The CSTS System
(ClaviBrace Scapulo-Thoracic Stabilisation)
A 21st-Century Solution
(ClaviBrace Scapulo-Thoracic Stabilisation)
A 21st-Century Solution
Championed by two of the four surgeons credited with establishing modern shoulder surgery in Britain - this award-winning, advanced stabilisation system is the definitive solution for scapular and all closed clavicle fractures, AC Injury, and many other shoulder and spinal conditions.
The clinically validated choice for elite athletes and surgeons demanding a superior standard of recovery.
🎯Proven Clinical Applications
- Clavicle Fracture Management: All severity of closed clavicle fractures.
- Acromioclavicular (AC) Joint separations (Grade I–III): when initiated within the critical 10-day inflammatory window.
- Scapulothoracic abnormal motion i.e. Scapular Dyskinisis (STAM).
- Post Cortisone and Botox directional procedures - Neuromuscular Repatterning.
- Soft Tissue Pathology: Scapulocostal Syndrome.
- Posture Correction: transforms body posture and associated secondaries (e.g. neck stiffness, lumbar, pelvic pain).
- Rehabilitation Adjunct: An adjunct to injury recovery, post-operative protocols (shoulder, spinal), and where surgery is contra-indicated.
- Chronic: Scoliosis, shoulder hypermobility, degenerative shoulder and spinal conditions (e.g. Arthritis).
- DOMS Recovery: Accelerates recovery time following rigorous exercise.
- Performance & Endurance: Optimises muscle efficiency boosts physical performance and avoids fatigue-related injuries.
Introducing "The Third Way" A biomechanically Optimised Environment - The Three Pillars of Correction
- The Three Pillars of Correction
Whether used as a protective scaffold for post-surgical fixation or as a standalone solution, the CSTS System ensures that the "Hardware" (the bone) is protected and the "Software" (the neural maps) stays active.
Pillar 1: Neurological Calibration-The Input This phase focuses on the "Software" (the neural maps) of the body. It involves identifying and resetting dysfunctional sensory inputs—specifically from the proprioceptive and vestibular systems—that cause the brain to maintain protective patterns like muscle guarding or chronic tension.
Pillar 2: Mechanical Clinical Realignment
The "Hardware" (bone). Once the nervous system is receptive, this pillar addresses the "hardware" by restoring joint mobility and skeletal alignment. It targets specific mechanical blockages (such as "winging" scapulae and pelvic tilts) to ensure the body can move through its full, natural range of motion without impingement.
Pillar 3: Functional Integration-The Output The final pillar bridges the gap between the office and the field. It uses corrective exercises to "lock in" the new neurological and mechanical patterns. This ensures that the brain recognises the corrected posture as the new "normal," allowing for high-performance movements—like jumping or turning—to be executed with stability, and power.
The 'Neuro-Mechanical Reset' and how it applies to horse rider/eventer Louise Le Geyt
Louise had her left collarbone(clavicle) removed after a crashing fall from her horse dashing any dream of competing at top level. Thanks to the CSTS System and her grit determination she resumed her eventing journey, competing at top level and winning!
Pillar 1: Neurological Calibration (Rewiring the Pain/Weakness Loop)
Without a left collarbone, Louise’s brain received "danger" signals when she wanted her horse to turn to the left, leading to muscle inhibition and weakness. Wearing the CSTS System resets these signals, teaching the brain that the shoulder is stable even without the bone, and reduces the "winging" reflex where the shoulder blade lifts away from the ribs.
Pillar 2: Mechanical Realignment (Optimising Scapular Glide)
The collarbone acts as a strut to keep the shoulder out and back. Without it, the shoulder collapses forward. This pillar focuses on manually or mechanically positioning the scapula (shoulder blade) back against the ribcage. By improving the "glide" of the shoulder blade, the CSTS System effectively acts as an external artificial collarbone.
Pillar 3: Functional Integration (Training the "New" Shoulder)
This is where Louise’s riding comes in. By performing sport-specific movements (like holding the reins or bracing for a jump) while the CSTS System provides support, her nervous system learns to use her back muscles (the serratus anterior and rhomboids) to hold the shoulder blade in place. This "locks in" the stability required for international-level eventing.
Pillar 2: Mechanical Realignment (Optimising Scapular Glide)
The collarbone acts as a strut to keep the shoulder out and back. Without it, the shoulder collapses forward. This pillar focuses on manually or mechanically positioning the scapula (shoulder blade) back against the ribcage. By improving the "glide" of the shoulder blade, the CSTS Systemcan then more effectively act as an external "brace" or artificial collarbone.
Pillar 3: Functional Integration (Training the "New" Shoulder)
This is where Louise’s riding comes in. By performing sport-specific movements (like holding the reins or bracing for a jump) while the CSTS System provides support, her nervous system learns to use her back muscles (the serratus anterior and rhomboids) to hold the shoulder blade in place. This "locks in" the stability required for international-level eventing.
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PATENTED BRACE DESIGN
01
INTEGRATED SHOULDER RETRACTION SYSTEM:
Optimises the biomechanical relationship between the proximal segments (shoulder complex) & the distal foundation (pelvic girdle).
02
NERVE & BLOOD VESSEL PROTECTION:
Anterior high-resistance padding prevents axillary soft tissue impingement & neurovascular compression (brachial plexus & axillary artery/vein) in the underarm during tensioning.
03
SCAPULAR CONTROL:
Anatomically contoured scapular pads place targeted pressure over the scapulae (shoulder blades), applying a corrective force, securing scapulae to the thorax (chest wall).
04
FLEXIBLE REINFORCEMENT:
Integrated, flexible orthotic stays anteriorly for thoracic and diaphragmatic elevation and paravertebrally to support the spine, ensuring unrestricted range of motion.
05
ANTERIOR & POSTERIOR ASPECTS:
Sub-axillary straps pass under the armpit, apply a controlled, opposing force to anterior and posterior aspects of the brace. Delivers scapular stabilisation promoting scapulothoracic approximation and achieving truncal stabilisation.
06
GILET STYLE DESIGN:
Offers greater surface area coverage enhancing bracing efficacy and improving patient acceptance & compliance.
UNIQUE FABRIC TECHNOLOGY
Ultra-Breathable, Sweat-free: The unique structure maximises air permeability, allowing moisture and heat vapour to escape efficiently. This active breathability eliminates the sweatiness and overheating typical of standard bracing.
Exceptionally Light & Low Profile: 4-way dynamic stretch and strength, a second skin feel without stiffness or bulk, encouraging confident, natural movement.
Hypoallergenic, Antimicrobial, Antibacterial: Actively eliminating risk of rash, allergic reaction, and contact dermatitis.
Optimal Neuro-Sensation: The light structure ensures uninterrupted surface skin sensory nerves flow, even when under high tension.
Free From Rubber & Latex: Completely FREE of irritating rubber, foam and latex.The Result: Wear 24/7 with total confidence.
The Result: Wear 24/7 with total confidence.
More About Our Champions
The CSTS System was developed in collaboration with Professor Angus Wallace, FRCS, and Mr. Ian Bayley, FRCS, both members of the pioneering group of four surgeons credited with establishing modern shoulder surgery in Britain.
Mr Ian Bayley - Widely regarded as the leading expert in neuromuscular shoulder instability. He co-developed the CSTS System and specialises in the "Neuro-Mechanical Reset.
Happy Customers
Louise Le Geyt, Event Rider
"After losing my left collarbone, I truly believed my riding career was over. I struggled with 'winging' shoulder blades (as you can see from my video), resulting in significant weakness, which made technical cross-country lines and left-hand turns incredibly difficult.
AnglelMed's CSTS System changed everything for me. It provides the structural support I need, compensating for my missing collarbone and stabilising my shoulders.
Since wearing it for training and under my body protector in competition, I’ve achieved goals I once thought impossible—including competing internationally and fulfilling my lifelong dream of riding at the Badminton Horse Trials."
Mark Merrin
Three and half years ago I was involved in a dreadful road traffic accident (RTC) in which I incurred a number injuries with my right arm and shoulder being the worst.
Many surgeries later, bone graphs screws. plates. etc., proformed by the incredible Prof Lee, still left me with limited elevation of my right arm. Mr Yewlett then took charge, another phenomenal man who helped with more procedures which certainly aided with arm elevation but the root cause was with my right scapula winging through the wrong muscles trying to do the right job, like stopping a car with a hand brake not the pedal, the car will slow down but not by the right means.
I was then introduced to one of the most passionate and devoted woman you could ever meet, Barbara the founder of Angel Med. Barbara measured and fitted a bespoke scapula gilet and I was instructed to wear it every waking hour for six months, which I did, with the gilets construction and manoeuvrable padded parts it wouldn't allow my scapula to wing (stick out) so when lifting my arm, it reintroduced the correct muscle group to get back to work and reteach my muscle memory.
It's now been 18 months since I was referred to Barbara and from my first visit when I could only lift my arm 50% on a good day I can now raise my arm, like a child in a class room, and if things start to stiffen I simply put back on the gilet for a day or two untill thing's get back to normal.
I'm so grateful to all the incredible people who have put me back together and helped with my recovery, and Barbara who when the surgery's were over, her gilet got parts fully moving in a way I thought could never happen.
Thank you all from the bottom of my heart.
Mark
Mark
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The CSTS System must be fitted by a medical professional.
How can I get one?
NHS
Available following directional injection procedure to the shoulder. Currently available through the NHS United Lincolnshire Hospitals Trust (ULHT). Mr Alun Yewlett FRCS.
For more info call: 07968510452
Healthcare Insurance
Shoulder consultants at 108 Harley Street, The LIPS Clinic Battersea, Circle Group at The Lincoln Hospital, Lincoln, and The Clementine Churchill Hospital, Harrow.
Call: 07968510452
Privately Funded
Purchase from website with the option to arrange a consultation from Mr Ian Bayley FRCS at 75 Harley Street or Mr Alun Yewlett FRCS at 108 Harley Street, London. Other accredited medical practitioners available
Call: 07968510452
Scapular Dyskinesis (SD) or winging scapula characterised by abnormal Scapulothoracic abnormal motion (STAM)
Scapulothoracic abnormal motion (STAM) is a group of scapular conditions, including scapular dyskinesis and medial or lateral scapular winging that can lead to chronic pain, weakness, limited motion, and deformity. Its complex etiology and subtle presentation mean its effects are often underdiagnosed or overlooked by practitioners. While challenging to correct, the condition is treatable, necessitating protocols that address all degrees of severity. A key complication in treating SD is the relative paucity of mechanoreceptors within the scapular musculature. These sensory receptors are crucial for the rapid transmission of positional information to the central nervous system (CNS), allowing the brain to accurately perceive scapular joint position (proprioception).
Why is good posture so difficult to achieve?
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Modern sedentary lifestyles significantly contribute to the development of postural dysfunction and a subsequent reduction in neuromuscular memory (motor learning) essential for maintaining orthostatic alignment. This chronic deviation induces muscle imbalance and compensatory recruitment, leading to hypertonicity and overload in specific muscle groups. The ultimate consequence is frequently localized pain and shoulder complex kinematic dysfunction (malfunction).
The scapulothoracic girdle is paramount in determining the functional position of the glenohumeral joint, exerting a critical influence on arm strength and range of motion (ROM).
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