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Updated: Dec 23, 2025

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Early arthroscopic release in stiff shoulder.

Dhananjaya Sabat1, Vinod Kumar

  • 1Department of Orthopedic Surgery, Maulana Azad Medical College and Associated LN Hospital, New Delhi, India.

International Journal of Shoulder Surgery
|March 20, 2010
PubMed
Summary

Early arthroscopic release effectively treats stiff shoulders, improving range of motion and reducing pain. This minimally invasive procedure leads to a faster return to work for patients with persistent shoulder stiffness.

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Arthroscopy techniques·2020

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Arthroscopy

Background:

  • Stiff shoulder, a condition often persisting for months, can significantly impair function.
  • Conservative treatments like steroid injections and physical therapy may not always resolve shoulder stiffness.
  • Early intervention is crucial for optimal patient outcomes in musculoskeletal disorders.

Purpose of the Study:

  • To assess the efficacy of early arthroscopic release for stiff shoulder.
  • To evaluate functional improvements and pain relief following arthroscopic intervention.
  • To determine the impact on return-to-work timelines after treating shoulder stiffness.

Main Methods:

  • A cohort of 20 patients with stiff shoulder underwent arthroscopic release after failing conservative management.
Keywords:
Arthroscopic releasestiff shoulder

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  • Patients had symptoms for at least three months prior to surgery.
  • Functional outcomes were measured using the American Shoulder and Elbow Surgeons (ASES) and Constant and Murley scoring systems.

    • Main Results:

    • Significant improvements in range of motion and pain relief were observed within three months post-procedure.
    • At 12 months, mean ASES score improved by 38 points and Constant and Murley score by 40.5 points.
    • Patients returned to work within an average of 4.5 months.

    Conclusions:

    • Early arthroscopic release is a promising treatment for stiff shoulders, yielding reliable gains in motion.
    • The procedure offers early symptom relief and facilitates a quicker return to daily activities and work.
    • Arthroscopic release is highly recommended for carefully selected patients experiencing shoulder stiffness.