Adhesive Capsulitis: Diagnosis, Etiology, and Treatment Strategies

Gordon, Joshua A.; Breitbart, Eric A.; Austin, Daniel C.; Photopoulos, Christos; KellyIV, John D.

doi:10.1007/978-3-319-25103-5_14

Cited by 6 publications

(6 citation statements)

References 97 publications

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“…Furthermore, the absence of long-term follow-up data restricts our understanding of the sustained efficacy of these treatment modalities. [22,23] The clinical implications of our study are significant. The results suggest that a more aggressive yet comprehensive surgical approach may be beneficial for patients with FS.…”

Section: Discussionmentioning

confidence: 86%

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Impact of open bursectomy and biceps tendon release with closed manipulation in frozen shoulder

Menekse,

Karatas,

Zora

2024

Medicine

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This retrospective observational study evaluated the efficacy of 2 different surgical approaches for the treatment of frozen shoulder (adhesive capsulitis). This study aimed to compare the efficacy, safety, and recovery times of the 2 treatment modalities. Fifty patients diagnosed with frozen shoulder and treated at Seyhan State Hospital were included in the study. The patients were retrospectively divided into 2 groups based on the treatment received. Group 1 consisted of 25 patients who underwent standard closed manipulation under anesthesia, a technique involving passive movements of the shoulder joint to tear the tight capsule and expand the range of motion (ROM). Group 2, which included 25 patients, underwent closed manipulation in addition to open bursectomy and biceps tendon capsule release. Open bursectomy involves surgical removal of the bursa to alleviate inflammation, while biceps tendon capsule release addresses chronic biceps tendonitis by partially removing the capsule of the tendon. Data on demographic information, operative details, preoperative and postoperative conditions, and patient-reported outcomes were collected and analyzed. Data analysis revealed that the combination of closed manipulation with open bursectomy and biceps tendon capsule release was more effective in reducing pain, increasing ROM, and improving quality of life than closed manipulation alone. The discussion would typically elaborate on how the results compare with existing literature, the clinical implications, and any potential limitations of the study. The results showed that the method that combined closed manipulation with open bursectomy and biceps tendon capsule release was better than closed manipulation alone in terms of reducing pain, increasing ROM, and improving quality of life.

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Section: Discussionmentioning

confidence: 86%

“…Furthermore, the absence of long-term follow-up data restricts our understanding of the sustained efficacy of these treatment modalities. [ 22 , 23 ]…”

Section: Discussionmentioning

confidence: 99%

Impact of open bursectomy and biceps tendon release with closed manipulation in frozen shoulder

Menekse,

Karatas,

Zora

2024

Medicine

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“…Adhesive capsulitis commonly affects about 2-3% of the general population and up to 5% in certain populations [4,23,24]. Adhesive capsulitis can occur as a primary or secondary disorder.…”

Section: Discussionmentioning

confidence: 99%

Usefulness of combined handheld ultrasound and fluoroscopy-guided injection in adhesive capsulitis of the shoulder: A prospective, randomized single blind-pilot study

Park

Ryu²,

Cho

et al. 2022

BMR

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BACKGROUND: Ultrasound is increasingly being utilized in the diagnosis and treatment of adhesive capsulitis. OBJECTIVE: To compare the therapeutic effects and advantages of combined handheld ultrasound and fluoroscopy-guided intra-articular corticosteroid injection with those of conventional ultrasound-guided corticosteroid injection in adhesive capsulitis of the shoulder. METHODS: A total of 39 patients diagnosed with adhesive capsulitis of the shoulder were randomly assigned into two groups. Group A patients (n= 19) underwent combined handheld ultrasound and fluoroscopy-guided corticosteroid injection and group B patients (n= 20) underwent conventional ultrasound-guided corticosteroid injection to the intra-articular space of the shoulder twice. Treatment efficacy was assessed at 2 and 6 weeks after the final injection, based on the verbal numeric pain scale, Shoulder Pain and Disability Index, and range of motion. Secondary outcome measures were the accuracy and procedure time. RESULTS: Both injection methods were effective in the treatment of adhesive capsulitis. No significant differences in treatment efficacy and injection accuracy were observed between the two groups (p> 0.05). CONCLUSIONS: This study showed no statistical differences in treatment efficacy between 2 groups. However, the combined use of ultrasound and fluoroscopy can increase the accuracy of injection compared with conventional ultrasound alone.

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“…3,4 In addition to diabetes, risk factors for developing AC include trauma, thyroid disease and female sex. 1 In cases where conservative treatment fails, surgical management is considered. This includes manipulation under anesthesia (MUA) often in combination with arthroscopic capsular release.…”

Section: Introductionmentioning

confidence: 99%

“…Adhesive capsulitis (AC) is characterized by progressive loss of active and passive motion of the shoulder, leading to stiffness and pain. 1 , 2 This condition is known to affect 2–5% of the general population and a higher proportion of patients with diabetes (10–36%). 3 , 4 In addition to diabetes, risk factors for developing AC include trauma, thyroid disease and female sex.…”

Section: Introductionmentioning

confidence: 99%

Comparing surgical outcomes of anterior capsular release vs circumferential release for persistent capsular stiffness

et al. 2022

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Purpose To consolidate the existing literature evaluating anterior capsular release and circumferential capsular release in the treatment of adhesive capsulitis (AC) of the shoulder. Methods The electronic databases PUBMED, EMBASE, MEDLINE and CENTRAL (Cochrane Central Register of Controlled Trials) were searched from data inception to October 8, 2020. Data are presented descriptively where appropriate. A meta-analysis was conducted for patient-reported outcomes. Results Overall, there were forty-six articles included. The majority of patients underwent circumferential release compared to anterior release (80.1% vs. 19.9%). Concomitant Manipulation Under Anesthesia (MUA) was employed in 25 studies, with a higher occurrence in the anterior compared to the circumferential release group (70% vs 60%). Both groups experienced significant improvements postoperatively in range of motion (ROM) and patient-reported outcomes. Complication rates were low for both anterior release (0.67%) and 360° release (0.44%). Conclusion Both anterior and circumferential release are effective techniques for treating AC with low complication rates. Future studies should improve documentation of patient demographics, surgical techniques and outcomes to determine an individualized treatment protocol for patients. Level of evidence Level IV, Systematic Review of Level I–IV studies.

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Adhesive Capsulitis: Diagnosis, Etiology, and Treatment Strategies

Cited by 6 publications

References 97 publications

Impact of open bursectomy and biceps tendon release with closed manipulation in frozen shoulder

Impact of open bursectomy and biceps tendon release with closed manipulation in frozen shoulder

Usefulness of combined handheld ultrasound and fluoroscopy-guided injection in adhesive capsulitis of the shoulder: A prospective, randomized single blind-pilot study

Comparing surgical outcomes of anterior capsular release vs circumferential release for persistent capsular stiffness

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