized in that the bandage portion ( 1 ) consists of two band sections, which have an angle at the respective end faces to be connected, the anatomical adaptation of the bandage portion when connecting the band sections ( 1 ) in the region of the entwined upper arm ( 4 ) and in the area of the hand ( 16 ) guaranteed. Shoulder bandage according to one of claims 1 or 2, characterized in that the upper arm ( 4 ) additionally from a stabilizing band ( 15 ) is stabilized with two releasable connecting means provided at the ends, said one end in the region of the upper arm ( 4 ) on or on the shoulder strap ( 6 ) and the other end over the chest ( 12 ) and on or over the chest ( 12 ) extending portion of the shoulder band ( 6 ) is releasably fixed. Shoulder bandage according to one of claims 1 to 3, characterized in that the shoulder bandage consists of skin-friendly and klettbarem textile material and the connections of the free ends of the shoulder band ( 6 ) of the tether ( 7 ), the hand fixation ( 8th ) and the stabilizing band ( 16 ) Velcro connections are.