Midterm Outcomes After Arthroscopic Anteroinferior Capsular Release for the Treatment of Idiophatic Adhesive Capsulitis

Ranalletta, Maximiliano; Rossi, Luciano; Zaidenberg, Ezequiel Ernesto; Campos, Carlos M.; Tanoira, Ignacio; Maignon, Gastón; Bongiovanni, Santiago

doi:10.1016/j.arthro.2016.08.024

Cited by 24 publications

(44 citation statements)

References 30 publications

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“…I believe that as an overall Level IV study (case series with no control group), the study by Ranalletta et al 1 is well constructed and well written. I agree with the conclusion that the patients did well.…”

Section: See Related Article On Page 503mentioning

confidence: 96%

“…2,3 In addition, it is much easier to release the tissue at the 5-to 6-o'clock position (right shoulder) from the posterior portal. I am not sure why Ranalletta et al 1 did not release the posterior capsule because it only takes another 5 minutes. I do not expect that the authors need to release the posteroinferior capsule in all patients, but there are some patients with stiffness who have very thick posteroinferior capsules that show much joint enlargement after release.…”

Section: See Related Article On Page 503mentioning

confidence: 99%

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Editorial Commentary: Recalcitrant Idiopathic Adhesive Capsulitis of the Shoulder

Yoo¹

2017

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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An investigation of recalcitrant idiopathic adhesive capsulitis of the shoulder showed good outcomes with arthroscopic capsular release. However, it is critical that future authors carefully define the term "recalcitrant idiopathic adhesive capsulitis" so that we are speaking the same language and that future authors include a control (nonsurgical) treatment group to better determine whether surgery is truly superior to nonsurgical treatment.

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Section: See Related Article On Page 503mentioning

confidence: 96%

Section: See Related Article On Page 503mentioning

confidence: 99%

Editorial Commentary: Recalcitrant Idiopathic Adhesive Capsulitis of the Shoulder

Yoo¹

2017

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…surgical intervention including open surgical release, arthroscopic capsular release, and manipulation under anesthesia (MUA) may be indicated [5][6][7][8][9][10][11][12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

The results of repeat manipulation under ultrasound-guided cervical nerve block (MUC) for recurrence of frozen shoulder.

Oshiro¹,

Yagi²,

Harada³

et al. 2020

Preprint

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Background This study aimed to evaluate the clinical results of a repeat manipulation under ultrasound-guided cervical nerve root block (MUC) for recurrence of idiopathic frozen shoulder after MUC. Methods A consecutive series of 42 shoulders in 39 patients with idiopathic frozen shoulder underwent MUC. All patients were assessed according to the American Shoulder Elbow Surgeon (ASES) score and shoulder range of motion (ROM) both before MUC and at one-year thereafter. If patients continued to have pain and limited ROM at 3 months after the procedure, they were offered a repeat MUC. Such patients were also assessed before the procedure and at 3 months and one-year thereafter. Results The initial MUC was successful in 31 shoulders (single group). Repeat MUC was required in 11 shoulders (repeat group). Patients in the single group showed significant improvement in ROM and ASES score at one-year after the procedure (p<0.001); similarly, patients in the repeat group had significant improvement in ROM and ASES score at 3 months and one-year after the procedure (p<0.001). Patients in the repeat group had had significantly more severely limited ROM (p<0.01) and decreased ASES score (p<0.001) before the procedure compared with those in the single group. Conclusions A repeat MUC is a valuable option before proceeding to surgery for recurrence of idiopathic frozen shoulder. When there is severely limited ROM and decreased ASES score before the MUC, a repeat MUC may be　necessary, which would require the patient’s informed consent. Trial registration Retrospectively registered.

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“… 16 , 28 , 44 – 46 This condition is most frequently treated conservatively with a combination of anti-inflammatory medications, home exercises, physical therapy, 10 , 15 , 36 and glenohumeral intra-articular corticosteroids. 31 , 34 , 38 Operative treatment consisting of manipulation under anesthesia with or without arthroscopic capsular release may be considered if patients do not improve with nonoperative measures. 42 …”

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confidence: 99%

Outcomes From Conservative Treatment of Shoulder Idiopathic Adhesive Capsulitis and Factors Associated With Developing Contralateral Disease

Lamplot

Lillegraven

Brophy

2018

Orthopaedic Journal of Sports Medicine

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Background:Idiopathic adhesive capsulitis is a common condition resulting in painful multidirectional restriction of motion without other identifiable shoulder abnormality. First-line therapies for this condition are nonoperative, but limited data are available regarding which treatments are most effective. Factors associated with contralateral disease are not well established.Hypothesis:Younger patients will have a better response to treatments, and older patients and patients with diabetes will be more likely to develop contralateral disease.Study Design:Cohort study; Level of evidence, 3.Methods:Patients diagnosed with idiopathic adhesive capsulitis were treated with a single intra-articular glenohumeral injection of local anesthetic and corticosteroid as well as 4 weeks of supervised physical therapy (PT). Patients were re-evaluated monthly and received additional conservative treatment based on failure to restore normal motion. Patient-reported outcome scores and range of motion were used to assess treatment efficacy.Results:Minimum 2-year follow-up data (mean, 3.4 years) were available for 60 of 75 eligible patients (80%). Patients who did not attend supervised PT as prescribed were more likely to undergo repeat injection due to a lack of adequate range of motion at follow-up (P = .003). Conservative therapy failed in 2 patients (3.3%), and they underwent arthroscopic release and manipulation under anesthesia. Twenty-two patients (36.7%) were subsequently diagnosed with contralateral idiopathic adhesive capsulitis, with a higher incidence in patients with diabetes (P = .009) and patients younger than 50 years (P = .005). American Shoulder and Elbow Surgeons score improved from 41.2 (95% CI, 33.0-49.4) at baseline to 92.0 (95% CI, 88.4-95.6) at final follow-up (P < .0001). Patients with diabetes had a decrease in Shoulder Activity Scale score at final follow-up (P = .049).Conclusion:Conservative treatment for idiopathic adhesive capsulitis resulted in good clinical outcomes with a low incidence of surgical intervention. Physical therapy reduced the use of a second injection as part of treatment in this treatment algorithm. Young patients and patients with diabetes may be more likely to develop contralateral disease.

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Midterm Outcomes After Arthroscopic Anteroinferior Capsular Release for the Treatment of Idiophatic Adhesive Capsulitis

Cited by 24 publications

References 30 publications

Editorial Commentary: Recalcitrant Idiopathic Adhesive Capsulitis of the Shoulder

Editorial Commentary: Recalcitrant Idiopathic Adhesive Capsulitis of the Shoulder

The results of repeat manipulation under ultrasound-guided cervical nerve block (MUC) for recurrence of frozen shoulder.

Outcomes From Conservative Treatment of Shoulder Idiopathic Adhesive Capsulitis and Factors Associated With Developing Contralateral Disease

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