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Item #: 4088=K
Specialty Wrist Support

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Suggested HCPCS Coding: L3908

PDAC Verified
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Our most popular wrist brace uses a rigid palmer stay and a heat moldable thermoplastic dorsal stay for increased patient comfort.


  • Rigid removable palmer stay
  • Removable dorsal stay is heat moldable using hot water
  • Independent circumferential straps adjust for various sized wrists and forearms
  • Thermoprene material for warmth and support

Indicated for wrist support due to injury or strain, tendonitis, selected injuries, soft tissue injuries, and post-cast healing.


Measure wrist circumference.
Size Wrist Circumference Left Right
XS 5.1" - 5.5" (13 - 14cm) 4088=L-XS 4088=R-XS
S 5.5" - 6.3" (14 - 16cm) 4088=L-S 4088=R-S
M 6.3" - 7.1" (16 - 18cm) 4088=L-M 4088=R-M
L 7.1" - 7.9" (18 - 20cm) 4088=L-L 4088=R-L
XL 7.9" - 8.7" (20 - 22cm) 4088=L-XL 4088=R-XL


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PDAC Letter

Reimbursement: (EN)

Publish date: 

PDF Document (4088_Wristform_PDAC_Letter.pdf | 1 MB)

4084 Thumboform short, 4085 Thumboform long, 4086 Thumboform Xlong, 4088 Wristoform - Instructions for Use

Instructions for Use: 647G1035 (EN/DE/FR/IT/ES/PT/NL/SV/DA/NO/FI/BG/EL/RU)

Publish date: Jan 31, 2020

PDF Document (647G1035-INT-06-2001w.pdf | 1 MB)