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Primary Frozen Shoulder Syndrome: Arthroscopic Capsular Release
1Instituto Argentino de Diagnóstico y Tratamiento, Buenos Aires, Argentina.
Arthroscopy Techniques
|February 13, 2016
Summary
Idiopathic adhesive capsulitis, or frozen shoulder, often improves with conservative care. For persistent cases, arthroscopic capsular release offers a precise surgical solution for faster, lasting recovery.
Area of Science:
- Orthopaedic Surgery
- Sports Medicine
Background:
- Idiopathic adhesive capsulitis (frozen shoulder) presents with shoulder pain and restricted motion.
- Conservative treatments like physical therapy and steroid injections are often effective.
- Refractory cases require advanced interventions for symptom relief.
Purpose of the Study:
- To evaluate arthroscopic capsular release as a treatment for refractory frozen shoulder.
- To highlight the advantages of this minimally invasive surgical technique.
Main Methods:
- Arthroscopic capsular release using radiofrequency device.
- Performed under interscalene block with the patient awake.
- Postoperative oral steroid regimen and early physical therapy.
Main Results:
- Precise and controlled release of shoulder capsule and ligaments.
- Delayed healing reduces adhesion reformation.
- Facilitates early, adherence-driven rehabilitation.
Conclusions:
- Arthroscopic capsular release is a suitable option for refractory frozen shoulder.
- The procedure offers a faster and long-lasting recovery.
- Patient-awake technique enhances confidence and adherence to therapy.
