Arthroscopic capsular release for posttraumatic shoulder stiffness

Levy, Ofer; Webb, Matthew L.; Even, Tirtza; Venkateswaran, Balachandran; Funk, Lennard; Copeland, Stephen A.

doi:10.1016/j.jse.2007.11.014

Cited by 29 publications

(27 citation statements)

References 15 publications

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“…Levy et al [4] reported that the group, consisting of 21 patients who suffered from post-traumatic shoulder contracture as a consequence of fracture, underwent an arthroscopic capsular release, performed immediately after the surgery, and experienced a considerable mobility improvement. Mobility was decreased in the first six months, but after that the patients' condition improved.…”

Section: Discussionmentioning

confidence: 99%

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Functional results and patient satisfaction after arthroscopic capsular release of idiopathic and post-traumatic stiff shoulder

Tršek¹,

Čičak²,

Žunac³

et al. 2014

International Orthopaedics (SICOT)

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Purpose The purpose of this prospective study was to compare the functional results and patient satisfaction after arthroscopic shoulder capsular release in patients with idiopathic and posttraumatic stiff shoulder. Methods The study included 50 patients who underwent arthroscopic capsular release after failure of conservative treatment. The etiology of stiffness was either idiopathic (25 patients) or post-traumatic (25 patients). There were 28 women and 22 men with an average age of 49 years (range, 32-70 years). All patients were treated with physical therapy for a mean of six months (range, 3-12 months) before surgery. Range of motion was measured three times: 48 hours after surgery, then one month and six months after surgery. Results Constant score showed improvement for both groups of patients in the period of six months after surgery. In the group with idiopathic stiffness the score increased from 36 to 86, while in the group with post-traumatic stiff shoulder the score advanced from 32 to 91. The idiopathic stiff shoulder group had an improved active forward flexion from 90 to 161°, external rotation from 10 to 40°, and internal rotation from L5 to L1. In the post-traumatic stiff shoulder groupthe forward flexion was improved from 95 to 170°, external rotation from 13 to 40°and internal rotation from L4 to L1. Conclusion There was an improvement of range of motions and patients' satisfaction after arthroscopic shoulder capsular release and manipulation under anesthesia, equally in idiopathic and post-traumatic stiff shoulder, compared to the situation before surgery. Post-traumatic contracture patients expressed higher level of satisfaction with their shoulder function than the idiopathic stiff shoulder patients.

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Section: Discussionmentioning

confidence: 99%

“…Secondary shoulder stiffness may occur after surgery or trauma such as fracture, dislocation or injury of the soft tissue. The stiffness is typically due to a combination of capsular contracture and extracapsular adhesions [4]. The initial treatment is always conservative.…”

Section: Introductionmentioning

confidence: 99%

Functional results and patient satisfaction after arthroscopic capsular release of idiopathic and post-traumatic stiff shoulder

Tršek¹,

Čičak²,

Žunac³

et al. 2014

International Orthopaedics (SICOT)

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“…15,26 In addition to capsular release for the patient with primary adhesive capsulitis, this strategy has proven to been successful in specific situations such as shoulder stiffness secondary to birth palsy, fracture, arthroplasty, or osteoarthritis. 6,[27][28][29] Although arthroplasty remains the gold standard for treatment of advanced glenohumeral osteoarthritis, younger, more active patients often request a joint-preserving alternative. Millett et al 30 described a procedure in which a 360 capsulotomy and axillary nerve decompression (similar to our description of the ArCC procedure) are completed.…”

Section: -21mentioning

confidence: 99%

Management of the Stiff Shoulder With Arthroscopic Circumferential Capsulotomy and Axillary Nerve Release

Tao

Karas

Riboh

et al. 2017

Arthroscopy Techniques

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Management of the stiff shoulder is a common and frequently daunting clinical scenario. Arthroscopic capsular release is usually an option for management of severe, chronic glenohumeral joint contractures when conservative treatment fails. Technical hurdles including a thickened capsule, reduction in joint volume, and difficulty with positioning the shoulder intraoperatively can make this procedure challenging. In addition, incomplete release and recalcitrant stiffness are frequent issues. We believe a complete release of the capsule entails special attention to the axillary pouch and requires identification and protection of the axillary nerve. We present a technique for a complete arthroscopic circumferential capsulotomy and detail our approach to safely dissect and protect the axillary nerve under arthroscopic visualization.

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“…Dies kann zu einer langanhaltenden funktionellen Beeinträchtigung führen [72]. Ein arthroskopisches Kapselrelease ist bei frustraner konservativer erapie eine sichere und e ziente erapieoption und führt bei Patienten mit primärer oder sekundärer Frozen Shoulder zu einer schnellen und erheblichen Verbesserung der Schulterbeweglichkeit sowie zur Schmerzreduktion [73] (Abb.…”

Section: Kapselrelease Bei Frozen Shoulderunclassified

Endoskopische Schultereingriffe: sicher und effizient

Roßbach

Jansson²,

Pietschmann³

et al. 2014

Orthop. Rheuma

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Endoskopische Schultereingri e haben über die letzten zwei bis drei Jahrzehnte einen enorm hohen diagnostischen und therapeutischen Stellenwert in der Schulterchirurgie erlangt und zählen zu den häu gsten Operationen bei den orthopädischen Gelenkversorgungen [1,2]. Generell sind endoskopische Schultereingri e eine sichere und e ektive Methode zur Therapie zahlreicher unterschiedlicher Schulterpathologien [3]. Sie ermöglichen eine umfassende diagnostische Beurteilung der glenohumeralen Strukturen und des Subakromialraums [4]. Nicht nur Erwachsene, sondern auch Kinder und Jugendliche können sehr gut mit endoskopischen Eingri en versorgt werden [5].

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Arthroscopic capsular release for posttraumatic shoulder stiffness

Cited by 29 publications

References 15 publications

Functional results and patient satisfaction after arthroscopic capsular release of idiopathic and post-traumatic stiff shoulder

Functional results and patient satisfaction after arthroscopic capsular release of idiopathic and post-traumatic stiff shoulder

Management of the Stiff Shoulder With Arthroscopic Circumferential Capsulotomy and Axillary Nerve Release

Endoskopische Schultereingriffe: sicher und effizient

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