Arthroscopic Capsular Release for Idiopathic Adhesive Capsulitis.

Area of Science:

• Orthopedic Surgery
• Arthroscopy
• Shoulder Joint Procedures

Background:

• Idiopathic adhesive capsulitis, commonly known as frozen shoulder, significantly restricts shoulder mobility and causes pain.
• Conservative treatments are often insufficient for severe cases, necessitating surgical intervention.

Purpose of the Study:

• To describe and evaluate a specific arthroscopic capsular release technique for treating idiopathic adhesive capsulitis.
• To demonstrate the efficacy of this technique in improving range of motion and alleviating pain.

Main Methods:

• The described arthroscopic capsular release involves a 360° approach using two posterior and one anterior portal.
• Key steps include patient positioning in beach-chair position, routine glenohumeral arthroscopy, and precise portal establishment.
• The technique involves releasing the rotator cuff interval, subscapularis tendon, and anterior-inferior capsule, followed by posterior-inferior capsular release and gentle arm manipulation.

Main Results:

• The arthroscopic capsular release technique was successfully performed on 49 shoulders in 43 patients diagnosed with idiopathic adhesive capsulitis.
• The procedure resulted in improved shoulder range of motion and reduced pain levels.

Conclusions:

• Arthroscopic capsular release using the described technique is an effective treatment for idiopathic adhesive capsulitis.
• This minimally invasive approach offers significant improvements in shoulder function and pain relief for affected patients.