Essential Surgical Technique for Arthroscopic Capsular Release in the Treatment of Shoulder Stiffness

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Management of the Stiff Shoulder Arthroscopic capsular release for shoulder stiffness: techniques and possibilities

In 1934, Codman first introduced the term “frozen shoulder” to identify a clinical entity difficult to define, to treat, and to explain. Neviaser, in 1945, found thickening and contracture of the capsule, and that the thickened capsule peeled from the humeral head like adhesive plaster from skin. Adhesive capsulitis, also known as frozen shoulder, is a musculoskeletal disorder characterized by ...

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Primary Frozen Shoulder Syndrome: Arthroscopic Capsular Release.

Idiopathic adhesive capsulitis, or primary frozen shoulder syndrome, is a fairly common orthopaedic problem characterized by shoulder pain and loss of motion. In most cases, conservative treatment (6-month physical therapy program and intra-articular steroid injections) improves symptoms and restores shoulder motion. In refractory cases, arthroscopic capsular release is indicated. This surgical...

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Arthroscopic capsular release for refractory shoulder stiffness: a critical analysis of effectiveness in specific etiologies.

HYPOTHESIS The purpose of this study is to report and compare the outcome of arthroscopic capsular release in patients with shoulder stiffness with post-traumatic, postsurgical, and idiopathic etiologies. We hypothesize that patients with idiopathic or post-traumatic stiffness have better outcomes after arthroscopic capsular release than those with shoulder stiffness with a postsurgical etiolog...

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Clinical outcome of arthroscopic capsular release for frozen shoulder: essential technical points in 255 patients

BACKGROUND The purpose of this study was to investigate the long-term clinical outcome and its related factors regarding the severity of adhesion of CH ligament over long head of biceps (LHB) after shoulder arthroscopic capsular release for frozen shoulder with technical points in 255 patients. METHODS We performed arthroscopic capsular release for frozen shoulder in 267 shoulders of 255 pati...

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The anatomic proximity of several neurovascular structures remains a major concern to the surgeon interested in performing arthroscopic capsular release. We evaluated the anatomic relationships between the released capsule and the axillary nerve, posterior circumflex humeral artery, and brachial artery in a frozen cadaveric model. With the aid of electrocautery, seven cadaveric shoulders underw...

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ژورنال

عنوان ژورنال: JBJS Essential Surgical Techniques

سال: 2015

ISSN: 2160-2204

DOI: 10.2106/jbjs.st.n.00102