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 restore...
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2015-12-01
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Series: | Arthroscopy Techniques |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628715000857 |
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doaj-8cf6e5770f08470d9c555d3430fce53a2021-06-10T04:52:08ZengElsevierArthroscopy Techniques2212-62872015-12-0146e717e720Primary Frozen Shoulder Syndrome: Arthroscopic Capsular ReleaseGuillermo Arce, M.D.0Address correspondence to Guillermo Arce, M.D., Instituto Argentino de Diagnóstico y Tratamiento, Marcelo T. de Alvear 2439, 1414 Buenos Aires, Argentina.; Instituto Argentino de Diagnóstico y Tratamiento, Buenos Aires, ArgentinaIdiopathic 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 procedure carries several advantages over other treatment modalities. First, it provides precise and controlled release of the capsule and ligaments, reducing the risk of traumatic complications observed after forceful shoulder manipulation. Second, release of the capsule and the involved structures with a radiofrequency device delays healing, which prevents adhesion formation. Third, the technique is straightforward, and an oral postoperative steroid program decreases pain and allows for a pleasant early rehabilitation program. Fourth, the procedure is performed with the patient fully awake under an interscalene block, which boosts the patient's confidence and adherence to the physical therapy protocol. In patients with refractory primary frozen shoulder syndrome, arthroscopic capsular release emerges as a suitable option that leads to a faster and long-lasting recovery.http://www.sciencedirect.com/science/article/pii/S2212628715000857 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Guillermo Arce, M.D. |
spellingShingle |
Guillermo Arce, M.D. Primary Frozen Shoulder Syndrome: Arthroscopic Capsular Release Arthroscopy Techniques |
author_facet |
Guillermo Arce, M.D. |
author_sort |
Guillermo Arce, M.D. |
title |
Primary Frozen Shoulder Syndrome: Arthroscopic Capsular Release |
title_short |
Primary Frozen Shoulder Syndrome: Arthroscopic Capsular Release |
title_full |
Primary Frozen Shoulder Syndrome: Arthroscopic Capsular Release |
title_fullStr |
Primary Frozen Shoulder Syndrome: Arthroscopic Capsular Release |
title_full_unstemmed |
Primary Frozen Shoulder Syndrome: Arthroscopic Capsular Release |
title_sort |
primary frozen shoulder syndrome: arthroscopic capsular release |
publisher |
Elsevier |
series |
Arthroscopy Techniques |
issn |
2212-6287 |
publishDate |
2015-12-01 |
description |
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 procedure carries several advantages over other treatment modalities. First, it provides precise and controlled release of the capsule and ligaments, reducing the risk of traumatic complications observed after forceful shoulder manipulation. Second, release of the capsule and the involved structures with a radiofrequency device delays healing, which prevents adhesion formation. Third, the technique is straightforward, and an oral postoperative steroid program decreases pain and allows for a pleasant early rehabilitation program. Fourth, the procedure is performed with the patient fully awake under an interscalene block, which boosts the patient's confidence and adherence to the physical therapy protocol. In patients with refractory primary frozen shoulder syndrome, arthroscopic capsular release emerges as a suitable option that leads to a faster and long-lasting recovery. |
url |
http://www.sciencedirect.com/science/article/pii/S2212628715000857 |
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