Arthroscopic capsular release for refractory shoulder stiffness

Fernandes, Marcos Rassi

doi:10.1016/j.ramb.2013.02.004

Cited by 18 publications

(19 citation statements)

References 31 publications

(65 reference statements)

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“…Immobilized rat shoulders demonstrated similar structural changes of capsular folding, adhesion, decreased synovial length, and lack of improvement with myotomy (25). Clinically, shoulder capsulotomy increased range of motion without intervention on shoulder muscles (3,11,16).…”

Section: B C Amentioning

confidence: 89%

Quantitative and temporal differential recovery of articular and muscular limitations of knee joint contractures; results in a rat model

Trudel

Laneuville

Coletta

et al. 2014

Journal of Applied Physiology

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Joint contractures alter the mechanical properties of articular and muscular structures. Reversibility of a contracture depends on the restoration of the elasticity of both structures. We determined the differential contribution of articular and muscular structures to knee flexion contractures during spontaneous recovery. Rats (250, divided into 24 groups) had one knee joint surgically fixed in flexion for six different durations, from 1 to 32 wk, creating joint contractures of various severities. After the fixation was removed, the animals were left to spontaneously recover for 1 to 48 wk. After the recovery periods, animals were killed and the knee extension was measured before and after division of the transarticular posterior muscles using a motorized arthrometer. No articular limitation had developed in contracture of recent onset (≤2 wk of fixation, P > 0.05); muscular limitations were responsible for the majority of the contracture (34 ± 8° and 38 ± 6°, respectively; both P < 0.05). Recovery for 1 and 8 wk reversed the muscular limitation of contractures of recent onset (1 and 2 wk of fixation, respectively). Long-lasting contractures (≥4 wk of fixation) presented articular limitations, irreversible in all 12 durations of recovery compared with controls (all 12 P < 0.05). Knee flexion contractures of recent onset were primarily due to muscular structures, and they were reversible during spontaneous recovery. Long-lasting contractures were primarily due to articular structures and were irreversible. Comprehensive temporal and quantitative data on the differential reversibility of mechanically significant alterations in articular and muscular structures represent novel evidence on which to base clinical practice.

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Section: B C Amentioning

confidence: 89%

Quantitative and temporal differential recovery of articular and muscular limitations of knee joint contractures; results in a rat model

Trudel

Laneuville

Coletta

et al. 2014

Journal of Applied Physiology

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“…There were 2 studies (2 LD position) 3,4 that performed ACR by release of only the rotator cuff interval and the contracted coracohumeral ligament, 1 study (1 BC position) 28 by release of the superior edge of the subscapularis, 12 studies (8 BC position, 8,16,17,33,36,42,43,45 4 LD position 5,22,30,41 ) by release of the anterior capsule, 11 studies (6 BC position, 8,16,17,28,33,40 5 LD position 3–5,22,30 ) by release of the posterior capsule, 1 study (1 LD position 6 ) by 270° capsulectomy, and 12 studies (4 BC position, 2,25,26,35 8 LD position 7,12–14,18,19,32,34 ) by 360° capsulectomy.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 16 studies (8 BC position, 8,17,25,28,33,36,40,42 8 LD position 4–6,14,22,30,34,41 ) reported CMS values. In addition, 3 studies 18,19,39 reported only individual parameters of the CMS. A BC study 42 reported only mean improvement in CMS values, 1 LD study 5 reported only the normalized CMS percentage, and another LD study 12 reported only postoperative outcome scores; these studies were consequently excluded from the analysis.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 18 studies (11 BC position, §§ 7 LD position 6,7,14,18,30,34,39 ) reported FF, 17 studies (9 BC position, ∥∥ 8 LD position 3,5,6,14,22,30,34,39 ) reported ABD, 23 studies (11 BC position, ¶¶ 12 LD position ＃＃ ) reported ER-S, 5 studies (3 BC position, 28,33,42 2 LD position 5,6 ) reported ER-ABD, and 9 studies (5 BC position, 8,28,33,36,42 4 LD position 5,6,30,34 ) reported IR-ABD. Data on ER-ABD were not provided consistently or in enough studies (3 BC position, 28,33,42 2 LD position 5,6 ) to make statistical comparisons.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 13 studies were published out of Europe, ** 4 studies were published out of South America, 18,19,32,36 4 studies were published out of Australia, 2,16,26,39 5 studies were published out of the United States, 12,17,35,42,45 and 4 studies were published out of Asia (Appendix Table A1). 6,7,34,41…”

Section: Resultsmentioning

confidence: 99%

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Outcomes of Arthroscopic Capsular Release in the Beach-Chair Versus Lateral Decubitus Position: A Systematic Review

Houck

Belk

Vidal

et al. 2019

Orthopaedic Journal of Sports Medicine

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Background:Arthroscopic capsular release (ACR) for the treatment of adhesive capsulitis of the shoulder can be performed in either the beach-chair (BC) or lateral decubitus (LD) position.Purpose:To determine the clinical outcomes and recurrence rates after ACR in the BC versus LD position.Study Design:Systematic review; Level of evidence, 4.Methods:A systematic review using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines was performed by searching PubMed, Embase, and the Cochrane Library databases for studies reporting clinical outcomes of patients undergoing ACR in either the BC or LD position. All English-language literature from 1990 through 2017 reporting on clinical outcomes after ACR with a minimum 3-month follow-up were reviewed by 2 independent reviewers. Recurrence rates, range of motion (ROM) results, and patient-reported outcome (PRO) scores were collected. Study methodological quality was evaluated using the modified Coleman Methodology Score (MCMS).Results:A total of 30 studies (3 level 1 evidence, 2 level 2 evidence, 4 level 3 evidence, 21 level 4 evidence) including 665 shoulders undergoing ACR in the BC position (38.1% male; mean age, 52.0 ± 3.9 years; mean follow-up, 35.4 ± 18.4 months) and 603 shoulders in the LD position (41.8% male; mean age, 53.0 ± 2.3 years; mean follow-up, 37.2 ± 16.8 months) were included. There were no significant differences in overall mean recurrence rates between groups (BC, 2.5%; LD, 2.4%; P = .81) or in any PRO scores between groups (P > .05). There were no significant differences in improvement in ROM between groups, including external rotation at the side (BC, 36.4°; LD, 42.8°; P = .91), forward flexion (BC, 64.4°; LD, 79.3°; P = .73), abduction (BC, 77.8°; LD, 81.5°; P = .82), or internal rotation in 90° of abduction (BC, 40.8°; LD, 45.5°; P = .70). Significantly more patients in the BC group (91.6%) underwent concomitant manipulation than in the LD group (63%) (P < .0001). There were significantly more patients with diabetes in the LD group (22.4%) versus the BC group (9.6%) (P < .0001).Conclusion:Low rates of recurrent shoulder stiffness and excellent improvements in ROM can be achieved after ACR in either the LD or BC position. Concomitant manipulation under anesthesia is performed more frequently in the BC position compared with the LD position.

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Range of Motion

Warth

Millett

2015

Physical Examination of the Shoulder

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Arthroscopic capsular release for refractory shoulder stiffness

Abstract: Arthroscopic treatment is an effective treatment for refractory shoulder stiffness.

Cited by 18 publications

References 31 publications

Quantitative and temporal differential recovery of articular and muscular limitations of knee joint contractures; results in a rat model

Quantitative and temporal differential recovery of articular and muscular limitations of knee joint contractures; results in a rat model

Outcomes of Arthroscopic Capsular Release in the Beach-Chair Versus Lateral Decubitus Position: A Systematic Review

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