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

Tao, Matthew A.; Karas, Vasili; Riboh, Jonathan C.; Laver, Lior; Garrigues, Grant E.

doi:10.1016/j.eats.2016.10.005

Cited by 13 publications

(6 citation statements)

References 31 publications

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“…23 Axillary nerve palsy is a known complication following arthroscopic capsular release, and this is in view of its close proximity to the axillary pouch. 24 Ogilvie-Harris et al described their technique which included a rotator interval release, an inferior capsular release and a release of the tendinous portion of the subscapularis tendon. 8,25 In our series, we did not encounter any patients with axillary nerve palsy, as we avoid releasing the inferior-most portion of the capsule, as advised in most surgical techniques on arthroscopic capsular release.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of arthroscopic capsular release for the diabetic frozen shoulder in Asian patients

Puah

Salieh

Yeo

et al. 2018

J Orthop Surg (Hong Kong)

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Section: Discussionmentioning

confidence: 99%

Outcomes of arthroscopic capsular release for the diabetic frozen shoulder in Asian patients

Puah

Salieh

Yeo

et al. 2018

J Orthop Surg (Hong Kong)

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“…После вмешательства во всех случаях (100%) болевой синдром уменьшился. Эндоскопия подмышечного нерва стала логическим продолжением развития артроскопической парартикулярной хирургии плечевого сустава, которая преобразовалась в концепцию комплексного артроскопического вмешательства на плечевом суставе (the comprehensive arthroscopic management procedure) [24][25][26][27].…”

Section: Discussionunclassified

Experience of endoscopic transcapsular axillary nerve decompression: а series of clinical cases

Belyak

Paskhin

Lazko

et al. 2023

Journal of Clinical Practice

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Introduction. Posttraumatic axillary nerve neuropathy is a widely spread pathology, more often is seen after shoulder joint trauma. It can be also occurred as a complication after orthopaedic surgeries, for example, after Latarjet procedure for shoulder stabilization. Endoscopic surgical technique of decompression is an effective less traumatic alternative to open procedures. Goal. Improve the results of treatment of patients with axillary nerve neuropathy. Material and methods. The results of endoscopic transcapsular axillary nerve decompression in 5 patients, which were operated from 2018 to 2021 year, with the clinics of axillary nerve neuropathy. The mean age of the patients was 44.414.9. Patients were performed endoscopic axillary nerve decompression. Statistical analysis was made according to Mann-Whitney U test. Results. According to VAS-scale the severity of pain syndrome before the surgery was 64.6 points, 6 months after decreased to 1.4 0.5 points (p0.05). According to DASH scale the function of the of shoulder joint before the surgery was 77,6 6,9 points, 6 months after decreased to 12 5,2 points (p0.05). According to BMRC scale (M0-M5) strength of the deltoid muscle was 2 0,4 points, after increased to 4,4 0,5 points (p0.05). Range of motion in a shoulder was: flexion 107 45,6, extension 102 49, external rotation 22 13,6; 6 months after: flexion 154 25,6, extension 156 22,4, external rotation 50 8 (p0,05). The thickness of deltoid muscle according to US before the surgery was 7.21.04 mm., after 6 months - 11.81.44 mm (p0.05). Conclusion. The results characterize the method of endoscopic transcapsular axillary nerve decompression as a reproducible, minimally invasive and effective technique for pain relief, can treat neurological and intraarticular pathology, promotes early restoration of the function of upper limb.

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“…Capsular fibrosis becomes most severe in the late stage as the inflammation subsides. Although the symptoms of AC are known to improve naturally over time, complete recovery may take up to 2 years [2,6,20,28]. There are various treatments available, including physical therapy, corticosteroid injection, manipulation under anesthesia, and surgical capsular release [13,18,29].…”

Section: Discussionmentioning

confidence: 99%

Correlations between clinical features and MRI findings in early adhesive capsulitis of the shoulder: a retrospective observational study

Choi

Kim

2020

BMC Musculoskelet Disord

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Background: This retrospective study investigated the association between clinical features and MRI findings in patients with early adhesive capsulitis of the shoulder. Methods: The study included 29 patients with early adhesive capsulitis of the shoulder. The clinical diagnostic criteria were significantly restricted passive range of motion (ROM) and a symptom duration of up to 9 months. Various measurements related to adhesive capsulitis, including humeral and glenoid capsular thickness in the axillary recess, maximal axillary capsular thickness, coracohumeral ligament thickness, and anterior capsular thickness were measured on MRI. Abnormal humeral and glenoid capsular hyperintensity in the axillary recess, abnormal hyperintensity in the rotator interval, and obliteration of the subcoracoid fat triangle were also evaluated. Correlations between MRI findings and clinical features, including limited ROM, pain, and symptom duration were sought. Results: Maximal axillary and humeral capsular thickness measured on MRI were negatively correlated with ROM for internal rotation. Also, hyperintensity in axillary recess and glenoid capule were correlated with ROM for abduction. Humeral capsular hyperintensity was correlated with ROM for forward flexion. There were no MRI findings that showed correlations with ROM for external rotation and severity of pain. The hyperintensity in the humeral capsule among MRI findings was only correlated with duration of symptoms. Conclusions: MRI can be useful for assessment of several measures of clinical impairment in patients with adhesive capsulitis. Thickening and hyperintensity of the joint capsule in the axillary recess on MRI is associated with limited ROM and duration of symptoms.

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

Cited by 13 publications

References 31 publications

Outcomes of arthroscopic capsular release for the diabetic frozen shoulder in Asian patients

Outcomes of arthroscopic capsular release for the diabetic frozen shoulder in Asian patients

Experience of endoscopic transcapsular axillary nerve decompression: а series of clinical cases

Correlations between clinical features and MRI findings in early adhesive capsulitis of the shoulder: a retrospective observational study

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