Make two cuts in the pattern as shown above. Pass the arm through the orthosis and move the orthosis up to the shoulder.

Form a perfect cast around the shoulder and the chest.

Before the material hardens, refold the outer edge in order to obtain a small channel.

Place the wet pattern, then the arm, on the worktable.

Wrap a non-adhesive bandage around the orthosis. Join and stick together the two tabs at the back.

Make two holes at the front and one at the back. Pass a strong nylon thread through the front holes and tie a knot which will subsequently be covered with the chosen material.

Pass the long end through the back hole and tie a knot at the desired length.

Finishing: Smooth the edges and put padding on the part in contact with the shoulder cap.

Fixation:

• Attach the strap with a self gripping strip; the loop portion starts from the back (rather high), circles the chest and is attached to the self-adhesive closure located at the same height in front of the strap.
• Attach the elbow cradle with a self-gripping strip placed right next to the elbow.