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

Erdogan, Safiya; Sakha, Seaher; Shanmugaraj, Ajaykumar; Prada, Carlos; Frank, Rachel M.; Leroux, Timothy; Khan, Moin

doi:10.1177/17585732221092016

Cited by 2 publications

(2 citation statements)

References 70 publications

(409 reference statements)

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“…However, some patients still have an inadequate response to conservative treatment and require surgical intervention. Arthroscopic joint capsule release is the most frequently performed surgical procedure for this condition [11,12].…”

Section: Discussionmentioning

confidence: 99%

The effect of platelet-rich plasma combined with arthroscopic release in the treatment of frozen shoulder

Yang,

Chen,

et al. 2024

Preprint

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Objective To evaluate the efficacy of platelet-rich plasma (PRP) combined with arthroscopic release in the treatment of frozen shoulder. Method A retrospective analysis was conducted on 50 frozen shoulder patients admitted to the Orthopedics Department of Wuhan Third Hospital from January 2019 to January 2023. The two groups were divided according to the difference in postoperative medication injection: the PRP group (25 patients) and the triamcinolone acetonide (TC) group (25 patients). The basic information of the two groups of patients was documented and compared. The Visual Analog Scale (VAS), Constant-Murley Shoulder Function Score (CMS), the Rotator Cuff Quality-of-life Measure (RC-QOL) , and the range of motion of active forward flexion, abduction, and external rotation of the shoulder were recorded and compared before surgery and at 1 month, 3 months, 6 months, and 12 months after surgery. Results There were no significant differences in basic demographic information, such as age, sex, disease course, affected side, between the two groups of patients. Moreover, there were no statistically significant differences in the preoperative VAS score, CMS, or joint range of motion between the two groups of patients. Compared to the preoperative values, both groups of patients exhibited significant differences in the VAS score and CMS at each observation time point after surgery. Additionally, there was no statistically significant difference in CMS at 1 month and 3 months after surgery. At 6 months and 12 months after surgery, the patients in the PRP group had significantly higher CMS scores compared to those in the triamcinolone acetonide group. Within 6 months after surgery, the PRP group exhibited better range of motion in all directions compared to the triamcinolone acetonide group, with statistically significant differences. The RC-QOL scores of patients in the PRP group were higher than those in the triamcinolone acetonide group at 6 and 12 months after surgery. Conclusion PRP combined with arthroscopic release can effectively alleviate pain in frozen shoulder and improve shoulder joint function, making it an effective treatment plan.

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Section: Discussionmentioning

confidence: 99%

The effect of platelet-rich plasma combined with arthroscopic release in the treatment of frozen shoulder

Yang,

Chen,

et al. 2024

Preprint

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“…The anterior-inferior capsular release yields satisfactory results in terms of symptom resolution, pain reduction, functional recovery and ROM improvement. Additional manoeuvres may be performed in specific cases at the discretion of the surgeon, but none of them seem to be necessary for achieving better outcomes compared to the classical technique [53][54][55].…”

Section: Surgerymentioning

confidence: 99%

A high level of scientific evidence is available to guide treatment of primary shoulder stiffness: The SIAGASCOT consensus

Cucchi,

Di Giacomo,

Compagnoni

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeShoulder stiffness (SS) is a condition characterised by active and passive restricted glenohumeral range of motion, which can occur spontaneously in an idiopathic manner or be associated with a known underlying aetiology. Several treatment options are available and currently no consensus has been obtained on which treatment algorithm represents the best choice for the patient. Herein we present the results of a national consensus on the treatment of primary SS.MethodsThe project followed the modified Delphi consensus process, involving a steering, a rating and a peer‐review group. Sixteen questions were generated and subsequently answered by the steering group after a thorough literature search. A rating group composed by professionals specialised in the diagnosis and treatment of shoulder pathologies rated the question–answer sets according to the scientific evidence and their clinical experience.ResultsRecommendations were rated with an average of 8.4 points out of maximum 9 points. None of the 16 answers received a rating of less than 8 and all the answers were considered as appropriate. The majority of responses were assessed as Grade A, signifying a substantial availability of scientific evidence to guide treatment and support recommendations encompassing diagnostics, physiotherapy, electrophysical agents, oral and injective medical therapies, as well as surgical interventions for primary SS.ConclusionsA consensus regarding the conservative and surgical treatment of primary SS could be achieved at a national level. This consensus sets basis for evidence‐based clinical practice in the management of primary SS and can serve as a model for similar initiatives and adaptable guidelines in other European countries and potentially on a global scale.Level of Evidence: Level I.

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

Cited by 2 publications

References 70 publications

The effect of platelet-rich plasma combined with arthroscopic release in the treatment of frozen shoulder

The effect of platelet-rich plasma combined with arthroscopic release in the treatment of frozen shoulder

A high level of scientific evidence is available to guide treatment of primary shoulder stiffness: The SIAGASCOT consensus

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