The Influence of Arthroscopic Subscapularis Tendon and Capsule Release on Internal Rotation Strength in Treatment of Frozen Shoulder

Liem, Dennis; Meier, F; Thorwesten, L.; Marquardt, B.; Steinbeck, Jörn; Poetzl, Wolfgang

doi:10.1177/0363546507313090

Cited by 19 publications

(11 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The mean final ASES score of 82 reported here is lower than the 88 and 94 reported by Nicholson 23 for diabetic and idiopathic groups and lower than the 91 reported by Baums and colleagues 1 but higher than the 77 recently reported by Liem and colleagues. 16 Many reports on the treatment of adhesive capsulitis describe the results after either operative or nonoperative treatment but not both. In our series, many patients improved with nonoperative treatment alone, but 24 patients who did not improve underwent subsequent manipulation and arthroscopic capsular release.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Outcome After Nonoperative and Operative Treatment of Adhesive Capsulitis

et al. 2010

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Predictors of Outcome After Nonoperative and Operative Treatment of Adhesive Capsulitis

et al. 2010

View full text Add to dashboard Cite

show abstract

“…There is no consensus regarding the extent of capsular release and which structures should be involved in release. Many authors release only the rotator cuff interval and the contracted coracohumeral ligament claiming excellent results [84-86] while some others suggest that releasing the superior edge of subscapularis is essential t restore the external rotation [87-89]. A posterior capsular release might improve a severely restricted internal rotation [13, 83].…”

Section: Treatmentmentioning

confidence: 99%

Adhesive Capsulitis of the Shoulder. Is there Consensus Regarding the Treatment? A Comprehensive Review

Georgiannos

Markopoulos

Devetzi

et al. 2017

TOORTHJ

View full text Add to dashboard Cite

Background:Adhesive capsulitis of the shoulder (ACS) is a common self-limiting condition characterized by disabling pain and restricted movements. Its pathophysiology is poorly understood, clinically it is characterized by stages of pain and stiffness, and finally often patients never recover fully. However, there is no consensus about available methods of treatment for ACS. The aims of this paper are to discuss and develop issues regarding approaches to management in ACS in the stages of it.Methods:A review of the literature was performed and guidelines for the treatment of that clinical entity for doctors and health care professionals are provided.Results:Anti-inflammatory medications, steroid and/or hyaluronate injections and physiotherapy is the mainstay of conservative management either alone in the first stages or in combination with other treatment modalities in the later stages. Next line of treatment, involving minor to moderate intervention, includes suprascapular nerve block, distension arthrography and manipulation under anaesthesia. In order to avoid complications of “blind intervention”, arthroscopic capsular release is gradually more commonly applied, and in recalcitrant severe cases open release is a useful option.Conclusion:Various modalities of conservative management and gradually more surgical release are applied. However, often clinicians choose on personal experience and training rather than on published evidence.

show abstract

“…Because most functional activities are dynamic, evaluating isokinetic shoulder strength may be more appropriate when relating strength to functional performance and clinical outcome. However, data for isokinetic strength measurements around the shoulder are available only for normal healthy subjects [7], patients after open fixation of glenoid rim fractures [33], open [1, 10] and arthroscopic anterior stabilization [15, 21], rotator cuff surgery [4, 11, 14, 34, 43], with adhesive capsulitis [26, 27, 41], subacromial impingement [16, 24, 30], and pectoralis major muscle rupture [17], but not for patients with a reverse shoulder prosthesis.…”

Section: Introductionmentioning

confidence: 99%

Are Shoulders with A Reverse Shoulder Prosthesis Strong Enough? A Pilot Study

Alta

Veeger

Janssen

et al. 2012

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

BackgroundIt has been suggested that limited active ROM of reverse shoulder prostheses relates to lack of strength. However, the postoperative strength has not been quantified.Questions/purposesWe therefore measured joint torques in patients with reverse shoulder prostheses and correlated torques with functional scores.MethodsWe recruited 33 patients (age, 72 ± 8 years) with a reverse prosthesis (37 shoulders, 21 primary and 16 revisions). We obtained Constant-Murley, DASH, and Simple Shoulder Test ([D]SST) scores, and performed two isokinetic protocols (abduction/adduction and external/internal rotation) at 60° per second. Minimum followup was 4 months (average, 23 months; range, 4–63 months).ResultsTwenty-three patients (24 shoulders; 13 primaries, 11 revisions) were able to perform at least one of the defined tasks. Mean abduction and adduction torques were 15 Nm ± 7 Nm and 16 Nm ± 10 Nm (19%–78% of normal shoulders). External and internal rotation tasks could be performed by only 13 patients (14 shoulders; nine primary, five revisions) generating 9 Nm ± 4 Nm and 8 Nm ± 3 Nm, respectively (13%–71% of normal shoulders). We found moderate correlations between Constant-Murley, DASH and (D)SST (D = Dutch translation) scores and abduction and external rotation.ConclusionsPatients with a reverse prosthesis had reduced strength when compared with normal values reported in the literature (only 65% of patients could perform the protocol). This effect was greatest for external rotation and might explain clinical outcomes with which a moderately strong relationship was observed. Our observations suggest limited strength is a major factor in reduced ROM.

show abstract

The Influence of Arthroscopic Subscapularis Tendon and Capsule Release on Internal Rotation Strength in Treatment of Frozen Shoulder

Abstract: Arthroscopic capsular release combined with a release of the intra-articular portion of the subscapularis tendon revealed good clinical results in the arthroscopic treatment of adhesive capsulitis without significant loss of internal rotation strength.

Cited by 19 publications

References 18 publications

Predictors of Outcome After Nonoperative and Operative Treatment of Adhesive Capsulitis

Predictors of Outcome After Nonoperative and Operative Treatment of Adhesive Capsulitis

Adhesive Capsulitis of the Shoulder. Is there Consensus Regarding the Treatment? A Comprehensive Review

Are Shoulders with A Reverse Shoulder Prosthesis Strong Enough? A Pilot Study

Contact Info

Product

Resources

About