A shoulder traction and rotation sleeve including a soft traction boot designed to cradle the arm, forearm and wrist in a proper position during arthroscopic shoulder surgery. The traction boot may be formed of a flat foam or a spandex material. The sleeve further includes at least one silicon impregnated webbing strip on the inside of the traction boot to maintain engagement with the arm and prevent migration. The sleeve may further include a traction strap formed of a nylon webbing and a D-ring traction loop.