[Arthroscopic capsular release for frozen shoulder].

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Musculoskeletal Disorders

Background:

• Frozen shoulder disease, or adhesive capsulitis, causes significant pain and restricted range of motion.
• Conservative treatments like physical therapy are often insufficient for severe or prolonged cases.
• Surgical intervention may be necessary for patients unresponsive to non-operative management.

Purpose of the Study:

• To evaluate the outcomes of arthroscopic capsular release for glenohumeral joint stiffness.
• To assess the technical considerations and efficacy of this minimally invasive procedure.
• To determine the improvement in shoulder function and range of motion post-surgery.

Main Methods:

• Arthroscopic capsular release was performed on 16 patients with frozen shoulder disease.
• Patients included were unresponsive to prior physical therapy.
• Functional outcomes were assessed using the Constant scoring system, with a mean follow-up of 17.3 months.

Main Results:

• Significant improvements were observed in forward flexion (92° to 135°) and external rotation (14° to 27°).
• Internal rotation also showed marked improvement, with patients reaching higher levels.
• The mean Constant score improved by 47 points, indicating substantial functional recovery.

Conclusions:

• Arthroscopic capsular release is a safe and effective surgical option for managing frozen shoulder disease.
• The procedure yields significant improvements in range of motion and functional scores.
• It represents a viable treatment for patients who have not responded to conservative therapies.