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Related Experiment Video

Updated: Aug 7, 2025

Author Spotlight: Treating Frozen Shoulder with Small Needle Knife Therapy
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Frozen Shoulder.

Ana María Fernández Martínez1, David Romero Alonso1, Sebastian Baldi1

  • 1University Hospital of León, León, Spain.

Techniques in Vascular and Interventional Radiology
|March 8, 2023
PubMed
Summary

Transarterial embolization (TAE) offers a new treatment for refractory adhesive capsulitis (AC), a painful shoulder condition. This minimally invasive procedure targets abnormal blood vessel growth contributing to AC, aiming to reduce inflammation and fibrosis.

Keywords:
Adhesive capsulitisShoulder painTranscatheter arterial embolization

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Area of Science:

  • Orthopedics
  • Interventional Radiology
  • Musculoskeletal Diseases

Background:

  • Adhesive capsulitis (AC), or frozen shoulder, is a common, painful shoulder condition with a prolonged natural history, often lasting up to 36 months.
  • A significant proportion of AC cases are refractory to conventional treatments, leading to persistent deficits.
  • The pathophysiology of AC is linked to capsular hypervascularization, suggesting a target for therapeutic intervention.

Purpose of the Study:

  • To evaluate transarterial embolization (TAE) as a therapeutic option for patients with refractory adhesive capsulitis.
  • To describe the technical aspects of performing TAE for AC.
  • To review the existing literature on arterial embolization for the treatment of AC.

Main Methods:

  • Transarterial embolization (TAE) procedure targeting abnormal capsular vascularization.
  • Review of current literature on arterial embolization for adhesive capsulitis.
  • Description of key technical considerations for TAE in AC treatment.

Main Results:

  • TAE is emerging as a viable treatment option for refractory cases of adhesive capsulitis.
  • The procedure aims to reduce abnormal vascularization, thereby mitigating the inflammatory-fibrotic state characteristic of AC.
  • Literature review supports the investigation of TAE in managing persistent AC symptoms.

Conclusions:

  • Transarterial embolization presents a promising intervention for adhesive capsulitis unresponsive to standard therapies.
  • Understanding the technical nuances of TAE is crucial for its successful application in AC.
  • Further research and literature consolidation are needed to establish definitive therapeutic guidelines for TAE in AC.