Arthroscopic release of adhesive capsulitis

Berghs, Bart; Sole-Molins, Xavier; Bunker, Tim

doi:10.1016/j.jse.2003.12.004

Cited by 106 publications

(86 citation statements)

References 26 publications

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“…Several authors believe the RCI and the contracted coracohumeral ligament are the only structures requiring release. 7,86,87,124 Berghs 7 demonstrated impressive short-and long-term results (mean follow-up, 14.8 months) in 25 patients with primary frozen shoulder who had just the RCI and coracohumeral ligament released. Other authors selectively release additional portions of the CLC, such as the superior and middle glenohumeral ligament, 6,50 inferior glenohumeral ligament, 38,85,91,122 the intra-articular component of the subscapularis tendon, 29,85,91,122 and the posterior capsule.…”

Section: Level 5 J Orthop Sportsmentioning

confidence: 97%

See 1 more Smart Citation

Frozen Shoulder: Evidence and a Proposed Model Guiding Rehabilitation

Kelley¹,

McClure²,

Leggin³

2009

J Orthop Sports Phys Ther

193

171

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Frozen shoulder, or adhesive capsulitis, describes the common shoulder condition characterized by painful and limited active and passive range of motion (ROM). Frozen shoulder is reported to affect 2% to 5% of the general population, 4,13,64,88 increasing to 10% to 38% in patients with diabetes and thyroid disease. 4,5,13,64,71,88 Individuals with primary frozen shoulder are commonly between 40 and 65 years old, 79,82,83 and the incidence appears higher in females than males. 4,9,43,64,71,109 The occurrence of frozen shoulder in 1 shoulder increases the risk of contralateral shoulder involvement by 5% to history, clinical presentation, and recovery. Codman 22 described frozen shoulder as "a condition difficult to define, difficult to treat, and difficult to explain from the point of view of pathology." Nevaiser 80 introduced the term adhesive capsulitis to describe the inflamed and fibrotic condition of the capsuloligamentous tissue. The term frozen shoulder will be used, because it encompasses both primary frozen shoulder (adhesive capsulitis) and secondary frozen shoulder related to systemic disease and extrinsic or intrinsic factors, excluding cerebral vascular accident, proximal humeral fracture, and causative rotator cuff or labral pathology. This paper will present an overview of the classification, etiology, pathology, examination, and plan of care for frozen shoulder.T he absence of standardized nomenclature for frozen shoulder causes confusion in the literature. Lundberg 64 first described a classification system identifying primary frozen shoulder as idiopathic and secondary frozen shoulder as posttraumatic. Nash and Hazelman 77 expanded the classification system by including diseases such as diabetes mellitus, myocardial infarction, or various neurologic disorders under secondary frozen shoulder. Zuckerman 128 proposed a classification schema where primary 34%, and simultaneous bilateral shoulder involvement occurs as often as 14% of the time. 16,39,64,107 To date, the etiology of frozen shoulder remains unclear; however, patients typically demonstrate a characteristic Frozen shoulder or adhesive capsulitis describes the common shoulder condition characterized by painful and limited active and passive range of motion. The etiology of frozen shoulder remains unclear; however, patients typically demonstrate a characteristic history, clinical presentation, and recovery. A classification schema is described, in which primary frozen shoulder and idiopathic adhesive capsulitis are considered identical and not associated with a systemic condition or history of injury. Secondary frozen shoulder is defined by 3 subcategories: systemic, extrinsic, and intrinsic. We also propose another classification system based on the patient's irritability level (low, moderate, and high), that we believe is helpful when making clinical decisions regarding rehabilitation intervention. Nonoperative interventions include patient education, modalities, stretching exercises, joint mobilization, and corticosteroid injections. Gle...

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Section: Level 5 J Orthop Sportsmentioning

confidence: 97%

“…1,7,38,43,50,[85][86][87]90,93,106,123,124 Unfortunately, varied inclusion criteria, different treatment protocols, and various outcome assessments render study comparison difficult. One of the major difficulties in assessing efficacy is success criterion.…”

Section: Level 5 J Orthop Sportsmentioning

confidence: 99%

Frozen Shoulder: Evidence and a Proposed Model Guiding Rehabilitation

Kelley¹,

McClure²,

Leggin³

2009

J Orthop Sports Phys Ther

193

171

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“…In 1934, Codman wrote in ''The Shoulder'' [1] that ''Severe night pain is typical in a patient with rotator cuff pathology.'' Rotator cuff pathology with night pain has been reported to arise from impingement [2], increasing subacromial pressure [3,4], changing skin temperature [5] or synovitis [6,7]. However, no consensus concerning the underlying cause of night pain in patients with shoulder problems has been reached.…”

Section: Introductionmentioning

confidence: 99%

Increased blood flow in the anterior humeral circumflex artery correlates with night pain in patients with rotator cuff tear

Terabayashi

Watanabe

Matsumoto

et al. 2014

Journal of Orthopaedic Science

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“…Hierfür hat sich als operative Maßnahme die arthroskopische Arthrolyse mit einer hohen Erfolgsrate und geringen Risiken gegenüber offenen Verfahren und der alleinigen Narkosemobilisation durchgesetzt [1,5,11,15]. Das Prinzip einer arthroskopisch geschlossenen Eröffnung der gesamten Gelenkkapsel ist mit verschiedenen Techniken zu erreichen [2,4,5,8,10,17]. Mehrere Autoren nutzen eine Narkosemobilisation nach der arthroskopischen Operation zur Vervollständigung des Release [2,4,17].…”

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“…Das Prinzip einer arthroskopisch geschlossenen Eröffnung der gesamten Gelenkkapsel ist mit verschiedenen Techniken zu erreichen [2,4,5,8,10,17]. Mehrere Autoren nutzen eine Narkosemobilisation nach der arthroskopischen Operation zur Vervollständigung des Release [2,4,17]. Die Anwendung bipolarer Elektroden wird empfohlen, um den Nervus axillaris bei der Durchtrennung des kaudalen Kapselgewebes nicht zu schädigen [8,9,11,18].…”

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Arthroskopische Arthrolyse bei Schultersteife

Berndt

Elki

Sedlinsch

et al. 2014

Oper Orthop Traumatol

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The literature shows good functional results with age- and gender-related Constant scores greater than 75 %. Our retrospective inquiry of 37 cases with a mean follow-up of 40 months confirms this outcome. The disease duration was shortened by arthroscopic release. Ability to work was achieved after a mean of 1.9 months; treatment ended 3.6 months after operation. In 10 cases with secondary shoulder stiffness, residual symptoms remained.

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Arthroscopic release of adhesive capsulitis

Cited by 106 publications

References 26 publications

Frozen Shoulder: Evidence and a Proposed Model Guiding Rehabilitation

Frozen Shoulder: Evidence and a Proposed Model Guiding Rehabilitation

Increased blood flow in the anterior humeral circumflex artery correlates with night pain in patients with rotator cuff tear

Arthroskopische Arthrolyse bei Schultersteife

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