Long-Term Outcomes After Arthroscopic Capsular Release for Idiopathic Adhesive Capsulitis

2012 ◽  
Vol 94 (13) ◽  
pp. 1208-1216 ◽  
Author(s):  
Hugh M.J. Le Lievre ◽  
George A.C. Murrell
Keyword(s):  
Adhesive Capsulitis ◽  
Long Term Outcomes ◽  
Capsular Release ◽  
Arthroscopic Capsular Release

Functional Outcome After Arthroscopic Capsular Release in Management of the Shoulder Adhesive Capsulitis

2021 ◽  
Vol 85 (1) ◽  
pp. 3166-3172
Author(s):  
Elias Emhemed Yousef Alazabi ◽  
Adel Mohammad Salama ◽  
Mohmed A. Abdel Salam ◽  
Hany Mohamed Abd Elfattah Bakr
Keyword(s):  
Functional Outcome ◽  
Adhesive Capsulitis ◽  
Capsular Release ◽  
Arthroscopic Capsular Release

Short-term outcomes after arthroscopic capsular release for adhesive capsulitis

2016 ◽  
Vol 25 (9) ◽  
pp. e256-e264 ◽  
Author(s):  
Callum P. Barnes ◽  
Patrick H. Lam ◽  
George A.C. Murrell
Keyword(s):  
Adhesive Capsulitis ◽  
Short Term ◽  
Capsular Release ◽  
Arthroscopic Capsular Release

scholarly journals Current Concepts in the Treatment of adhesive capsulitis of the Shoulder

2019 ◽  
Vol 6 (03) ◽  
pp. 4354-4357
Author(s):  
Luciano Andrés Rossi ◽  
Maximiliano Ranalletta
Keyword(s):  
Corticosteroid Injection ◽  
Adhesive Capsulitis ◽  
Postoperative Rehabilitation ◽  
Duration Of Symptoms ◽  
Capsular Release ◽  
Daily Life Activities ◽  
Nonsurgical Management ◽  
Arthroscopic Capsular Release ◽  
History Of ◽  
High Level

Adhesive capsulitis is characterized by chronic inflammation of the capsular subsynovial layer, which produces capsular fibrosis, contracture, and adherence of the capsule to itself and to the anatomic neck of the humerus. Physical therapy is the mainstay of treatment, regardless of stage. Based on the natural history of the disease, early corticosteroid injection has a role in shortening the overall duration of symptoms allowing patients to move faster in the stages of rehabilitation and thus return to their daily life activities more rapidly. Most patients will see complete resolution of symptoms with nonsurgical management. In cases with refractory stiffness, manipulation under anesthesia or arthroscopic capsular release may be indicated. Because of various potential risks of complications with manipulations, arthroscopic capsular release is preferred. There is a lack of high level studies comparing different techniques for capsular release. Both circumferential and limited release have proven to be effective. Regarding postoperative rehabilitation, arthroscopic release should be followed by early, diligent, and directed therapy to prevent recurrent stiffness.

scholarly journals Factors Affecting the Outcomes of Arthroscopic Capsular Release for Idiopathic Adhesive Capsulitis

2019 ◽  
Vol 7 (9) ◽  
pp. 232596711986762 ◽  
Author(s):  
Syed M. Rizvi ◽  
Ahmed J. Harisha ◽  
Patrick H. Lam ◽  
George A.C. Murrell
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
External Rotation ◽  
Adhesive Capsulitis ◽  
Linear Regression Analysis ◽  
Frozen Shoulder ◽  
Level Of Evidence ◽  
Duration Of Symptoms ◽  
Capsular Release ◽  
Arthroscopic Capsular Release

Background: Arthroscopic capsular release has been shown to provide excellent short- and long-term outcomes in patients with idiopathic frozen shoulder. Some surgeons delay surgery in the belief that operating in the early stages of adhesive capsulitis results in a poorer prognosis. However, it is unclear which factors, particularly the stage of the disorder, affect the surgical outcome of this procedure. Hypothesis: Patients who undergo capsular release during the early symptomatic stage of idiopathic adhesive capsulitis would have less improvement in range of motion compared with those who undergo surgery at a later stage. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 189 shoulders with idiopathic adhesive capsulitis that underwent arthroscopic capsular release were evaluated. All patients completed a L’Insalata questionnaire and had their range of motion and strength tested prior to surgery and at 1, 6, and 12 weeks and 6 months post–capsular release. Post hoc, patients were grouped by whether they had symptoms lasting <10 months (shorter symptoms group; n = 131) or ≥10 months (longer symptoms group; n = 38). Multiple linear regression analysis was performed to determine which preoperative factors were independently associated with a favorable outcome. Results: Patients in the shorter symptoms group were more restricted prior to surgery than were those in the longer symptoms group (mean ± SEM: external rotation, 17° ± 2° vs 27° ± 4° [ P = .04]; abduction, 78° ± 3° vs 92° ± 6° [ P = .04]; internal rotation, S3 ± 1 vs S1 ± 1 [ P = .03]). The shorter symptoms group had greater postoperative improvement in internal rotation (from S3 ± 1 preoperatively to T12 ± 1 vertebral levels) compared with the longer symptoms cohort (from S1 ± 1 to L2 ± 1) ( P = .02). Conclusion: Patients with a frozen shoulder and a duration of symptoms <10 months made greater improvements in internal rotation and had similar final results for flexion, abduction, and external rotation following arthroscopic capsular release when compared with patients who had a longer duration of symptoms, so there is no reason to delay surgery.

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