When measuring crutches, where should the top be placed relative to the axillary fold?

The correct placement of crutches is crucial for proper use and to prevent injury. The top of the crutches should be positioned 2-3 cm below the anterior axillary fold. This positioning allows for adequate space to prevent pressure on the axillary nerve and blood vessels, which can lead to complications such as nerve damage or vascular injury.

When the tops of the crutches are too high, it can result in discomfort and pain, and may restrict shoulder mobility. Conversely, if they are placed too low, it can alter gait and balance, making it difficult for the patient to use them effectively. The 2-3 cm distance ensures that the weight is primarily borne by the hands and not the axilla, allowing the user to maintain stability and control while walking. This guideline is widely accepted in clinical practice to promote the safe and effective use of crutches.