Arthroscopic treatment of adhesive capsulitis

Segmüller, Helen E.; Taylor, David E.; Hogan, Charlotte; Saies, Andrew D.; Hayes, Marie J.

doi:10.1016/s1058-2746(05)80030-8

Cited by 111 publications

(69 citation statements)

References 20 publications

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“…22 Inferior capsular restrictions are most often linked with reduced abduction ROM. 55 As greater than 90% of the subjects in the present study had full active ROM for abduction, this area of the capsule was not a focus in our investigation.…”

Section: Discussionmentioning

confidence: 82%

Translations of the Humerus in Persons With Shoulder Impingement Symptoms

Ludewig¹,

Cook

2002

J Orthop Sports Phys Ther

181

134

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Study Design: Two-group mixed-model analysis of covariance and correlation analysis. Objectives: To determine whether differences in humeral translations exist between patients with shoulder impingement symptoms and an asymptomatic comparison group, and if so, to determine if shoulder range-of-motion (ROM) measures are associated with abnormal translations. Background: Abnormal translations of the humeral head are believed to reduce the available subacromial space and to contribute to the development or progression of shoulder impingement symptoms. These abnormal translations have also been theorized to be related to tightness of the posterior capsule and decreased shoulder ROM. Methods and Measures: Three-dimensional humeral translations were tracked in symptomatic construction workers and an asymptomatic comparison group while elevating the arm in the scapular plane under no-load, 2.3-kg, and 4.6-kg hand-load conditions. Between-group comparisons were made across 3 phases of motion (30°-60°, 60°-90°, and 90°-120°) and the association between humeral translations and cross-body adduction and shoulder internal rotation ROM measures were determined by Pearson correlation analysis. Results: Persons with shoulder symptoms demonstrated small but significant changes in anterior-posterior translations of the humerus. These changes for the 90°-120°phase of humeral elevation were moderately negatively associated with available cross-body adduction ROM. Conclusions:The identified kinematic deviations are consistent with possible reductions of the subacromial space. Further study of relationships between posterior capsule tightness, rotator cuff function, and abnormal humeral translations is warranted to better delineate underlying kinematic mechanisms that may contribute to shoulder impingement symptoms and to refine rehabilitation techniques. J Orthop Sports Phys Ther 2002;32:248-259. Keywords: biomechanics, kinematics, shoulder motion abnormalitiesA bnormal kinematics of the shoulder have been associated with shoulder pathologies including impingement, instability, and rotator cuff tears. 27,39,40,63,67 It has been estimated that rotator cuff problems, including impingement and associated rotator cuff tendonitis and bursitis, account for nearly one-third of physician visits for shoulder pain complaints.42 If

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Section: Discussionmentioning

confidence: 82%

Translations of the Humerus in Persons With Shoulder Impingement Symptoms

Ludewig¹,

Cook

2002

J Orthop Sports Phys Ther

181

134

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“…Some researchers, however, suggest that there are subgroups of this condition, due to the different areas of the capsule identified as having developed contractures. 55,56 If these subgroups can be identified by accessory motion testing, then different mobilization directions may be warranted. For example, there were 2 subjects in the AM group who had relatively good external rotation ROM gains (13° and 18°).…”

Section: External Rotation Rommentioning

confidence: 99%

“…57 A disability of this duration places severe emotional and economic hardship on the afflicted person. 42,56 Most patients are unwilling to suffer this pain, prolonged disability, and sleep deprivation without seeking treatment. 38,46,64 Most authorities agree that adhesive capsulitis is caused by inflammation of the joint capsule and synovium that eventually results in the formation of capsular contractures.…”

mentioning

confidence: 99%

The Effect of Anterior Versus Posterior Glide Joint Mobilization on External Rotation Range of Motion in Patients With Shoulder Adhesive Capsulitis

Johnson¹,

Godges²,

Zimmerman³

et al. 2007

J Orthop Sports Phys Ther

139

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“…3 Further treatment, including surgery, is reserved for resistant cases or functionally compromised patients. Options include manipulation under anaesthesia [4][5][6] with or without corticosteroid and local anaesthetic injection, arthroscopic release 7 and open release. 8 Our preference is for manipulation under anaesthetic (MUA) with a corticosteroid (depo-medrone) and local anaesthetic (bupivacaine) injection.…”

mentioning

confidence: 99%

Treatment of frozen shoulder by manipulation under anaesthetic and injection

Thomas

Jenkins

Owen

et al. 2011

The Journal of Bone and Joint Surgery. British volume

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The effect of timing of a manipulation under anaesthetic (MUA) and injection of corticosteroid and local anaesthetic for the treatment of frozen shoulder has attracted little attention to date. All studies describe a period of conservative treatment before proceeding to an MUA. Delay has been associated with a poorer outcome. We present a retrospective review of a prospectively collected, single-surgeon, consecutive series of 246 patients with a primary frozen shoulder treated by MUA within four weeks of presentation. The mean duration of presenting symptoms was 28 weeks (6 to 156), and time to initial post-operative assessment was 26 days (5 to 126). The Oxford shoulder score (OSS) improved by a mean of 16 points (Wilcoxon signed-ranks test, p < 0.001) with a mean OSS at this time of 43 (7 to 48). Linear regression analysis showed no correlation between the duration of presenting symptoms and OSS at initial follow-up (R2 < 0.001) or peri-operative change in OSS (R2 < 0.001) or OSS at long-term follow-up (R2 < 0.03). Further analysis at a mean of 42 months (8 to 127) revealed a sustained improvement with a mean OSS of 44 (16 to 48). A good outcome follows an MUA and injection of corticosteroid and local anaesthetic in patients with primary frozen shoulder, independent of the duration of the presenting symptoms, and this improvement is maintained in the long term.

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Arthroscopic treatment of adhesive capsulitis

Cited by 111 publications

References 20 publications

Translations of the Humerus in Persons With Shoulder Impingement Symptoms

Translations of the Humerus in Persons With Shoulder Impingement Symptoms

The Effect of Anterior Versus Posterior Glide Joint Mobilization on External Rotation Range of Motion in Patients With Shoulder Adhesive Capsulitis

Treatment of frozen shoulder by manipulation under anaesthetic and injection

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